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HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameHEALTHY LIVING MARKET 401(K) RETIREMENT PLAN
Plan identification number 001

HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ROAD TO HANA, INC. DBA HEALTHY LIVING has sponsored the creation of one or more 401k plans.

Company Name:ROAD TO HANA, INC. DBA HEALTHY LIVING
Employer identification number (EIN):030304710
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01ELI LESSER-GOLDSMITH2023-10-18 ELI LESSER-GOLDSMITH2023-10-18
0012021-01-01ELI LESSER-GOLDSMITH2022-09-20 ELI LESSER-GOLDSMITH2022-09-20
0012020-01-01ELI LESSER-GOLDSMITH2021-09-02 ELI LESSER-GOLDSMITH2021-09-02
0012019-01-01ELI LESSER-GOLDSMITH2020-10-06 ELI LESSER-GOLDSMITH2020-10-06
0012018-01-01ELI LESSER-GOLDSMITH2019-10-10 ELI LESSER-GOLDSMITH2019-10-10
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01ELI LESSER-GOLDSMITH2013-08-13 ELI LESSER-GOLDSMITH2013-08-13
0012011-01-01MICHAEL DEUTSCH2012-07-11 MICHAEL DEUTSCH2012-07-11
0012010-01-01MICHAEL DEUTSCH2011-04-08 MICHAEL DEUTSCH2011-04-08

Plan Statistics for HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN

401k plan membership statisitcs for HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN

Measure Date Value
2023: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01281
Total number of active participants reported on line 7a of the Form 55002023-01-01190
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0193
Total of all active and inactive participants2023-01-01283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01283
Number of participants with account balances2023-01-01170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01245
Total number of active participants reported on line 7a of the Form 55002022-01-01174
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0187
Total of all active and inactive participants2022-01-01261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01261
Number of participants with account balances2022-01-01170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01255
Total number of active participants reported on line 7a of the Form 55002021-01-01277
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0170
Total of all active and inactive participants2021-01-01347
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01347
Number of participants with account balances2021-01-01155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01266
Total number of active participants reported on line 7a of the Form 55002020-01-01192
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0154
Total of all active and inactive participants2020-01-01246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01246
Number of participants with account balances2020-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01266
Total number of active participants reported on line 7a of the Form 55002019-01-01172
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0185
Total of all active and inactive participants2019-01-01257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01257
Number of participants with account balances2019-01-01168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01299
Total number of active participants reported on line 7a of the Form 55002018-01-01168
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0181
Total of all active and inactive participants2018-01-01249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01249
Number of participants with account balances2018-01-01176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01375
Total number of active participants reported on line 7a of the Form 55002017-01-01205
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0192
Total of all active and inactive participants2017-01-01297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01297
Number of participants with account balances2017-01-01205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01252
Total number of active participants reported on line 7a of the Form 55002016-01-01223
Number of other retired or separated participants entitled to future benefits2016-01-01109
Total of all active and inactive participants2016-01-01332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01332
Number of participants with account balances2016-01-01278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0167
2015: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01181
Total number of active participants reported on line 7a of the Form 55002015-01-0192
Number of other retired or separated participants entitled to future benefits2015-01-0121
Total of all active and inactive participants2015-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-01114
Number of participants with account balances2015-01-0178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN

