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THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 401k Plan overview

Plan NameTHE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO.
Plan identification number 002

THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related

401k Sponsoring company profile

PAR PETROLEUM LLC has sponsored the creation of one or more 401k plans.

Company Name:PAR PETROLEUM LLC
Employer identification number (EIN):462908645
NAIC Classification:324110
NAIC Description:Petroleum Refineries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01

Plan Statistics for THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO.

401k plan membership statisitcs for THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO.

Measure Date Value
2023: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 2023 401k membership
Total participants, beginning-of-year2023-01-01210
Total number of active participants reported on line 7a of the Form 55002023-01-0164
Number of retired or separated participants receiving benefits2023-01-0176
Number of other retired or separated participants entitled to future benefits2023-01-0163
Total of all active and inactive participants2023-01-01203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-019
Total participants2023-01-01212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 2022 401k membership
Market value of plan assets2022-12-3121,714,685
Acturial value of plan assets2022-12-3121,714,685
Funding target for retired participants and beneficiaries receiving payment2022-12-318,164,020
Number of terminated vested participants2022-12-3161
Fundng target for terminated vested participants2022-12-313,084,515
Active participant vested funding target2022-12-313,401,564
Number of active participants2022-12-3160
Total funding liabilities for active participants2022-12-313,563,247
Total participant count2022-12-31202
Total funding target for all participants2022-12-3114,811,782
Balance at beginning of prior year after applicable adjustments2022-12-313,143,671
Prefunding balance at beginning of prior year after applicable adjustments2022-12-311,373,667
Amount remaining of carryover balance2022-12-313,143,671
Amount remaining of prefunding balance2022-12-311,373,667
Present value of excess contributions2022-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2022-12-310
Reductions in caryover balances due to elections or deemed elections2022-12-310
Reductions in prefunding balances due to elections or deemed elections2022-12-310
Balance of carryovers at beginning of current year2022-12-313,532,543
Balance of prefunding at beginning of current year2022-12-311,543,590
Total employer contributions2022-12-310
Total employee contributions2022-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2022-12-310
Contributions made to avoid restrictions adjusted to valuation date2022-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2022-12-310
Unpaid minimum required contributions for all prior years2022-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2022-12-310
Remaining amount of unpaid minimum required contributions2022-12-310
Minimum required contributions for current year target normal cost2022-12-31396,589
Net shortfall amortization installment of oustanding balance2022-12-310
Waiver amortization installment2022-12-310
Total funding amount beforereflecting carryover/prefunding balances2022-12-310
Additional cash requirement2022-12-310
Contributions allocatedtoward minimum required contributions for current year2022-12-310
Unpaid minimum required contributions for current year2022-12-310
Unpaid minimum required contributions for all years2022-12-310
Total participants, beginning-of-year2022-01-01201
Total number of active participants reported on line 7a of the Form 55002022-01-0163
Number of retired or separated participants receiving benefits2022-01-0174
Number of other retired or separated participants entitled to future benefits2022-01-0163
Total of all active and inactive participants2022-01-01200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0110
Total participants2022-01-01210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 2021 401k membership
Market value of plan assets2021-12-3120,013,060
Acturial value of plan assets2021-12-3120,013,060
Funding target for retired participants and beneficiaries receiving payment2021-12-316,956,750
Number of terminated vested participants2021-12-3160
Fundng target for terminated vested participants2021-12-313,027,381
Active participant vested funding target2021-12-314,022,661
Number of active participants2021-12-3166
