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SCOTT & KRAUS, LLC 401(K) PLAN 401k Plan overview

Plan NameSCOTT & KRAUS, LLC 401(K) PLAN
Plan identification number 002

SCOTT & KRAUS, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

SCOTT & KRAUS, LLC has sponsored the creation of one or more 401k plans.

Company Name:SCOTT & KRAUS, LLC
Employer identification number (EIN):810598261
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCOTT & KRAUS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01DREW SCOTT2024-08-07
0022022-01-01DREW SCOTT2023-07-28
0022021-01-01DREW SCOTT2022-07-14
0022020-01-01DREW SCOTT2021-09-07
0022019-01-01DREW SCOTT2020-10-13
0022018-01-01DREW SCOTT2019-07-24
0022017-01-01DREW SCOTT
0022016-01-01DREW SCOTT DREW SCOTT2017-08-17
0022015-01-01DREW SCOTT DREW SCOTT2016-10-06
0022014-01-01DREW SCOTT DREW SCOTT2015-07-09
0022013-01-01DREW SCOTT
0022012-01-01DREW SCOTT DREW SCOTT2013-04-23
0022011-01-01DREW SCOTT
0022010-01-01DREW SCOTT

Plan Statistics for SCOTT & KRAUS, LLC 401(K) PLAN

401k plan membership statisitcs for SCOTT & KRAUS, LLC 401(K) PLAN

Measure Date Value
2017: SCOTT & KRAUS, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0123
Total number of active participants reported on line 7a of the Form 55002017-01-0113
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-019
Total of all active and inactive participants2017-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0122
Number of participants with account balances2017-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SCOTT & KRAUS, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0125
Total number of active participants reported on line 7a of the Form 55002016-01-0113
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0110
Total of all active and inactive participants2016-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0123
Number of participants with account balances2016-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: SCOTT & KRAUS, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0124
Total number of active participants reported on line 7a of the Form 55002015-01-0115
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-019
Total of all active and inactive participants2015-01-0124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0124
Number of participants with account balances2015-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: SCOTT & KRAUS, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0124
Total number of active participants reported on line 7a of the Form 55002014-01-0113
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0110
Total of all active and inactive participants2014-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0123
Number of participants with account balances2014-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-012
2013: SCOTT & KRAUS, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0121
Total number of active participants reported on line 7a of the Form 55002013-01-0116
Number of other retired or separated participants entitled to future benefits2013-01-018
Total of all active and inactive participants2013-01-0124
Total participants2013-01-0124
Number of participants with account balances2013-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: SCOTT & KRAUS, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0120
Total number of active participants reported on line 7a of the Form 55002012-01-0114
Number of other retired or separated participants entitled to future benefits2012-01-016
Total of all active and inactive participants2012-01-0120
Total participants2012-01-0120
Number of participants with account balances2012-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: SCOTT & KRAUS, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0116
Total number of active participants reported on line 7a of the Form 55002011-01-0112
Number of other retired or separated participants entitled to future benefits2011-01-015
Total of all active and inactive participants2011-01-0117
Total participants2011-01-0117
Number of participants with account balances2011-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: SCOTT & KRAUS, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0118
Total number of active participants reported on line 7a of the Form 55002010-01-0112
Number of other retired or separated participants entitled to future benefits2010-01-013
Total of all active and inactive participants2010-01-0115
Total participants2010-01-0115
Number of participants with account balances2010-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-011