Measure Date Value
2023 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,392,254
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$312,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$273,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$758,015
Value of total assets at end of year2023-12-31$4,495,855
Value of total assets at beginning of year2023-12-31$3,416,219
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$38,766
Total interest from all sources2023-12-31$1,843
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$312,801
Participant contributions at end of year2023-12-31$17,596
Participant contributions at beginning of year2023-12-31$40,523
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$286,832
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$0
Total non interest bearing cash at end of year2023-12-31$5,877
Total non interest bearing cash at beginning of year2023-12-31$5,877
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,079,636
Value of net assets at end of year (total assets less liabilities)2023-12-31$4,495,855
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$3,416,219
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in pooled separate accounts at end of year2023-12-31$4,472,382
Value of interest in pooled separate accounts at beginning of year2023-12-31$3,369,819
Interest on participant loans2023-12-31$1,843
Net investment gain/loss from pooled separate accounts2023-12-31$632,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$158,382
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$273,852
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31GALLAGHER, FLYNN & COMPANY
Accountancy firm EIN2023-12-31030225774
2022 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-65,541
Total of all expenses incurred2022-12-31$120,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$89,094
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$547,827
Value of total assets at end of year2022-12-31$3,416,219
Value of total assets at beginning of year2022-12-31$3,602,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$31,787
Total interest from all sources2022-12-31$2,124
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$329,282
Participant contributions at end of year2022-12-31$40,523
Participant contributions at beginning of year2022-12-31$44,408
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$34,963
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$5,877
Total non interest bearing cash at beginning of year2022-12-31$10,476
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-186,422
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,416,219
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,602,641
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$31,787
Value of interest in pooled separate accounts at end of year2022-12-31$3,369,819
Value of interest in pooled separate accounts at beginning of year2022-12-31$3,547,702
Interest on participant loans2022-12-31$2,124
Net investment gain/loss from pooled separate accounts2022-12-31$-615,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$183,582
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$55
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$89,094
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31GALLAGHER, FLYNN & COMPANY
Accountancy firm EIN2022-12-31030225774
2021 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$947,305
Total of all expenses incurred2021-12-31$198,982
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$167,971
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$525,260
Value of total assets at end of year2021-12-31$3,602,641
Value of total assets at beginning of year2021-12-31$2,854,318
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$31,011
Total interest from all sources2021-12-31$2,925
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$277,766
Participant contributions at end of year2021-12-31$44,408
Participant contributions at beginning of year2021-12-31$55,103
Participant contributions at beginning of year2021-12-31$37
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$87,820
Other income not declared elsewhere2021-12-31$4,308
Total non interest bearing cash at end of year2021-12-31$10,476
Total non interest bearing cash at beginning of year2021-12-31$6,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$748,323
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,602,641
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,854,318
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$3,547,702
Value of interest in pooled separate accounts at beginning of year2021-12-31$2,792,932
Interest on participant loans2021-12-31$2,925
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$414,812
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Assets. Invements in employer securities at beginning of year2021-12-31$0
Contributions received in cash from employer2021-12-31$159,674
Employer contributions (assets) at end of year2021-12-31$55
Employer contributions (assets) at beginning of year2021-12-31$27
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$167,971
Contract administrator fees2021-12-31$31,011
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GALLAGHER, FLYNN & COMPANY
Accountancy firm EIN2021-12-31030225774
2020 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2020 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$80
Total income from all sources (including contributions)2020-12-31$755,098
Total of all expenses incurred2020-12-31$193,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$165,045
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$395,596
Value of total assets at end of year2020-12-31$2,854,318
Value of total assets at beginning of year2020-12-31$2,292,732
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$28,387
Total interest from all sources2020-12-31$3,704
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$23,210
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$251,074
Participant contributions at end of year2020-12-31$55,103
Participant contributions at beginning of year2020-12-31$57,340
Participant contributions at end of year2020-12-31$37
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$17,938
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$80
Total non interest bearing cash at end of year2020-12-31$6,219
Total non interest bearing cash at beginning of year2020-12-31$6,537
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$561,666
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,854,318
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,292,652
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$2,792,932
Value of interest in pooled separate accounts at beginning of year2020-12-31$2,228,855
Interest on participant loans2020-12-31$3,704
Net investment gain/loss from pooled separate accounts2020-12-31$355,798
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$126,584
Employer contributions (assets) at end of year2020-12-31$27
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$165,045
Contract administrator fees2020-12-31$5,177
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31GALLAGHER, FLYNN & COMPANY
Accountancy firm EIN2020-12-31030225774
2019 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$80
Total income from all sources (including contributions)2019-12-31$791,745
Total of all expenses incurred2019-12-31$108,987
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$84,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$405,250
Value of total assets at end of year2019-12-31$2,292,732
Value of total assets at beginning of year2019-12-31$1,609,894
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$24,066
Total interest from all sources2019-12-31$2,278
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$20,816
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$221,345
Participant contributions at end of year2019-12-31$57,340
Participant contributions at beginning of year2019-12-31$2,200
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$208
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$62,220
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$80
Total non interest bearing cash at end of year2019-12-31$6,537
Total non interest bearing cash at beginning of year2019-12-31$7,424
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$682,758
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,292,652
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,609,894
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$2,228,855
