401k Plan data: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST plan

MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	003

MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MONT D'OR OF AMERICA, LLC has sponsored the creation of one or more 401k plans.

Company Name: MONT D'OR OF AMERICA, LLC

Employer identification number (EIN): 134033881

NAIC Classification: 423940
NAIC Description: Jewelry, Watch, Precious Stone, and Precious Metal Merchant Wholesalers

Additional information about MONT D'OR OF AMERICA, LLC

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1998-12-01

Company Identification Number: 2320570

Legal Registered Office Address: 680 5TH AVE, 13TH FL
New York
NEW YORK
United States of America (USA)
10019

More information about MONT D'OR OF AMERICA, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2017-01-01
003 2016-01-01
003 2015-01-01
003 2014-01-01
003 2013-01-01
003 2012-01-01 SIMON ZELMAN
003 2011-01-01 SIMON ZELMAN
003 2010-01-01 SIMON ZELMAN

Plan Statistics for MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2017: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 107
Number of retired or separated participants receiving benefits 2017-01-01 10
Total of all active and inactive participants 2017-01-01 117
Total participants 2017-01-01 117
Number of participants with account balances 2017-01-01 107
2016: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 111
Number of retired or separated participants receiving benefits 2016-01-01 58
Total of all active and inactive participants 2016-01-01 169
Total participants 2016-01-01 169
Number of participants with account balances 2016-01-01 111
2015: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 92
Number of retired or separated participants receiving benefits 2015-01-01 53
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 145
Number of participants with account balances 2015-01-01 97
2014: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 94
Number of retired or separated participants receiving benefits 2014-01-01 34
Total of all active and inactive participants 2014-01-01 128
Total participants 2014-01-01 128
Number of participants with account balances 2014-01-01 97
2013: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 93
Number of retired or separated participants receiving benefits 2013-01-01 25
Total of all active and inactive participants 2013-01-01 118
Total participants 2013-01-01 118
Number of participants with account balances 2013-01-01 94
2012: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 149
Number of retired or separated participants receiving benefits 2012-01-01 18
Total of all active and inactive participants 2012-01-01 167
Total participants 2012-01-01 167
Number of participants with account balances 2012-01-01 142
2011: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 126
Number of retired or separated participants receiving benefits 2011-01-01 39
Total of all active and inactive participants 2011-01-01 165
Total participants 2011-01-01 165
Number of participants with account balances 2011-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 106
Number of retired or separated participants receiving benefits 2010-01-01 61
Total of all active and inactive participants 2010-01-01 167
Total participants 2010-01-01 167
Number of participants with account balances 2010-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2017: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	107
Number of retired or separated participants receiving benefits	2017-01-01	10
Total of all active and inactive participants	2017-01-01	117
Total participants	2017-01-01	117
Number of participants with account balances	2017-01-01	107
2016: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	111
Number of retired or separated participants receiving benefits	2016-01-01	58
Total of all active and inactive participants	2016-01-01	169
Total participants	2016-01-01	169
Number of participants with account balances	2016-01-01	111
2015: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	92
Number of retired or separated participants receiving benefits	2015-01-01	53
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	145
Number of participants with account balances	2015-01-01	97
2014: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	94
Number of retired or separated participants receiving benefits	2014-01-01	34
Total of all active and inactive participants	2014-01-01	128
Total participants	2014-01-01	128
Number of participants with account balances	2014-01-01	97
2013: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	93
Number of retired or separated participants receiving benefits	2013-01-01	25
Total of all active and inactive participants	2013-01-01	118
Total participants	2013-01-01	118
Number of participants with account balances	2013-01-01	94
2012: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	149
Number of retired or separated participants receiving benefits	2012-01-01	18
Total of all active and inactive participants	2012-01-01	167
Total participants	2012-01-01	167
Number of participants with account balances	2012-01-01	142
2011: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	126
Number of retired or separated participants receiving benefits	2011-01-01	39
Total of all active and inactive participants	2011-01-01	165
Total participants	2011-01-01	165
Number of participants with account balances	2011-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	106
Number of retired or separated participants receiving benefits	2010-01-01	61
Total of all active and inactive participants	2010-01-01	167
Total participants	2010-01-01	167
Number of participants with account balances	2010-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2017 : MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$429,138
Total unrealized appreciation/depreciation of assets	2017-12-31	$429,138
Total income from all sources (including contributions)	2017-12-31	$633,699
Total of all expenses incurred	2017-12-31	$364,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$338,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$202,870
Value of total assets at end of year	2017-12-31	$2,784,389
Value of total assets at beginning of year	2017-12-31	$2,514,726
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$25,612
Total interest from all sources	2017-12-31	$1,691
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$250,000
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
Contributions received from participants	2017-12-31	$202,870
Participant contributions at end of year	2017-12-31	$15,664
Participant contributions at beginning of year	2017-12-31	$47,564
Total non interest bearing cash at end of year	2017-12-31	$767
Total non interest bearing cash at beginning of year	2017-12-31	$767
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	$269,663
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,784,389
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$2,514,726
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 pooled separate accounts at end of year	2017-12-31	$2,751,879
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$2,452,346
