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JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 401k Plan overview

Plan NameJEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN
Plan identification number 002

JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Life insurance

401k Sponsoring company profile

JEFFREY S. KEZIS, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name:JEFFREY S. KEZIS, M.D., P.C.
Employer identification number (EIN):141626602
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about JEFFREY S. KEZIS, M.D., P.C.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1981-07-10
Company Identification Number: 710376
Legal Registered Office Address: 28 GARFIELD PLACE
Dutchess
POUGHKEEPSIE
United States of America (USA)
12601

More information about JEFFREY S. KEZIS, M.D., P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01JEFFREY S. KEZIS, M.D.2023-10-06 JEFFREY S. KEZIS, M.D.2023-10-06
0022021-01-01JEFFREY S. KEZIS, M.D.2022-04-11
0022020-01-01JEFFREY S. KEZIS, M.D.2021-05-05 JEFFREY S. KEZIS, M.D.2021-05-05
0022019-01-01JEFFREY S. KEZIS, M.D.2020-03-23
0022018-01-01
0022017-01-01
0022016-01-01NANCY BAILINE
0022015-01-01NANCY BAILINE
0022014-01-01NANCY E. BAILINE
0022013-01-01JEFFREY S. KEZIS, M.D.
0022012-01-01JEFFREY S. KEZIS, M.D.
0022011-01-01JEFFREY S. KEZIS, M.D. JEFFREY S. KEZIS, M.D.2012-07-06
0022010-01-01JEFFREY S. KEZIS, M.D. JEFFREY S. KEZIS, M.D.2011-09-21
0022009-01-01JEFFREY S. KEZIS, M.D. JEFFREY S. KEZIS, M.D.2010-07-12

Plan Statistics for JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN

Measure Date Value
2022: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012
Total number of active participants reported on line 7a of the Form 55002022-01-012
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-012
Number of participants with account balances2022-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012
Total number of active participants reported on line 7a of the Form 55002021-01-012
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-012
Number of participants with account balances2021-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012
Total number of active participants reported on line 7a of the Form 55002020-01-012
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-012
Number of participants with account balances2020-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012
Total number of active participants reported on line 7a of the Form 55002019-01-012
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-012
Number of participants with account balances2019-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012
Total number of active participants reported on line 7a of the Form 55002018-01-012
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-012
Number of participants with account balances2018-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012
Total number of active participants reported on line 7a of the Form 55002017-01-012
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-012
Number of participants with account balances2017-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012
Total number of active participants reported on line 7a of the Form 55002016-01-012
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-012
Number of participants with account balances2016-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012
Total number of active participants reported on line 7a of the Form 55002015-01-012
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-012
Number of participants with account balances2015-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012
Total number of active participants reported on line 7a of the Form 55002014-01-012
Total of all active and inactive participants2014-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-012
Number of participants with account balances2014-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012
Total number of active participants reported on line 7a of the Form 55002013-01-012
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-012
Number of participants with account balances2013-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013
Total number of active participants reported on line 7a of the Form 55002012-01-012
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-012
Number of participants with account balances2012-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013
Total number of active participants reported on line 7a of the Form 55002011-01-012
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-013
Number of participants with account balances2011-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-013
Total number of active participants reported on line 7a of the Form 55002010-01-013
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-013
Number of participants with account balances2010-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013
Total number of active participants reported on line 7a of the Form 55002009-01-013
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 participants2009-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-013
Number of participants with account balances2009-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN

Measure Date Value
2022 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$5,279
Total plan liabilities at beginning of year2022-12-31$5,272
Total income from all sources2022-12-31$-234,764
Expenses. Total of all expenses incurred2022-12-31$109,067
Benefits paid (including direct rollovers)2022-12-31$106,624
Total plan assets at end of year2022-12-31$2,127,748
Total plan assets at beginning of year2022-12-31$2,471,572
Value of fidelity bond covering the plan2022-12-31$233,000
Expenses. Other expenses not covered elsewhere2022-12-31$2,264
Other income received2022-12-31$-239,514
Net income (gross income less expenses)2022-12-31$-343,831
Net plan assets at end of year (total assets less liabilities)2022-12-31$2,122,469
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$2,466,300
Assets. Value of assets in partnership/joint-venture interests2022-12-31$13,917
Total contributions received or receivable from employer(s)2022-12-31$4,750
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$179
2021 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$5,272
Total plan liabilities at beginning of year2021-12-31$5,169
Total income from all sources2021-12-31$243,702
Expenses. Total of all expenses incurred2021-12-31$107,133
Benefits paid (including direct rollovers)2021-12-31$105,001
Total plan assets at end of year2021-12-31$2,471,572
Total plan assets at beginning of year2021-12-31$2,334,900
Value of fidelity bond covering the plan2021-12-31$233,000
Expenses. Other expenses not covered elsewhere2021-12-31$2,132
Other income received2021-12-31$238,827
Net income (gross income less expenses)2021-12-31$136,569
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,466,300
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$2,329,731
Assets. Value of assets in partnership/joint-venture interests2021-12-31$14,686
Total contributions received or receivable from employer(s)2021-12-31$4,875
2020 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$5,169
Total plan liabilities at beginning of year2020-12-31$5,169
Total income from all sources2020-12-31$230,161
Expenses. Total of all expenses incurred2020-12-31$2,467
Total plan assets at end of year2020-12-31$2,334,900
Total plan assets at beginning of year2020-12-31$2,107,206
Value of fidelity bond covering the plan2020-12-31$229,000
Expenses. Other expenses not covered elsewhere2020-12-31$2,467
Other income received2020-12-31$225,286
Net income (gross income less expenses)2020-12-31$227,694
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,329,731
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$2,102,037
Assets. Value of assets in partnership/joint-venture interests2020-12-31$14,835
Total contributions received or receivable from employer(s)2020-12-31$4,875
2019 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$5,169
Total plan liabilities at beginning of year2019-12-31$5,169
Total income from all sources2019-12-31$313,766
Expenses. Total of all expenses incurred2019-12-31$496,710
Benefits paid (including direct rollovers)2019-12-31$496,541
Total plan assets at end of year2019-12-31$2,107,206
Total plan assets at beginning of year2019-12-31$2,290,150
Value of fidelity bond covering the plan2019-12-31$229,000
Expenses. Other expenses not covered elsewhere2019-12-31$169
Other income received2019-12-31$274,516
Net income (gross income less expenses)2019-12-31$-182,944
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,102,037
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,284,981
Assets. Value of assets in partnership/joint-venture interests2019-12-31$15,034
Total contributions received or receivable from employer(s)2019-12-31$39,250
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$5,169
Total plan liabilities at beginning of year2018-12-31$5,169
Total income from all sources2018-12-31$39,238
Expenses. Total of all expenses incurred2018-12-31$95,651
Benefits paid (including direct rollovers)2018-12-31$95,489
Total plan assets at end of year2018-12-31$2,290,150
Total plan assets at beginning of year2018-12-31$2,346,563
Value of fidelity bond covering the plan2018-12-31$226,000
Expenses. Other expenses not covered elsewhere2018-12-31$162
Other income received2018-12-31$-3,137
Net income (gross income less expenses)2018-12-31$-56,413
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,284,981
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,341,394
Assets. Value of assets in partnership/joint-venture interests2018-12-31$2,068
Total contributions received or receivable from employer(s)2018-12-31$42,375
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$5,169
Total plan liabilities at beginning of year2017-12-31$7,433
Total income from all sources2017-12-31$206,981
Expenses. Total of all expenses incurred2017-12-31$90,050
Benefits paid (including direct rollovers)2017-12-31$87,633
Total plan assets at end of year2017-12-31$2,346,563
Total plan assets at beginning of year2017-12-31$2,231,896
Value of fidelity bond covering the plan2017-12-31$226,000
Expenses. Other expenses not covered elsewhere2017-12-31$2,417
Other income received2017-12-31$164,606
Net income (gross income less expenses)2017-12-31$116,931
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,341,394
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,224,463
Assets. Value of assets in partnership/joint-venture interests2017-12-31$9,529
Total contributions received or receivable from employer(s)2017-12-31$42,375
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$7,433
Total plan liabilities at beginning of year2016-12-31$5,169
Total income from all sources2016-12-31$135,030
Expenses. Total of all expenses incurred2016-12-31$85,336
Benefits paid (including direct rollovers)2016-12-31$82,898
Total plan assets at end of year2016-12-31$2,231,896
Total plan assets at beginning of year2016-12-31$2,179,938
Value of fidelity bond covering the plan2016-12-31$226,000