Total funding liabilities for active participants2021-12-314,163,302
Total participant count2021-12-31202
Total funding target for all participants2021-12-3114,147,433
Balance at beginning of prior year after applicable adjustments2021-12-312,830,351
Prefunding balance at beginning of prior year after applicable adjustments2021-12-311,236,758
Carryover balanced portion elected for use to offset prior years funding requirement2021-12-310
Prefunding balanced used to offset prior years funding requirement2021-12-310
Amount remaining of carryover balance2021-12-312,830,351
Amount remaining of prefunding balance2021-12-311,236,758
Present value of excess contributions2021-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2021-12-310
Reductions in caryover balances due to elections or deemed elections2021-12-310
Reductions in prefunding balances due to elections or deemed elections2021-12-310
Balance of carryovers at beginning of current year2021-12-313,143,671
Balance of prefunding at beginning of current year2021-12-311,373,667
Total employer contributions2021-12-310
Total employee contributions2021-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2021-12-310
Contributions made to avoid restrictions adjusted to valuation date2021-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2021-12-310
Unpaid minimum required contributions for all prior years2021-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2021-12-310
Remaining amount of unpaid minimum required contributions2021-12-310
Minimum required contributions for current year target normal cost2021-12-31374,148
Net shortfall amortization installment of oustanding balance2021-12-310
Waiver amortization installment2021-12-310
Total funding amount beforereflecting carryover/prefunding balances2021-12-310
Additional cash requirement2021-12-310
Contributions allocatedtoward minimum required contributions for current year2021-12-310
Unpaid minimum required contributions for current year2021-12-310
Unpaid minimum required contributions for all years2021-12-310
Total participants, beginning-of-year2021-01-01201
Total number of active participants reported on line 7a of the Form 55002021-01-0160
Number of retired or separated participants receiving benefits2021-01-0171
Number of other retired or separated participants entitled to future benefits2021-01-0160
Total of all active and inactive participants2021-01-01191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0110
Total participants2021-01-01201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-014
2020: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 2020 401k membership
Market value of plan assets2020-12-3118,679,437
Acturial value of plan assets2020-12-3118,679,437
Funding target for retired participants and beneficiaries receiving payment2020-12-316,929,385
Number of terminated vested participants2020-12-3159
Fundng target for terminated vested participants2020-12-312,860,781
Active participant vested funding target2020-12-314,107,864
Number of active participants2020-12-3165
Total funding liabilities for active participants2020-12-314,227,651
Total participant count2020-12-31199
Total funding target for all participants2020-12-3114,017,817
Balance at beginning of prior year after applicable adjustments2020-12-312,425,946
Prefunding balance at beginning of prior year after applicable adjustments2020-12-311,060,048
Carryover balanced portion elected for use to offset prior years funding requirement2020-12-310
Prefunding balanced used to offset prior years funding requirement2020-12-310
Amount remaining of carryover balance2020-12-312,425,946
Amount remaining of prefunding balance2020-12-311,060,048
Present value of excess contributions2020-12-31179,937
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2020-12-31189,924
Reductions in caryover balances due to elections or deemed elections2020-12-310
Reductions in prefunding balances due to elections or deemed elections2020-12-310
Balance of carryovers at beginning of current year2020-12-312,830,351
Balance of prefunding at beginning of current year2020-12-311,236,758
Total employer contributions2020-12-310
Total employee contributions2020-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2020-12-310
Contributions made to avoid restrictions adjusted to valuation date2020-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2020-12-310
Liquidity shortfalls end of Q12020-12-310
Liquidity shortfalls end of Q22020-12-310
Liquidity shortfalls end of Q32020-12-310
Liquidity shortfalls end of Q42020-12-310
Unpaid minimum required contributions for all prior years2020-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2020-12-310