Interest on participant loans	2017-12-31	$1,651
Interest earned on other investments	2017-12-31	$40
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$15,843
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$14,001
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
Employer contributions (assets) at end of year	2017-12-31	$236
Employer contributions (assets) at beginning of year	2017-12-31	$48
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$338,424
Contract administrator fees	2017-12-31	$25,612
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
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
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	MARKS PANETH LLP
Accountancy firm EIN	2017-12-31	113518842
2016 : MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$152,239
Total unrealized appreciation/depreciation of assets	2016-12-31	$152,239
Total income from all sources (including contributions)	2016-12-31	$475,951
Total of all expenses incurred	2016-12-31	$134,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$112,498
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$322,027
Value of total assets at end of year	2016-12-31	$2,514,726
Value of total assets at beginning of year	2016-12-31	$2,172,862
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$21,589
Total interest from all sources	2016-12-31	$1,685
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$250,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$178,501
Participant contributions at end of year	2016-12-31	$47,564
Participant contributions at beginning of year	2016-12-31	$8,491
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$143,526
Total non interest bearing cash at end of year	2016-12-31	$767
Total non interest bearing cash at beginning of year	2016-12-31	$767
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$341,864
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$2,514,726
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,172,862
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$2,452,346
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$2,151,393
Interest on participant loans	2016-12-31	$1,649
Interest earned on other investments	2016-12-31	$36
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$14,001
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$12,163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Employer contributions (assets) at end of year	2016-12-31	$48
Employer contributions (assets) at beginning of year	2016-12-31	$48
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$112,498
Contract administrator fees	2016-12-31	$21,589
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	MARKS PANETH LLP
Accountancy firm EIN	2016-12-31	113518842
2015 : MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-25,918
Total unrealized appreciation/depreciation of assets	2015-12-31	$-25,918
Total income from all sources (including contributions)	2015-12-31	$208,766
Total of all expenses incurred	2015-12-31	$228,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$207,839
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$232,587
Value of total assets at end of year	2015-12-31	$2,172,862
Value of total assets at beginning of year	2015-12-31	$2,192,378
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$20,443
Total interest from all sources	2015-12-31	$2,097
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$250,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$232,587
Participant contributions at end of year	2015-12-31	$8,491
Participant contributions at beginning of year	2015-12-31	$67,861
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$767
Total non interest bearing cash at beginning of year	2015-12-31	$815
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-19,516
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,172,862
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,192,378
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$2,151,393
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$2,113,371
Interest on participant loans	2015-12-31	$2,066
Interest earned on other investments	2015-12-31	$31
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$12,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$10,331
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Employer contributions (assets) at end of year	2015-12-31	$48
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$207,839
Contract administrator fees	2015-12-31	$20,443
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MARKS PANETH LLP
Accountancy firm EIN	2015-12-31	113518842
2014 : MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$94,080
Total unrealized appreciation/depreciation of assets	2014-12-31	$94,080
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$41,004
Total income from all sources (including contributions)	2014-12-31	$281,134
Total of all expenses incurred	2014-12-31	$381,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$361,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$185,567
Value of total assets at end of year	2014-12-31	$2,192,378
Value of total assets at beginning of year	2014-12-31	$2,334,176
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$20,294
Total interest from all sources	2014-12-31	$1,487
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$219,238
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$177,237
Participant contributions at end of year	2014-12-31	$67,861
Participant contributions at beginning of year	2014-12-31	$34,962
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$8,330
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$41,004
Total non interest bearing cash at end of year	2014-12-31	$815
Total non interest bearing cash at beginning of year	2014-12-31	$815
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-100,794
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,192,378
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,293,172
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$2,113,371
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$2,289,848
Interest on participant loans	2014-12-31	$1,487
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$10,331
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$8,551
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$361,634
Contract administrator fees	2014-12-31	$20,294
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MARKS PANETH LLP
Accountancy firm EIN	2014-12-31	113518842
2013 : MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$288,618
Total unrealized appreciation/depreciation of assets	2013-12-31	$288,618
Total transfer of assets to this plan	2013-12-31	$349,256
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$41,004
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$39,810
Total income from all sources (including contributions)	2013-12-31	$482,471
Total of all expenses incurred	2013-12-31	$214,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$194,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$191,843
Value of total assets at end of year	2013-12-31	$2,334,176
Value of total assets at beginning of year	2013-12-31	$1,715,723
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$20,351
