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LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 401k Plan overview

Plan NameLOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL
Plan identification number 002

LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
  • Life insurance

401k Sponsoring company profile

LOCKWOOD & WINANT, INC. has sponsored the creation of one or more 401k plans.

Company Name:LOCKWOOD & WINANT, INC.
Employer identification number (EIN):135213220
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01FRED KOLINSKY2023-08-24
0022021-01-01FRED KOLINSKY2022-10-05 FRED KOLINSKY2022-10-05
0022020-01-01JOSEPH GURRERA2021-10-08 JOSEPH GURRERA2021-10-08
0022019-01-01JOSEPH GURRERA2020-10-07 JOSEPH GURRERA2020-10-07
0022018-01-01JOSEPH GURRERA2019-10-15 JOSEPH GURRERA2019-10-15
0022017-01-01JOSEPH GURRERA JOSEPH GURRERA2018-10-11
0022016-01-01JOSEPH GURRERA JOSEPH GURRERA2017-10-09
0022015-01-01JOSEPH GURRERA JOSEPH GURRERA2016-09-29
0022014-01-01JOSEPH GURRERA JOSEPH GURRERA2015-10-05
0022013-01-01JOSEPH GURRERA JOSEPH GURRERA2014-10-01
0022012-01-01JOSEPH GURRERA JOSEPH GURRERA2013-10-11
0022011-01-01JOSEPH GURRERA2012-10-15
0022009-01-01MR. JOSEPH R. GURRERA MR. JOSEPH R. GURRERA2010-10-14

Plan Statistics for LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL

401k plan membership statisitcs for LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL

Measure Date Value
2017: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2017 401k membership
Total participants, beginning-of-year2017-01-0139
Total number of active participants reported on line 7a of the Form 55002017-01-0110
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0111
Number of participants with account balances2017-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2016 401k membership
Total participants, beginning-of-year2016-01-0149
Total number of active participants reported on line 7a of the Form 55002016-01-0138
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0139
Number of participants with account balances2016-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2015 401k membership
Total participants, beginning-of-year2015-01-0113
Total number of active participants reported on line 7a of the Form 55002015-01-0145
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0146
Number of participants with account balances2015-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2014 401k membership
Total participants, beginning-of-year2014-01-0113
Total number of active participants reported on line 7a of the Form 55002014-01-0112
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0113
Number of participants with account balances2014-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2013 401k membership
Total participants, beginning-of-year2013-01-0113
Total number of active participants reported on line 7a of the Form 55002013-01-0112
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0113
Number of participants with account balances2013-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2012 401k membership
Total participants, beginning-of-year2012-01-0115
Total number of active participants reported on line 7a of the Form 55002012-01-0112
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0113
Number of participants with account balances2012-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2009: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2009 401k membership
Total participants, beginning-of-year2009-01-0122
Total number of active participants reported on line 7a of the Form 55002009-01-0115
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0115
Number of participants with account balances2009-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL

Measure Date Value
2017 : LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2017 401k financial data
Total income from all sources2017-12-31$210,538
Expenses. Total of all expenses incurred2017-12-31$30,351
Benefits paid (including direct rollovers)2017-12-31$0
Total plan assets at end of year2017-12-31$1,065,609
Total plan assets at beginning of year2017-12-31$885,422
Total contributions received or receivable from participants2017-12-31$55,871
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$154,667
Net income (gross income less expenses)2017-12-31$180,187
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,065,609
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$885,422
Assets. Value of participant loans2017-12-31$10,379
Total contributions received or receivable from employer(s)2017-12-31$0
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$25,268
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$5,083
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2016 401k financial data
Total income from all sources2016-12-31$97,379
Expenses. Total of all expenses incurred2016-12-31$180,090
Benefits paid (including direct rollovers)2016-12-31$148,366
Total plan assets at end of year2016-12-31$885,422
Total plan assets at beginning of year2016-12-31$968,133
Total contributions received or receivable from participants2016-12-31$59,265
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$38,114
Net income (gross income less expenses)2016-12-31$-82,711
Net plan assets at end of year (total assets less liabilities)2016-12-31$885,422
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$968,133
Assets. Value of participant loans2016-12-31$849
Total contributions received or receivable from employer(s)2016-12-31$0
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$27,215
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$4,509
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2015 401k financial data
Total income from all sources2015-12-31$87,661
Expenses. Total of all expenses incurred2015-12-31$70,529
Benefits paid (including direct rollovers)2015-12-31$39,402
Total plan assets at end of year2015-12-31$968,133
Total plan assets at beginning of year2015-12-31$951,001
Total contributions received or receivable from participants2015-12-31$70,145
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$17,516
Net income (gross income less expenses)2015-12-31$17,132
Net plan assets at end of year (total assets less liabilities)2015-12-31$968,133
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$951,001
Assets. Value of participant loans2015-12-31$2,034
Total contributions received or receivable from employer(s)2015-12-31$0
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$24,156
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$6,971
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2014 401k financial data
Total income from all sources2014-12-31$123,278
Expenses. Total of all expenses incurred2014-12-31$64,165
Benefits paid (including direct rollovers)2014-12-31$25,000
Total plan assets at end of year2014-12-31$951,001
Total plan assets at beginning of year2014-12-31$891,888
Total contributions received or receivable from participants2014-12-31$79,142
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$44,136
Net income (gross income less expenses)2014-12-31$59,113
Net plan assets at end of year (total assets less liabilities)2014-12-31$951,001
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$891,888
Assets. Value of participant loans2014-12-31$3,169
Total contributions received or receivable from employer(s)2014-12-31$0
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$31,162
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$8,003
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2013 401k financial data
Total income from all sources2013-12-31$168,298
Expenses. Total of all expenses incurred2013-12-31$34,858
Benefits paid (including direct rollovers)2013-12-31$0
Total plan assets at end of year2013-12-31$891,888
Total plan assets at beginning of year2013-12-31$758,448
Total contributions received or receivable from participants2013-12-31$63,152
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$105,146
Net income (gross income less expenses)2013-12-31$133,440
Net plan assets at end of year (total assets less liabilities)2013-12-31$891,888
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$758,448
Assets. Value of participant loans2013-12-31$4,425
Total contributions received or receivable from employer(s)2013-12-31$0
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$27,819
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$7,039
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2012 401k financial data
Total income from all sources2012-12-31$134,164
Expenses. Total of all expenses incurred2012-12-31$20,688
Benefits paid (including direct rollovers)2012-12-31$1,605
Total plan assets at end of year2012-12-31$758,448
Total plan assets at beginning of year2012-12-31$644,972
Total contributions received or receivable from participants2012-12-31$73,992
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$58,888
Net income (gross income less expenses)2012-12-31$113,476
Net plan assets at end of year (total assets less liabilities)2012-12-31$758,448
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$644,972
Assets. Value of participant loans2012-12-31$8,430
Total contributions received or receivable from employer(s)2012-12-31$1,284
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$12,984
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$6,099
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2010 : LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2010 401k financial data
Total income from all sources2010-12-31$94,848
Expenses. Total of all expenses incurred2010-12-31$14,346
Benefits paid (including direct rollovers)2010-12-31$0
Total plan assets at end of year2010-12-31$590,890
Total plan assets at beginning of year2010-12-31$510,388
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$45,533
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$48,362
Net income (gross income less expenses)2010-12-31$80,502
Net plan assets at end of year (total assets less liabilities)2010-12-31$590,890
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$510,388
Assets. Value of participant loans2010-12-31$15,637
Total contributions received or receivable from employer(s)2010-12-31$953
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$9,550
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$4,796
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL

2017: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2009: LOCKWOOD & WINANT, INC. 401(K) / PROFIT SHARING PL 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 81491
Policy instance 1
Insurance contract or identification numberFL 81491
Number of Individuals Covered11
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,921
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,798
Insurance broker organization code?3
Insurance broker nameSIGNATURE SECURITIES GROUP CORP
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 81491
Policy instance 1
Insurance contract or identification numberFL 81491
Number of Individuals Covered46
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5,112
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,112
Insurance broker organization code?3
Insurance broker nameMAHMOUD ARJOMAND
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 81491
Policy instance 1
Insurance contract or identification numberFL 81491
Number of Individuals Covered13
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,323
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,323
Insurance broker organization code?3
Insurance broker nameMAHMOUD ARJOMAND
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 81491
Policy instance 1
Insurance contract or identification numberFL 81491
Number of Individuals Covered13
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,680
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,680
Insurance broker organization code?3
Insurance broker nameMAHMOUD ARJOMAND
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 81491
Policy instance 1
Insurance contract or identification numberFL 81491
Number of Individuals Covered13
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,986
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,986
Insurance broker organization code?3
Insurance broker nameMAHMOUD ARJOMAND
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 81491
Policy instance 1
Insurance contract or identification numberFL 81491
Number of Individuals Covered66
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,235
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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