Remaining amount of unpaid minimum required contributions2020-12-310
Minimum required contributions for current year target normal cost2020-12-31350,720
Net shortfall amortization installment of oustanding balance2020-12-310
Waiver amortization installment2020-12-310
Total funding amount beforereflecting carryover/prefunding balances2020-12-310
Carryover balance elected to use to offset funding requirement2020-12-310
Prefunding balance elected to use to offset funding requirement2020-12-310
Additional cash requirement2020-12-310
Contributions allocatedtoward minimum required contributions for current year2020-12-310
Unpaid minimum required contributions for current year2020-12-310
Unpaid minimum required contributions for all years2020-12-310
Total participants, beginning-of-year2020-01-01198
Total number of active participants reported on line 7a of the Form 55002020-01-0166
Number of retired or separated participants receiving benefits2020-01-0166
Number of other retired or separated participants entitled to future benefits2020-01-0160
Total of all active and inactive participants2020-01-01192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-019
Total participants2020-01-01201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 2019 401k membership
Market value of plan assets2019-12-3116,134,774
Acturial value of plan assets2019-12-3116,134,774
Funding target for retired participants and beneficiaries receiving payment2019-12-316,165,401
Number of terminated vested participants2019-12-3162
Fundng target for terminated vested participants2019-12-313,268,779
Active participant vested funding target2019-12-313,942,222
Number of active participants2019-12-3157
Total funding liabilities for active participants2019-12-314,029,477
Total participant count2019-12-31190
Total funding target for all participants2019-12-3113,463,657
Balance at beginning of prior year after applicable adjustments2019-12-312,454,169
Prefunding balance at beginning of prior year after applicable adjustments2019-12-311,072,380
Carryover balanced portion elected for use to offset prior years funding requirement2019-12-310
Prefunding balanced used to offset prior years funding requirement2019-12-310
Amount remaining of carryover balance2019-12-312,454,169
Amount remaining of prefunding balance2019-12-311,072,380
Present value of excess contributions2019-12-3159,091
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2019-12-3162,471
Reductions in caryover balances due to elections or deemed elections2019-12-310
Reductions in prefunding balances due to elections or deemed elections2019-12-310
Balance of carryovers at beginning of current year2019-12-312,425,946
Balance of prefunding at beginning of current year2019-12-311,060,048
Total employer contributions2019-12-31500,000
Total employee contributions2019-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2019-12-310
Contributions made to avoid restrictions adjusted to valuation date2019-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2019-12-31483,073
Liquidity shortfalls end of Q12019-12-310
Liquidity shortfalls end of Q22019-12-310
Liquidity shortfalls end of Q32019-12-310
Liquidity shortfalls end of Q42019-12-310
Unpaid minimum required contributions for all prior years2019-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2019-12-310
Remaining amount of unpaid minimum required contributions2019-12-310
Minimum required contributions for current year target normal cost2019-12-31303,136
Net shortfall amortization installment of oustanding balance2019-12-310
Waiver amortization installment2019-12-310
Total funding amount beforereflecting carryover/prefunding balances2019-12-31303,136
Carryover balance elected to use to offset funding requirement2019-12-310
Prefunding balance elected to use to offset funding requirement2019-12-310
Additional cash requirement2019-12-31303,136
Contributions allocatedtoward minimum required contributions for current year2019-12-31483,073
Unpaid minimum required contributions for current year2019-12-310
Unpaid minimum required contributions for all years2019-12-310
Total participants, beginning-of-year2019-01-01189
Total number of active participants reported on line 7a of the Form 55002019-01-0165
Number of retired or separated participants receiving benefits2019-01-0166
Number of other retired or separated participants entitled to future benefits2019-01-0159
Total of all active and inactive participants2019-01-01190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-018
Total participants2019-01-01198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011