Total interest from all sources	2013-12-31	$2,010
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$229,317
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$161,924
Participant contributions at end of year	2013-12-31	$34,962
Participant contributions at beginning of year	2013-12-31	$59,015
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$29,919
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$41,004
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$39,810
Total non interest bearing cash at end of year	2013-12-31	$815
Total non interest bearing cash at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$268,003
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,293,172
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,675,913
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$2,289,848
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,647,461
Interest on participant loans	2013-12-31	$2,010
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$8,551
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$6,758
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$2,489
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$194,117
Contract administrator fees	2013-12-31	$20,351
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MARKS PANETH LLP
Accountancy firm EIN	2013-12-31	113518842
2012 : MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$201,148
Total unrealized appreciation/depreciation of assets	2012-12-31	$201,148
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$39,810
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$38,561
Total income from all sources (including contributions)	2012-12-31	$368,211
Total of all expenses incurred	2012-12-31	$130,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$111,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$164,095
Value of total assets at end of year	2012-12-31	$1,715,723
Value of total assets at beginning of year	2012-12-31	$1,476,787
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$18,759
Total interest from all sources	2012-12-31	$2,968
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$167,591
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$164,095
Participant contributions at end of year	2012-12-31	$59,015
Participant contributions at beginning of year	2012-12-31	$47,501
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$39,810
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$38,561
Administrative expenses (other) incurred	2012-12-31	$460
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$237,687
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,675,913
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,438,226
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,647,461
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,419,907
Interest on participant loans	2012-12-31	$2,968
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$6,758
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$5,008
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Employer contributions (assets) at end of year	2012-12-31	$2,489
Employer contributions (assets) at beginning of year	2012-12-31	$4,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$111,765
Contract administrator fees	2012-12-31	$18,299
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MARKS PANETH & SHRON, LLP
Accountancy firm EIN	2012-12-31	113518842
2011 : MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-37,988
Total unrealized appreciation/depreciation of assets	2011-12-31	$-37,988
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$38,561
Total income from all sources (including contributions)	2011-12-31	$174,159
Total of all expenses incurred	2011-12-31	$53,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$31,554
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$209,917
Value of total assets at end of year	2011-12-31	$1,476,787
Value of total assets at beginning of year	2011-12-31	$1,317,362
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$21,741
Total interest from all sources	2011-12-31	$2,230
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$143,823
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$209,917
Participant contributions at end of year	2011-12-31	$47,501
Participant contributions at beginning of year	2011-12-31	$52,543
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$38,561
Administrative expenses (other) incurred	2011-12-31	$205
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$120,864
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,438,226
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,317,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,419,907
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,258,951
Interest on participant loans	2011-12-31	$2,230
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$5,008
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$4,341
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Employer contributions (assets) at end of year	2011-12-31	$4,371
Employer contributions (assets) at beginning of year	2011-12-31	$1,527
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$31,554
Contract administrator fees	2011-12-31	$21,536
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MARKS PANETH & SHRON, LLP
Accountancy firm EIN	2011-12-31	113518842
2010 : MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$147,027
Total unrealized appreciation/depreciation of assets	2010-12-31	$147,027
Total income from all sources (including contributions)	2010-12-31	$482,129
Total of all expenses incurred	2010-12-31	$60,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$42,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$332,510
Value of total assets at end of year	2010-12-31	$1,317,362
Value of total assets at beginning of year	2010-12-31	$896,221
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$18,344
Total interest from all sources	2010-12-31	$2,592
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$125,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$277,801
Participant contributions at end of year	2010-12-31	$52,543
Participant contributions at beginning of year	2010-12-31	$60,752
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$54,709
Administrative expenses (other) incurred	2010-12-31	$140
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$421,141
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,317,362
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$896,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,258,951
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$833,001
Interest on participant loans	2010-12-31	$2,592
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$4,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,468
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Employer contributions (assets) at end of year	2010-12-31	$1,527
Employer contributions (assets) at beginning of year	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$42,644
Contract administrator fees	2010-12-31	$18,204
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MARKS PANETH & SHRON LLP
Accountancy firm EIN	2010-12-31	113518842