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,600,062
Interest on participant loans2019-12-31$2,278
Net investment gain/loss from pooled separate accounts2019-12-31$384,217
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 contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$121,685
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$84,921
Contract administrator fees2019-12-31$3,250
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 name2019-12-31GALLAGHER, FLYNN & COMPANY
Accountancy firm EIN2019-12-31030225774
2018 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$272,383
Total of all expenses incurred2018-12-31$207,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$175,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$391,492
Value of total assets at end of year2018-12-31$1,609,894
Value of total assets at beginning of year2018-12-31$1,544,807
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$32,133
Total interest from all sources2018-12-31$54
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$12,445
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$226,612
Participant contributions at end of year2018-12-31$2,200
Participant contributions at beginning of year2018-12-31$0
Participant contributions at end of year2018-12-31$208
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$36,279
Total non interest bearing cash at end of year2018-12-31$7,424
Total non interest bearing cash at beginning of year2018-12-31$14,413
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$65,087
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,609,894
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,544,807
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$0
Value of interest in pooled separate accounts at end of year2018-12-31$1,600,062
Value of interest in pooled separate accounts at beginning of year2018-12-31$1,530,394
Interest on participant loans2018-12-31$54
Value of interest in common/collective trusts at beginning of year2018-12-31$0
Net investment gain/loss from pooled separate accounts2018-12-31$-119,163
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 contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$128,601
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$175,163
Contract administrator fees2018-12-31$19,688
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 name2018-12-31GALLAGHER, FLYNN & COMPANY
Accountancy firm EIN2018-12-31030225774
2017 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2017 401k financial data
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$606,514
Total of all expenses incurred2017-12-31$164,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$140,250
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$376,252
Value of total assets at end of year2017-12-31$1,544,807
Value of total assets at beginning of year2017-12-31$1,103,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$24,661
Total interest from all sources2017-12-31$135
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$7,418
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$223,802
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$4,703
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$4,157
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$11,456
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$14,413
Total non interest bearing cash at beginning of year2017-12-31$3,997
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$441,603
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,544,807
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,103,204
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$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$0
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$1,530,394
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,086,373
Interest on participant loans2017-12-31$135
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$230,127
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 contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$140,994
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$3,974
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$140,250
Contract administrator fees2017-12-31$17,243
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 name2017-12-31GALLAGHER, FLYNN & COMPANY
Accountancy firm EIN2017-12-31030225774
2016 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2016 401k financial data
Total liabilities at end 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$450,520
Total of all expenses incurred2016-12-31$111,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$92,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$376,266
Value of total assets at end of year2016-12-31$1,103,204
Value of total assets at beginning of year2016-12-31$764,046
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$18,372
Total interest from all sources2016-12-31$33
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$560
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$150,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$240,102
Participant contributions at end of year2016-12-31$4,703
Participant contributions at end of year2016-12-31$4,157
Participant contributions at beginning of year2016-12-31$5,159
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$4,241
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$3,997
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$339,158
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,103,204
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$764,046
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$14,883
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$0
Value of interest in pooled separate accounts at end of year2016-12-31$1,086,373
Value of interest in pooled separate accounts at beginning of year2016-12-31$677,183
Interest on participant loans2016-12-31$33
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$77,916
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$74,221
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$131,923
Employer contributions (assets) at end of year2016-12-31$3,974
Employer contributions (assets) at beginning of year2016-12-31$3,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$92,990
Contract administrator fees2016-12-31$2,929
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
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 name2016-12-31GALLAGHER, FLYNN & COMPANY
Accountancy firm EIN2016-12-31030225774
2015 : HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2015 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$152
Total income from all sources (including contributions)2015-12-31$156,717
Total of all expenses incurred2015-12-31$121,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$109,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$182,981
Value of total assets at end of year2015-12-31$764,046
Value of total assets at beginning of year2015-12-31$729,349
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$12,208
Total interest from all sources2015-12-31$1,132
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$150,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$109,721
Participant contributions at end of year2015-12-31$5,159
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$58
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$152
Other income not declared elsewhere2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$34,849
Value of net assets at end of year (total assets less liabilities)2015-12-31$764,046
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$729,197
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$12,208
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$0
Value of interest in pooled separate accounts at end of year2015-12-31$677,183
Value of interest in pooled separate accounts at beginning of year2015-12-31$655,704
Interest earned on other investments2015-12-31$1,132
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$77,916
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$73,645
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$0
Net investment gain/loss from pooled separate accounts2015-12-31$-27,396
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$73,202
Employer contributions (assets) at end of year2015-12-31$3,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$109,660
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 name2015-12-31BILODEAU WELLS & CO., P.C.
Accountancy firm EIN2015-12-31030293317