Financial Data on SCOTT & KRAUS, LLC 401(K) PLAN

Measure Date Value
2017 : SCOTT & KRAUS, LLC 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,011,557
Expenses. Total of all expenses incurred2017-12-31$331,888
Benefits paid (including direct rollovers)2017-12-31$319,274
Total plan assets at end of year2017-12-31$5,483,322
Total plan assets at beginning of year2017-12-31$4,803,653
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$141,178
Assets. Value of loans (other than to participants)2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$14,803
Other income received2017-12-31$855,576
Net income (gross income less expenses)2017-12-31$679,669
Net plan assets at end of year (total assets less liabilities)2017-12-31$5,483,322
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$4,803,653
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$12,614
2016 : SCOTT & KRAUS, LLC 401(K) PLAN 2016 401k financial data
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$646,253
Expenses. Total of all expenses incurred2016-12-31$101,365
Benefits paid (including direct rollovers)2016-12-31$80,069
Total plan assets at end of year2016-12-31$4,803,653
Total plan assets at beginning of year2016-12-31$4,258,765
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$152,146
Assets. Value of loans (other than to participants)2016-12-31$164,218
Other income received2016-12-31$365,356
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$544,888
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,803,653
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,258,765
Total contributions received or receivable from employer(s)2016-12-31$128,751
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$21,296
2015 : SCOTT & KRAUS, LLC 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$201,147
Expenses. Total of all expenses incurred2015-12-31$173,426
Benefits paid (including direct rollovers)2015-12-31$152,481
Total plan assets at end of year2015-12-31$4,258,765
Total plan assets at beginning of year2015-12-31$4,231,044
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$153,790
Assets. Value of loans (other than to participants)2015-12-31$96,111
Other income received2015-12-31$-84,569
Net income (gross income less expenses)2015-12-31$27,721
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,258,765
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,231,044
Total contributions received or receivable from employer(s)2015-12-31$131,926
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$20,945
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : SCOTT & KRAUS, LLC 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$485,512
Expenses. Total of all expenses incurred2014-12-31$24,570
Benefits paid (including direct rollovers)2014-12-31$6,722
Total plan assets at end of year2014-12-31$4,231,044
Total plan assets at beginning of year2014-12-31$3,770,102
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$161,170
Assets. Value of loans (other than to participants)2014-12-31$139,297
Contributions received from other sources (not participants or employers)2014-12-31$2,239
Other income received2014-12-31$194,375
Net income (gross income less expenses)2014-12-31$460,942
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,231,044
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,770,102
Total contributions received or receivable from employer(s)2014-12-31$127,728
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$17,848
2013 : SCOTT & KRAUS, LLC 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$888,195
Expenses. Total of all expenses incurred2013-12-31$14,207
Total plan assets at end of year2013-12-31$3,770,102
Total plan assets at beginning of year2013-12-31$2,896,114
Value of fidelity bond covering the plan2013-12-31$350,000
Total contributions received or receivable from participants2013-12-31$149,330
Assets. Value of loans (other than to participants)2013-12-31$389,297
Other income received2013-12-31$578,883
Net income (gross income less expenses)2013-12-31$873,988
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,770,102
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,896,114
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022013-12-31$3,958
Total contributions received or receivable from employer(s)2013-12-31$159,982
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$14,207
2012 : SCOTT & KRAUS, LLC 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$668,881
Expenses. Total of all expenses incurred2012-12-31$30,475
Benefits paid (including direct rollovers)2012-12-31$19,508
Total plan assets at end of year2012-12-31$2,896,114
Total plan assets at beginning of year2012-12-31$2,257,708
Value of fidelity bond covering the plan2012-12-31$350,000
Total contributions received or receivable from participants2012-12-31$135,055
Assets. Value of loans (other than to participants)2012-12-31$325,000
Contributions received from other sources (not participants or employers)2012-12-31$74,810
Other income received2012-12-31$337,663
Net income (gross income less expenses)2012-12-31$638,406
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,896,114
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,257,708
Total contributions received or receivable from employer(s)2012-12-31$121,353
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$10,967
2011 : SCOTT & KRAUS, LLC 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$172,541
Expenses. Total of all expenses incurred2011-12-31$85,195
Benefits paid (including direct rollovers)2011-12-31$74,064
Total plan assets at end of year2011-12-31$2,257,708
Total plan assets at beginning of year2011-12-31$2,170,362
Value of fidelity bond covering the plan2011-12-31$350,000
Total contributions received or receivable from participants2011-12-31$115,208
Assets. Value of loans (other than to participants)2011-12-31$250,000
Contributions received from other sources (not participants or employers)2011-12-31$500
Other income received2011-12-31$-76,849
Net income (gross income less expenses)2011-12-31$87,346
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,257,708
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,170,362
Total contributions received or receivable from employer(s)2011-12-31$133,682
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$11,131
2010 : SCOTT & KRAUS, LLC 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$497,190
Expenses. Total of all expenses incurred2010-12-31$16,220
Benefits paid (including direct rollovers)2010-12-31$6,285
Total plan assets at end of year2010-12-31$2,170,362
Total plan assets at beginning of year2010-12-31$1,689,392
Value of fidelity bond covering the plan2010-12-31$200,000
Total contributions received or receivable from participants2010-12-31$127,490
Assets. Value of loans (other than to participants)2010-12-31$250,000
Other income received2010-12-31$247,348
Net income (gross income less expenses)2010-12-31$480,970
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,170,362
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,689,392
Total contributions received or receivable from employer(s)2010-12-31$122,352
Value of certain deemed distributions of participant loans2010-12-31$9,935

Form 5500 Responses for SCOTT & KRAUS, LLC 401(K) PLAN

2017: SCOTT & KRAUS, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SCOTT & KRAUS, LLC 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: SCOTT & KRAUS, LLC 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: SCOTT & KRAUS, LLC 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 funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SCOTT & KRAUS, LLC 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 funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SCOTT & KRAUS, LLC 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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SCOTT & KRAUS, LLC 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 funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: SCOTT & KRAUS, LLC 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69115
Policy instance 1
Insurance contract or identification number69115
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $3,794
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?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 $3,794
Insurance broker organization code?3
Insurance broker nameMESIROW FINANCIAL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69115
Policy instance 1
Insurance contract or identification number69115
Number of Individuals Covered24
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $20,645
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Commission paid to Insurance BrokerUSD $20,645
Insurance broker organization code?3
Insurance broker nameMESIROW FINANCIAL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69115
Policy instance 1
Insurance contract or identification number69115
Number of Individuals Covered23
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $17,848
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,848
Insurance broker organization code?3
Insurance broker nameMESIROW FINANCIAL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69115
Policy instance 1
Insurance contract or identification number69115
Number of Individuals Covered23
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $14,207
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,207
Insurance broker organization code?3
Insurance broker nameMESIROW FINANCIAL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69115
Policy instance 1
Insurance contract or identification number69115
Number of Individuals Covered20
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $10,967
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,967
Insurance broker organization code?3
Insurance broker nameMESIROW FINANCIAL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69115
Policy instance 1
Insurance contract or identification number69115
Number of Individuals Covered16
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $9,538
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69115
Policy instance 1
Insurance contract or identification number69115
Number of Individuals Covered14
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,377
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,377
Insurance broker organization code?3
Insurance broker nameMESIROW FINANCIAL, INC.

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