401k Plan data: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN plan

FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 401k Plan overview

Plan Name	FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN
Plan identification number	004

FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN Benefits

401k Plan Type

Defined 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
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

FIFTH AVENUE GYNECOLOGISTS, LTD. has sponsored the creation of one or more 401k plans.

Company Name: FIFTH AVENUE GYNECOLOGISTS, LTD.

Employer identification number (EIN): 860222114

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2017-01-01 CHARLES R CLINCH CHARLES R CLINCH 2018-08-09
004 2016-01-01 CHARLES R CLINCH CHARLES R CLINCH 2017-10-13
004 2015-01-01 CHARLES R. CLINCH CHARLES R. CLINCH 2016-10-14
004 2014-01-01 CHARLES R CLINCH DO CHARLES R CLINCH DO 2015-10-14
004 2013-01-01 CHARLES R CLINCH CHARLES R CLINCH 2014-08-15
004 2012-01-01 CHARLES CLINCH CHARLES CLINCH 2013-06-11
004 2011-01-01 CHARLES R CLINCH 2012-10-02 CHARLES R CLINCH 2012-10-02
004 2010-01-01 CHARLES CLINCH 2011-10-14 CHARLES CLINCH 2011-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
004	2017-01-01	CHARLES R CLINCH		CHARLES R CLINCH	2018-08-09
004	2016-01-01	CHARLES R CLINCH		CHARLES R CLINCH	2017-10-13
004	2015-01-01	CHARLES R. CLINCH		CHARLES R. CLINCH	2016-10-14
004	2014-01-01	CHARLES R CLINCH DO		CHARLES R CLINCH DO	2015-10-14
004	2013-01-01	CHARLES R CLINCH		CHARLES R CLINCH	2014-08-15
004	2012-01-01	CHARLES CLINCH		CHARLES CLINCH	2013-06-11
004	2011-01-01	CHARLES R CLINCH	2012-10-02	CHARLES R CLINCH	2012-10-02
004	2010-01-01	CHARLES CLINCH	2011-10-14	CHARLES CLINCH	2011-10-14

Plan Statistics for FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN

401k plan membership statisitcs for FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN

Measure Date Value
2017: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 7
Number of retired or separated participants receiving benefits 2016-01-01 2
Number of other retired or separated participants entitled to future benefits 2016-01-01 1
Total of all active and inactive participants 2016-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 10
Number of participants with account balances 2016-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 9
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 12
Number of participants with account balances 2015-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 9
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 12
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2
2013: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 13
Number of participants with account balances 2013-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 15
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2017: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	7
Number of retired or separated participants receiving benefits	2016-01-01	2
Number of other retired or separated participants entitled to future benefits	2016-01-01	1
Total of all active and inactive participants	2016-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	10
Number of participants with account balances	2016-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	9
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	12
Number of participants with account balances	2015-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	9
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	12
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2
2013: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	13
Number of participants with account balances	2013-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	15
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN

