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TST MEDIA, INC 401(K ) PLAN 401k Plan overview

Plan NameTST MEDIA, INC 401(K ) PLAN
Plan identification number 001

TST MEDIA, INC 401(K ) PLAN Benefits

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

401k Sponsoring company profile

SPORT NGIN has sponsored the creation of one or more 401k plans.

Company Name:SPORT NGIN
Employer identification number (EIN):452904553
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TST MEDIA, INC 401(K ) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01JOSEPH PITRA
0012016-01-01JOSEPH PITRA
0012015-01-01KRISTIN BROWN
0012014-01-01KRIS BROWN
0012013-01-01JARED OASHEIM2014-06-30 JARED OASHEIM2014-06-30
0012012-01-01ANNA KLOMBIES2013-07-25 ANNA KLOMBIES2013-07-25
0012011-01-01CASEY KIPFER2012-07-30

Plan Statistics for TST MEDIA, INC 401(K ) PLAN

401k plan membership statisitcs for TST MEDIA, INC 401(K ) PLAN

Measure Date Value
2017: TST MEDIA, INC 401(K ) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01387
Total number of active participants reported on line 7a of the Form 55002017-01-010
Total of all active and inactive participants2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
2016: TST MEDIA, INC 401(K ) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01327
Total number of active participants reported on line 7a of the Form 55002016-01-01284
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01103
Total of all active and inactive participants2016-01-01387
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01387
Number of participants with account balances2016-01-01330
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0126
2015: TST MEDIA, INC 401(K ) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01242
Total number of active participants reported on line 7a of the Form 55002015-01-01271
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0149
Total of all active and inactive participants2015-01-01320
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-01321
Number of participants with account balances2015-01-01183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-015
2014: TST MEDIA, INC 401(K ) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01136
Total number of active participants reported on line 7a of the Form 55002014-01-01205
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0127
Total of all active and inactive participants2014-01-01232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01232
Number of participants with account balances2014-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-015

Financial Data on TST MEDIA, INC 401(K ) PLAN

Measure Date Value
2017 : TST MEDIA, INC 401(K ) PLAN 2017 401k financial data
Total transfer of assets from this plan2017-12-31$4,966,983
Total income from all sources (including contributions)2017-12-31$893,279
Total of all expenses incurred2017-12-31$285,275
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$168,996
Value of total corrective distributions2017-12-31$106,886
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$86,447
Value of total assets at end of year2017-12-31$0
Value of total assets at beginning of year2017-12-31$4,358,979
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$9,393
Total interest from all sources2017-12-31$415
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$36,064
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$36,064
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$30,000,000
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$86,447
Participant contributions at beginning of year2017-12-31$23,891
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$608,004
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$4,358,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,862,330
Interest on participant loans2017-12-31$415
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$5,037
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$5,037
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$770,353
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
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$467,721
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$168,996
Contract administrator fees2017-12-31$9,393
Did the plan have assets held for investment2017-12-31No
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 PBGC2017-12-31Yes
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 name2017-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2017-12-31410746749
2016 : TST MEDIA, INC 401(K ) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,794,128
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$149,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$87,376
Value of total corrective distributions2016-12-31$45,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,505,459
Value of total assets at end of year2016-12-31$4,358,979
Value of total assets at beginning of year2016-12-31$2,714,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$16,045
Total interest from all sources2016-12-31$1,081
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$69,413
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$69,413
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$3,000,000
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$937,549
Participant contributions at end of year2016-12-31$23,891
Participant contributions at beginning of year2016-12-31$27,754
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$100,189
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$1,644,830
Value of net assets at end of year (total assets less liabilities)2016-12-31$4,358,979
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,714,149
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,862,330
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,335,599
Interest on participant loans2016-12-31$1,051
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$5,037
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$3,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$3,632
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$30
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$218,175
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$467,721
Employer contributions (assets) at end of year2016-12-31$467,721
Employer contributions (assets) at beginning of year2016-12-31$347,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$87,376
Contract administrator fees2016-12-31$16,045
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 name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749
2015 : TST MEDIA, INC 401(K ) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,285,349
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$151,143
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$144,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,314,662
Value of total assets at end of year2015-12-31$2,714,149
Value of total assets at beginning of year2015-12-31$1,579,943
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$6,916
Total interest from all sources2015-12-31$674
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$42,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$42,521
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$3,000,000
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$785,909
Participant contributions at end of year2015-12-31$27,754
Participant contributions at beginning of year2015-12-31$11,656
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$30,858
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$181,589
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$1,134,206
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,714,149
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,579,943
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,335,599
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,534,821
Interest on participant loans2015-12-31$672
Income. Interest from loans (other than to participants)2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$3,632
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,608
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,608
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-72,508
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$347,164
Employer contributions (assets) at end of year2015-12-31$347,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$144,227
Contract administrator fees2015-12-31$6,916
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 name2015-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2015-12-31410746749
2014 : TST MEDIA, INC 401(K ) 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$935,829
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$127,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$63,443
Value of total corrective distributions2014-12-31$55,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$856,881
Value of total assets at end of year2014-12-31$1,579,943
Value of total assets at beginning of year2014-12-31$771,948
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$8,590
Total interest from all sources2014-12-31$216
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$25,870
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$25,870
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$250,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$516,155
Participant contributions at end of year2014-12-31$11,656
Participant contributions at end of year2014-12-31$30,858
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$198,324
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$807,995
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,579,943
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$771,948
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,534,821
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$770,727
Interest on participant loans2014-12-31$216
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,608
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,221
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,221
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$52,862
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$142,402
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$63,443
Contract administrator fees2014-12-31$8,590
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 name2014-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2014-12-31410746749

Form 5500 Responses for TST MEDIA, INC 401(K ) PLAN

2017: TST MEDIA, INC 401(K ) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: TST MEDIA, INC 401(K ) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: TST MEDIA, INC 401(K ) 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: TST MEDIA, INC 401(K ) 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010152893
Policy instance 1
Insurance contract or identification number000010152893
Number of Individuals Covered227
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,952
Total amount of fees paid to insurance companyUSD $75
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $1,952
Amount paid for insurance broker fees75
Additional information about fees paid to insurance brokerBORKER BONUS
Insurance broker organization code?3
Insurance broker nameTHE HAYS GROUP INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010152892
Policy instance 2
Insurance contract or identification number000010152892
Number of Individuals Covered231
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,765
Total amount of fees paid to insurance companyUSD $66
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $1,765
Amount paid for insurance broker fees66
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameTHE HAYS GROUP INC

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