401k Plan data: RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN plan

RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN
Plan identification number	004

RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING 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
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

RAFAEL VINOLY ARCHITECTS PC has sponsored the creation of one or more 401k plans.

Company Name: RAFAEL VINOLY ARCHITECTS PC

Employer identification number (EIN): 133152224

NAIC Classification: 541310
NAIC Description: Architectural Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2023-01-01 ANDREW GREEN 2024-08-09
004 2022-01-01 ANDREW GREEN 2023-10-03
004 2021-01-01 ANDREW GREEN 2022-08-31
004 2020-01-01 ANDREW GREEN 2021-09-03
004 2019-01-01 ANDREW GREEN 2020-09-30
004 2018-01-01
004 2017-01-01 HERBERT JESSWEIN
004 2016-01-01 HERBERT JESSWEIN 2017-05-30
004 2015-01-01 HERBERT JESSWEIN 2016-05-02
004 2014-01-01 HERBERT JESSWEIN 2015-10-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
004	2023-01-01	ANDREW GREEN	2024-08-09
004	2022-01-01	ANDREW GREEN	2023-10-03
004	2021-01-01	ANDREW GREEN	2022-08-31
004	2020-01-01	ANDREW GREEN	2021-09-03
004	2019-01-01	ANDREW GREEN	2020-09-30
004	2018-01-01
004	2017-01-01	HERBERT JESSWEIN
004	2016-01-01	HERBERT JESSWEIN	2017-05-30
004	2015-01-01	HERBERT JESSWEIN	2016-05-02
004	2014-01-01	HERBERT JESSWEIN	2015-10-05

Plan Statistics for RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN

401k plan membership statisitcs for RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN

Measure Date Value
2018: RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 73
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 22
Total of all active and inactive participants 2018-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 95
Number of participants with account balances 2018-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 22
2017: RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 91
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 24
Total of all active and inactive participants 2017-01-01 115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 115
Number of participants with account balances 2017-01-01 115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 40

Measure	Date	Value
2018: RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	73
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	22
Total of all active and inactive participants	2018-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	95
Number of participants with account balances	2018-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	22
2017: RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	91
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	24
Total of all active and inactive participants	2017-01-01	115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	115
Number of participants with account balances	2017-01-01	115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	40

Financial Data on RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN

Measure	Date	Value
2018 : RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-4,310
Total unrealized appreciation/depreciation of assets	2018-12-31	$-4,310
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$139,262
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$233,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$233,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$180,329
Value of total assets at end of year	2018-12-31	$740,124
Value of total assets at beginning of year	2018-12-31	$834,741
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$132
Total interest from all sources	2018-12-31	$727
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$9,476
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$9,476
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$62,903
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$67,212
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$180,329
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$640
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$327
Other income not declared elsewhere	2018-12-31	$1,388
Administrative expenses (other) incurred	2018-12-31	$132
Total non interest bearing cash at end of year	2018-12-31	$44,980
Total non interest bearing cash at beginning of year	2018-12-31	$48,398
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-94,617
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$740,124
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$834,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$578,023
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$693,528
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$53,578
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$25,276
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$25,276
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$727
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$136,732
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-48,348
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$97,015
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Aggregate proceeds on sale of assets	2018-12-31	$6,149
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$6,149
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FUNARO & CO. P.C.
Accountancy firm EIN	2018-12-31	132871428
2017 : RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$10,965
Total unrealized appreciation/depreciation of assets	2017-12-31	$10,965
Total transfer of assets to this plan	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$277,564
Total loss/gain on sale of assets	2017-12-31	$2,986
Total of all expenses incurred	2017-12-31	$218,080
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$216,951
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$175,618
Value of total assets at end of year	2017-12-31	$834,741
Value of total assets at beginning of year	2017-12-31	$775,257
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,129
Total interest from all sources	2017-12-31	$2,547
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$8,710
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$8,710
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$67,212
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$73,122
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$175,618
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$327
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$261
Other income not declared elsewhere	2017-12-31	$1,434
Administrative expenses (other) incurred	2017-12-31	$1,129
Total non interest bearing cash at end of year	2017-12-31	$48,398
Total non interest bearing cash at beginning of year	2017-12-31	$39,731
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$59,484
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$834,741
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$775,257
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$693,528
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$552,536
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$25,276
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$109,607
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$109,607
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$2,547
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$136,732
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$75,304
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$80,219
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Aggregate proceeds on sale of assets	2017-12-31	$130,986
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$128,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FUNARO & CO. P.C.
Accountancy firm EIN	2017-12-31	132871428

Form 5500 Responses for RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN

2018: RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RAFAEL VINOLY ARCHITECTS, P. C. PROFIT SHARING 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	No
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 – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

UL1960827

Policy instance

Insurance contract or identification number	UL1960827
Number of Individuals Covered	2
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $660
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $330
Insurance broker organization code?	3

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

P03488

Policy instance

Insurance contract or identification number	P03488
Number of Individuals Covered	1
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,162
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $775
Insurance broker organization code?	3

PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )

Policy contract number

97302631

Policy instance

Insurance contract or identification number	97302631
Number of Individuals Covered	1
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

UL1960827

Policy instance

Insurance contract or identification number	UL1960827
Number of Individuals Covered	2
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,400
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $770
Insurance broker organization code?	3
Insurance broker name	GRF FINANCIAL LTD

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

P03488

Policy instance

Insurance contract or identification number	P03488
Number of Individuals Covered	1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,162
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $426
Insurance broker organization code?	3
Insurance broker name	GRF FINANCIAL LLC

PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )

Policy contract number

97302631

Policy instance

Insurance contract or identification number	97302631
Number of Individuals Covered	1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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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Company Name:	RAFAEL VINOLY ARCHITECTS PC
Employer identification number (EIN):	133152224
NAIC Classification:	541310
NAIC Description:	Architectural Services