Measure	Date	Value
2017 : FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$24,396
Expenses. Total of all expenses incurred	2017-12-31	$464,969
Benefits paid (including direct rollovers)	2017-12-31	$456,464
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$440,573
Value of fidelity bond covering the plan	2017-12-31	$260,000
Total contributions received or receivable from participants	2017-12-31	$5,000
Other income received	2017-12-31	$19,396
Net income (gross income less expenses)	2017-12-31	$-440,573
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$440,573
Assets. Value of participant loans	2017-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$8,505
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$89,375
2016 : FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$2,152
Expenses. Total of all expenses incurred	2016-12-31	$11,777
Benefits paid (including direct rollovers)	2016-12-31	$8,304
Total plan assets at end of year	2016-12-31	$440,573
Total plan assets at beginning of year	2016-12-31	$450,198
Value of fidelity bond covering the plan	2016-12-31	$260,000
Total contributions received or receivable from participants	2016-12-31	$10,400
Other income received	2016-12-31	$-8,248
Net income (gross income less expenses)	2016-12-31	$-9,625
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$440,573
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$450,198
Assets. Value of participant loans	2016-12-31	$10,860
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$108,550
Total contributions received or receivable from employer(s)	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$3,473
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$4,754
Expenses. Total of all expenses incurred	2015-12-31	$12,383
Benefits paid (including direct rollovers)	2015-12-31	$8,476
Total plan assets at end of year	2015-12-31	$450,198
Total plan assets at beginning of year	2015-12-31	$457,827
Value of fidelity bond covering the plan	2015-12-31	$260,000
Total contributions received or receivable from participants	2015-12-31	$9,000
Other income received	2015-12-31	$-4,246
Net income (gross income less expenses)	2015-12-31	$-7,629
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$450,198
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$457,827
Assets. Value of participant loans	2015-12-31	$21,718
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$140,000
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$3,907
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$25,696
Expenses. Total of all expenses incurred	2014-12-31	$31,879
Benefits paid (including direct rollovers)	2014-12-31	$29,703
Total plan assets at end of year	2014-12-31	$457,827
Total plan assets at beginning of year	2014-12-31	$464,010
Value of fidelity bond covering the plan	2014-12-31	$260,000
Total contributions received or receivable from participants	2014-12-31	$20,200
Other income received	2014-12-31	$5,496
Net income (gross income less expenses)	2014-12-31	$-6,183
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$457,827
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$464,010
Assets. Value of participant loans	2014-12-31	$31,719
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$140,000
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$2,176
2013 : FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$15,000
Total income from all sources	2013-12-31	$46,804
Expenses. Total of all expenses incurred	2013-12-31	$87,658
Benefits paid (including direct rollovers)	2013-12-31	$81,536
Total plan assets at end of year	2013-12-31	$464,010
Total plan assets at beginning of year	2013-12-31	$519,864
Value of fidelity bond covering the plan	2013-12-31	$260,000
Total contributions received or receivable from participants	2013-12-31	$10,450
Other income received	2013-12-31	$36,354
Net income (gross income less expenses)	2013-12-31	$-40,854
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$464,010
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$504,864
Assets. Value of participant loans	2013-12-31	$40,852
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$140,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$6,122
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$697,470
Total plan liabilities at end of year	2012-12-31	$15,000
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$23,956
Expenses. Total of all expenses incurred	2012-12-31	$302,899
Benefits paid (including direct rollovers)	2012-12-31	$296,808
Total plan assets at end of year	2012-12-31	$519,864
Total plan assets at beginning of year	2012-12-31	$86,337
Value of fidelity bond covering the plan	2012-12-31	$260,000
Total contributions received or receivable from participants	2012-12-31	$9,600
Other income received	2012-12-31	$14,356
Net income (gross income less expenses)	2012-12-31	$-278,943
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$504,864
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$86,337
Assets. Value of participant loans	2012-12-31	$55,456
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$122,347
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$6,091

Form 5500 Responses for FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN

2017: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: FIFTH AVENUE GYNECOLOGISTS, LTD. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57863

Policy instance

Insurance contract or identification number	57863
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-26
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,196
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1714
Additional information about fees paid to insurance broker	BROKER COMMISSIONS/ INVESTMENT ADVISOR FEES
Insurance broker organization code?	4
Insurance broker name	KOLLMAN & ASSOCIATES, LTD.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57863

Policy instance

Insurance contract or identification number	57863
Number of Individuals Covered	7
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,458
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1458
Additional information about fees paid to insurance broker	BROKER COMMISSIONS
Insurance broker organization code?	4
Insurance broker name	1ST GLOBAL CAPITAL CORP.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57863

Policy instance

Insurance contract or identification number	57863
Number of Individuals Covered	7
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $706
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Amount paid for insurance broker fees	706
Additional information about fees paid to insurance broker	BROKER COMMISSIONS
Insurance broker organization code?	4
Insurance broker name	1ST GLOBAL CAPITAL CORP.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57863

Policy instance

Insurance contract or identification number	57863
Number of Individuals Covered	4
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $478
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Amount paid for insurance broker fees	478
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	4
Insurance broker name	1ST GLOBAL CAPITAL CORP.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57863

Policy instance

Insurance contract or identification number	57863
Number of Individuals Covered	5
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $527
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Amount paid for insurance broker fees	437
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	4
Insurance broker name	KOLLMAN & ASSOCIATES, LTD.

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	FIFTH AVENUE GYNECOLOGISTS, LTD.
Employer identification number (EIN):	860222114
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)