Form 5500 Responses for HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN

2023: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HEALTHY LIVING MARKET 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
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 - TrustYes
2019: HEALTHY LIVING MARKET 401(K) 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 - TrustYes
2018: HEALTHY LIVING MARKET 401(K) 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 - TrustYes
2017: HEALTHY LIVING MARKET 401(K) 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 - TrustYes
2016: HEALTHY LIVING MARKET 401(K) 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 - TrustYes
2015: HEALTHY LIVING MARKET 401(K) 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 - 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 number125063
Policy instance 1
Insurance contract or identification number125063
Number of Individuals Covered269
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14,858
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125063
Policy instance 1
Insurance contract or identification number125063
Number of Individuals Covered274
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $9,926
Total amount of fees paid to insurance companyUSD $2,425
Commission paid to Insurance BrokerUSD $9,926
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125063
Policy instance 1
Insurance contract or identification number125063
Number of Individuals Covered254
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $9,392
Total amount of fees paid to insurance companyUSD $2,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,392
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125063
Policy instance 1
Insurance contract or identification number125063
Number of Individuals Covered225
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,324
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,171
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125063
Policy instance 1
Insurance contract or identification number125063
Number of Individuals Covered260
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $8,112
Total amount of fees paid to insurance companyUSD $959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,112
Insurance broker organization code?4
Amount paid for insurance broker fees959
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125063
Policy instance 1
Insurance contract or identification number125063
Number of Individuals Covered263
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $8,204
Total amount of fees paid to insurance companyUSD $822
Commission paid to Insurance BrokerUSD $8,204
Insurance broker organization code?4
Amount paid for insurance broker fees822
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125063
Policy instance 1
Insurance contract or identification number125063
Number of Individuals Covered297
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,568
Total amount of fees paid to insurance companyUSD $3,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,568
Insurance broker organization code?4
Amount paid for insurance broker fees3549
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker namePENSION WORKS, INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGP 77638
Policy instance 1
Insurance contract or identification numberGP 77638
Number of Individuals Covered93
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,667
Total amount of fees paid to insurance companyUSD $30
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,667
Amount paid for insurance broker fees30
Additional information about fees paid to insurance brokerBROKER COMMISSIONS
Insurance broker organization code?4
Insurance broker nameNFP ADVISOR SERVICES LLC

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