Expenses. Other expenses not covered elsewhere2016-12-31$2,438
Other income received2016-12-31$95,780
Net income (gross income less expenses)2016-12-31$49,694
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,224,463
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,174,769
Assets. Value of assets in partnership/joint-venture interests2016-12-31$7,616
Total contributions received or receivable from employer(s)2016-12-31$39,250
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$5,169
Total plan liabilities at beginning of year2015-12-31$5,169
Total income from all sources2015-12-31$6,801
Expenses. Total of all expenses incurred2015-12-31$83,266
Benefits paid (including direct rollovers)2015-12-31$83,097
Total plan assets at end of year2015-12-31$2,179,938
Total plan assets at beginning of year2015-12-31$2,256,403
Value of fidelity bond covering the plan2015-12-31$226,000
Expenses. Other expenses not covered elsewhere2015-12-31$169
Other income received2015-12-31$-39,099
Net income (gross income less expenses)2015-12-31$-76,465
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,174,769
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,251,234
Assets. Value of assets in partnership/joint-venture interests2015-12-31$1,286
Total contributions received or receivable from employer(s)2015-12-31$45,900
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$5,169
Total plan liabilities at beginning of year2014-12-31$5,169
Total income from all sources2014-12-31$181,654
Expenses. Total of all expenses incurred2014-12-31$79,343
Benefits paid (including direct rollovers)2014-12-31$76,902
Total plan assets at end of year2014-12-31$2,256,403
Total plan assets at beginning of year2014-12-31$2,154,092
Value of fidelity bond covering the plan2014-12-31$215,000
Expenses. Other expenses not covered elsewhere2014-12-31$2,441
Other income received2014-12-31$132,004
Net income (gross income less expenses)2014-12-31$102,311
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,251,234
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,148,923
Assets. Value of assets in partnership/joint-venture interests2014-12-31$3,290
Total contributions received or receivable from employer(s)2014-12-31$49,650
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$5,169
Total plan liabilities at beginning of year2013-12-31$5,273
Total income from all sources2013-12-31$121,396
Expenses. Total of all expenses incurred2013-12-31$2,310
Total plan assets at end of year2013-12-31$2,154,092
Total plan assets at beginning of year2013-12-31$2,035,110
Value of fidelity bond covering the plan2013-12-31$200,000
Expenses. Other expenses not covered elsewhere2013-12-31$2,310
Other income received2013-12-31$75,496
Net income (gross income less expenses)2013-12-31$119,086
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,148,923
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,029,837
Assets. Value of assets in partnership/joint-venture interests2013-12-31$5,720
Total contributions received or receivable from employer(s)2013-12-31$45,900
2012 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$5,273
Total plan liabilities at beginning of year2012-12-31$5,334
Total income from all sources2012-12-31$115,204
Expenses. Total of all expenses incurred2012-12-31$7,081
Benefits paid (including direct rollovers)2012-12-31$4,717
Total plan assets at end of year2012-12-31$2,035,110
Total plan assets at beginning of year2012-12-31$1,927,048
Value of fidelity bond covering the plan2012-12-31$200,000
Expenses. Other expenses not covered elsewhere2012-12-31$2,364
Other income received2012-12-31$73,054
Net income (gross income less expenses)2012-12-31$108,123
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,029,837
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,921,714
Total contributions received or receivable from employer(s)2012-12-31$42,150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$5,334
Total plan liabilities at beginning of year2011-12-31$5,463
Total income from all sources2011-12-31$68,618
Expenses. Total of all expenses incurred2011-12-31$241,717
Benefits paid (including direct rollovers)2011-12-31$239,389
Total plan assets at end of year2011-12-31$1,927,048
Total plan assets at beginning of year2011-12-31$2,100,276
Value of fidelity bond covering the plan2011-12-31$200,000
Expenses. Other expenses not covered elsewhere2011-12-31$2,328
Other income received2011-12-31$26,718
Net income (gross income less expenses)2011-12-31$-173,099
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,921,714
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,094,813
Total contributions received or receivable from employer(s)2011-12-31$41,900
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$5,463
Total plan liabilities at beginning of year2010-12-31$5,169
Total income from all sources2010-12-31$178,835
Expenses. Total of all expenses incurred2010-12-31$2,615
Total plan assets at end of year2010-12-31$2,100,276
Total plan assets at beginning of year2010-12-31$1,923,762
Value of fidelity bond covering the plan2010-12-31$200,000
Expenses. Other expenses not covered elsewhere2010-12-31$2,615
Other income received2010-12-31$166,835
Net income (gross income less expenses)2010-12-31$176,220
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,094,813
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,918,593
Total contributions received or receivable from employer(s)2010-12-31$12,000

Form 5500 Responses for JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN

2022: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: JEFFREY S. KEZIS, M.D., P.C. PROFIT SHARING PLAN 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 planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number83219727
Policy instance 1
Insurance contract or identification number83219727
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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