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ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 401k Plan overview

Plan NameENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN
Plan identification number 001

ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/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.
  • 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

ENVIRONMENTAL MANAGEMENT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:ENVIRONMENTAL MANAGEMENT SERVICES, INC.
Employer identification number (EIN):521655377
NAIC Classification:562000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01SHOBHANA SHARMA
0012013-01-01SHOBHANA SHARMA
0012012-01-01SHOBHANA SHARMA
0012011-01-01SHOBHANA SHARMA
0012009-01-01SHOBHANA SHARMA
0012009-01-01SHOBHANA SHARMA

Plan Statistics for ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN

401k plan membership statisitcs for ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN

Measure Date Value
2015: ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0133
Total number of active participants reported on line 7a of the Form 55002015-01-0125
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0127
Number of participants with account balances2015-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0131
Total number of active participants reported on line 7a of the Form 55002014-01-0127
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-016
Total of all active and inactive participants2014-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0133
Number of participants with account balances2014-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0134
Total number of active participants reported on line 7a of the Form 55002013-01-0126
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-015
Total of all active and inactive participants2013-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0131
Number of participants with account balances2013-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0125
Total number of active participants reported on line 7a of the Form 55002012-01-0123
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0111
Total of all active and inactive participants2012-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0134
Number of participants with account balances2012-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0124
Total number of active participants reported on line 7a of the Form 55002011-01-0118
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-017
Total of all active and inactive participants2011-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0125
Number of participants with account balances2011-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-015
2009: ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0120
Total number of active participants reported on line 7a of the Form 55002009-01-0124
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-017
Total of all active and inactive participants2009-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0131
Number of participants with account balances2009-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN

Measure Date Value
2015 : ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$121,701
Expenses. Total of all expenses incurred2015-12-31$113,219
Benefits paid (including direct rollovers)2015-12-31$112,132
Total plan assets at end of year2015-12-31$1,842,127
Total plan assets at beginning of year2015-12-31$1,833,645
Value of fidelity bond covering the plan2015-12-31$200,000
Total contributions received or receivable from participants2015-12-31$36,852
Other income received2015-12-31$-30,995
Net income (gross income less expenses)2015-12-31$8,482
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,842,127
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,833,645
Assets. Value of participant loans2015-12-31$160,178
Total contributions received or receivable from employer(s)2015-12-31$115,844
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,087
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$198,952
Expenses. Total of all expenses incurred2014-12-31$74,498
Benefits paid (including direct rollovers)2014-12-31$66,423
Total plan assets at end of year2014-12-31$1,833,645
Total plan assets at beginning of year2014-12-31$1,709,191
Value of fidelity bond covering the plan2014-12-31$200,000
Total contributions received or receivable from participants2014-12-31$33,281
Other income received2014-12-31$63,324
Net income (gross income less expenses)2014-12-31$124,454
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,833,645
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,709,191
Assets. Value of participant loans2014-12-31$169,789
Total contributions received or receivable from employer(s)2014-12-31$102,347
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$8,075
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$400,646
Expenses. Total of all expenses incurred2013-12-31$109,159
Benefits paid (including direct rollovers)2013-12-31$99,474
Total plan assets at end of year2013-12-31$1,709,191
Total plan assets at beginning of year2013-12-31$1,417,704
Value of fidelity bond covering the plan2013-12-31$200,000
Total contributions received or receivable from participants2013-12-31$32,382
Other income received2013-12-31$305,860
Net income (gross income less expenses)2013-12-31$291,487
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,709,191
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,417,704
Assets. Value of participant loans2013-12-31$31,064
Total contributions received or receivable from employer(s)2013-12-31$62,404
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$9,685
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$271,098
Expenses. Total of all expenses incurred2012-12-31$9,001
Benefits paid (including direct rollovers)2012-12-31$630
Total plan assets at end of year2012-12-31$1,417,704
Total plan assets at beginning of year2012-12-31$1,155,607
Value of fidelity bond covering the plan2012-12-31$150,000
Total contributions received or receivable from participants2012-12-31$35,164
Other income received2012-12-31$174,886
Net income (gross income less expenses)2012-12-31$262,097
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,417,704
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,155,607
Assets. Value of participant loans2012-12-31$42,512
Total contributions received or receivable from employer(s)2012-12-31$61,048
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$8,371
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$66,850
Expenses. Total of all expenses incurred2011-12-31$29,092
Benefits paid (including direct rollovers)2011-12-31$20,383
Total plan assets at end of year2011-12-31$1,155,607
Total plan assets at beginning of year2011-12-31$1,117,849
Value of fidelity bond covering the plan2011-12-31$150,000
Total contributions received or receivable from participants2011-12-31$39,115
Other income received2011-12-31$-33,002
Net income (gross income less expenses)2011-12-31$37,758
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,155,607
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,117,849
Assets. Value of participant loans2011-12-31$27,665
Total contributions received or receivable from employer(s)2011-12-31$60,737
Value of corrective distributions2011-12-31$389
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$8,320
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$186,385
Expenses. Total of all expenses incurred2010-12-31$40,544
Benefits paid (including direct rollovers)2010-12-31$40,544
Total plan assets at end of year2010-12-31$1,117,849
Total plan assets at beginning of year2010-12-31$972,008
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$29,289
Other income received2010-12-31$132,096
Net income (gross income less expenses)2010-12-31$145,841
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,117,849
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$972,008
Assets. Value of participant loans2010-12-31$24,780
Total contributions received or receivable from employer(s)2010-12-31$25,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for ENVIRONMENTAL MANAGEMENT SERVICES, INC. PROFIT SHARING/401(K) PLAN

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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56988
Policy instance 1
Insurance contract or identification number56988
Number of Individuals Covered27
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,450
Total amount of fees paid to insurance companyUSD $825
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,450
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameJM PENSION ADVISORY, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56988
Policy instance 1
Insurance contract or identification number56988
Number of Individuals Covered33
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,857
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
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
Amount paid for insurance broker fees4307
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameJM PENSION ADVISORY, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56988
Policy instance 1
Insurance contract or identification number56988
Number of Individuals Covered32
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,797
Total amount of fees paid to insurance companyUSD $400
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,797
Insurance broker organization code?3
Amount paid for insurance broker fees400
Additional information about fees paid to insurance brokerTPA DISTRIBUTION FEE
Insurance broker nameJM PENSION ADVISORY, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56988
Policy instance 1
Insurance contract or identification number56988
Number of Individuals Covered32
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,132
Total amount of fees paid to insurance companyUSD $150
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,132
Insurance broker organization code?3
Amount paid for insurance broker fees150
Additional information about fees paid to insurance brokerTPA DISTRIBUTION FEE
Insurance broker nameJM PENSION ADVISORY, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56988
Policy instance 1
Insurance contract or identification number56988
Number of Individuals Covered25
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,806
Total amount of fees paid to insurance companyUSD $150
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 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 number56988
Policy instance 1
Insurance contract or identification number56988
Number of Individuals Covered16
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,357
Total amount of fees paid to insurance companyUSD $250
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,357
Insurance broker organization code?3
Amount paid for insurance broker fees250
Additional information about fees paid to insurance brokerTPA DISTRIBUTION FEE
Insurance broker nameJM PENSION ADVISORY, INC.

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