Financial Data on THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO.

Measure Date Value
2023 : THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 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$2,454,210
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$833,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$774,808
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$0
Value of total assets at end of year2023-12-31$20,271,271
Value of total assets at beginning of year2023-12-31$18,650,958
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$59,089
Total interest from all sources2023-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$179,341
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$179,341
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$2,000,000
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
Other income not declared elsewhere2023-12-31$345,326
Administrative expenses (other) incurred2023-12-31$20,160
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$1,620,313
Value of net assets at end of year (total assets less liabilities)2023-12-31$20,271,271
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$18,650,958
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
Investment advisory and management fees2023-12-31$38,929
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$11,066,220
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$9,356,425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$9,205,051
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$9,294,533
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$1,929,543
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$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$774,808
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 name2023-12-31SWEENEY CONRAD, P.S.
Accountancy firm EIN2023-12-31911301672
2022 : THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-2,240,864
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$822,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$764,366
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$0
Value of total assets at end of year2022-12-31$18,650,958
Value of total assets at beginning of year2022-12-31$21,714,685
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$58,497
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$152,870
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$152,870
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
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
Other income not declared elsewhere2022-12-31$320,071
Administrative expenses (other) incurred2022-12-31$17,688
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,063,727
Value of net assets at end of year (total assets less liabilities)2022-12-31$18,650,958
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$21,714,685
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$40,809
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$9,356,425
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$12,664,489
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$136,368
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$136,368
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$9,294,533
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$8,913,828
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,713,805
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
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$764,366
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 name2022-12-31SWEENEY CONRAD, P.S.
Accountancy firm EIN2022-12-31911301672
2021 : THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,451,349
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$749,724
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$684,153
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$0
Value of total assets at end of year2021-12-31$21,714,685
Value of total assets at beginning of year2021-12-31$20,013,060
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$65,571
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$182,026
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$182,026
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
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
Other income not declared elsewhere2021-12-31$307,894
Administrative expenses (other) incurred2021-12-31$17,286
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$1,701,625
Value of net assets at end of year (total assets less liabilities)2021-12-31$21,714,685
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$20,013,060
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
Investment advisory and management fees2021-12-31$41,374
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$12,664,489
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$11,921,043
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$136,368
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$201,930
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$201,930
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$8,913,828
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$7,890,087
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,961,429
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$0
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$684,153
Contract administrator fees2021-12-31$6,911
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 name2021-12-31SWEENEY CONRAD, P.S.
Accountancy firm EIN2021-12-31911301672
2020 : THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,029,103
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$695,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$643,752
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$0
Value of total assets at end of year2020-12-31$20,013,060
Value of total assets at beginning of year2020-12-31$18,679,529
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$51,820
Total interest from all sources2020-12-31$1,135
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$107,751
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$107,751
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Other income not declared elsewhere2020-12-31$330,382
Administrative expenses (other) incurred2020-12-31$16,434
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$1,333,531
Value of net assets at end of year (total assets less liabilities)2020-12-31$20,013,060
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$18,679,529
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
Investment advisory and management fees2020-12-31$20,545
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$11,921,043
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$10,077,636
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$201,930
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$253,153
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$253,153
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,135
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$7,890,087
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$8,223,740
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,589,835
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$0
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$125,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$643,752
Contract administrator fees2020-12-31$14,841
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 plan2020-12-31Unqualified
Accountancy firm name2020-12-31SWEENEY CONRAD, P.S.
Accountancy firm EIN2020-12-31911301672
2019 : THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 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$3,148,077
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$603,378
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$603,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$500,000
Value of total assets at end of year2019-12-31$18,679,529
Value of total assets at beginning of year2019-12-31$16,134,830
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total interest from all sources2019-12-31$2,663
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$239,841
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$239,841
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
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
Other income not declared elsewhere2019-12-31$330,682
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$2,544,699
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,679,529
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$16,134,830
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 registered invesment companies (eg mutual funds) at end of year2019-12-31$10,077,636
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$9,343,394
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$253,153
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$489
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$489
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$2,663
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$8,223,740
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$6,665,947
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,074,891
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$500,000
Employer contributions (assets) at end of year2019-12-31$125,000
Employer contributions (assets) at beginning of year2019-12-31$125,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$603,378
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 name2019-12-31SWEENEY CONRAD, P.S.
Accountancy firm EIN2019-12-31911301672

Form 5500 Responses for THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO.

2023: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 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 planYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 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 planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 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 planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 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 planYes
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: THE RETIREMENT PLAN FOR UNION EMPLOYEES OF U.S. OIL & REFINING CO. 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 planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 2
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered212
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 1
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered212
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 2
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered210
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 1
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered210
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 2
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered201
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 1
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered201
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 2
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered201
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 1
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered201
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 2
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered197
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA142DIV1*
Policy instance 1
Insurance contract or identification numberGA142DIV1*
Number of Individuals Covered197
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
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

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