Form 5500 Responses for MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST

2017: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
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
2016: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MONT D'OR OF AMERICA LLC 401(K) PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

81893

Policy instance

Insurance contract or identification number	81893
Number of Individuals Covered	117
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $27,724
Total amount of fees paid to insurance company	USD $0
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
Commission paid to Insurance Broker	USD $26,392
Additional information about fees paid to insurance broker	BROKER COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	IMPROVED FUNDING TECHNIQUES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

81893

Policy instance

Insurance contract or identification number	81893
Number of Individuals Covered	122
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $21,403
Total amount of fees paid to insurance company	USD $1,078
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
Commission paid to Insurance Broker	USD $21,403
Additional information about fees paid to insurance broker	BROKER COMMISSIONS
Insurance broker organization code?	3
Amount paid for insurance broker fees	1078
Insurance broker name	IMPROVED FUNDING TECHNIQUES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

81893

Policy instance

Insurance contract or identification number	81893
Number of Individuals Covered	121
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $21,342
Total amount of fees paid to insurance company	USD $1,073
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,342
Additional information about fees paid to insurance broker	BROKER FEESBROKER COMMISSIONS
Insurance broker organization code?	3
Amount paid for insurance broker fees	1073
Insurance broker name	IMPROVED FUNDING TECHNIQUES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

81893

Policy instance

Insurance contract or identification number	81893
Number of Individuals Covered	98
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $21,019
Total amount of fees paid to insurance company	USD $1,055
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,019
Additional information about fees paid to insurance broker	BROKER COMMISSIONS
Insurance broker organization code?	3
Amount paid for insurance broker fees	1055
Insurance broker name	IMPROVED FUNDING TECHNIQUES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

81893

Policy instance

Insurance contract or identification number	81893
Number of Individuals Covered	148
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $18,892
Total amount of fees paid to insurance company	USD $1,424
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,892
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	1424
Insurance broker name	SEBS- NEW YORK DIVISION

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

81893

Policy instance

Insurance contract or identification number	81893
Number of Individuals Covered	143
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $17,037
Total amount of fees paid to insurance company	USD $915
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

81893

Policy instance

Insurance contract or identification number	81893
Number of Individuals Covered	167
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $13,727
Total amount of fees paid to insurance company	USD $954
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

MONT D'OR OF AMERICA, LLC PROFIT SHARING PLAN [EIN = 272222222]

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Company Name:	MONT D'OR OF AMERICA, LLC
Employer identification number (EIN):	134033881
NAIC Classification:	423940
NAIC Description:	Jewelry, Watch, Precious Stone, and Precious Metal Merchant Wholesalers

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1998-12-01
Company Identification Number:	2320570
Legal Registered Office Address:	680 5TH AVE, 13TH FL New York NEW YORK United States of America (USA) 10019