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CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan NameCASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number 001

CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CASANOVA & CASANOVA, M.D.'S, P.A. has sponsored the creation of one or more 401k plans.

Company Name:CASANOVA & CASANOVA, M.D.'S, P.A.
Employer identification number (EIN):161629969
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01LUIS CASANOVA, M.D.
0012016-01-01LUIS CASANOVA, M.D.
0012015-01-01LUIS CASANOVA, M.D.
0012014-01-01LUIS CASANOVA, M.D.
0012013-01-01LUIS CASANOVA, M.D.
0012012-01-01LUIS CASANOVA, M.D.
0012011-01-01LUIS CASANOVA, M.D.
0012009-01-01
0012009-01-01LUIS A. CASANOVA, M.D.
0012009-01-01LUIS A. CASANOVA, M.D.

Plan Statistics for CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-016
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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-016
Total number of active participants reported on line 7a of the Form 55002020-01-012
Number of retired or separated participants receiving benefits2020-01-014
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-016
Number of participants with account balances2020-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-018
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-016
Total of all active and inactive participants2019-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-016
Number of participants with account balances2019-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-017
Total number of active participants reported on line 7a of the Form 55002018-01-013
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-015
Total of all active and inactive participants2018-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-018
Number of participants with account balances2018-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-017
Total number of active participants reported on line 7a of the Form 55002017-01-015
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-017
Number of participants with account balances2017-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-017
Total number of active participants reported on line 7a of the Form 55002016-01-017
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 participants2016-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-017
Number of participants with account balances2016-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-018
Total number of active participants reported on line 7a of the Form 55002015-01-016
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 participants2015-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-016
Number of participants with account balances2015-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-018
Total number of active participants reported on line 7a of the Form 55002014-01-016
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-018
Number of participants with account balances2014-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-019
Total number of active participants reported on line 7a of the Form 55002013-01-017
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 participants2013-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-018
Number of participants with account balances2013-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-018
Total number of active participants reported on line 7a of the Form 55002012-01-017
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-019
Number of participants with account balances2012-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-017
Total number of active participants reported on line 7a of the Form 55002011-01-016
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 participants2011-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-017
Number of participants with account balances2011-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-018
Total number of active participants reported on line 7a of the Form 55002009-01-016
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-017
Number of participants with account balances2009-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$245,884
Total plan liabilities at beginning of year2022-12-31$307,768
Total income from all sources2022-12-31$472,362
Expenses. Total of all expenses incurred2022-12-31$28,795
Benefits paid (including direct rollovers)2022-12-31$0
Total plan assets at end of year2022-12-31$1,344,941
Total plan assets at beginning of year2022-12-31$963,258
Total contributions received or receivable from participants2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$28,057
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$472,362
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$443,567
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,099,057
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$655,490
Assets. Value of real-estate (other than employer real property)2022-12-31$1,301,900
Total contributions received or receivable from employer(s)2022-12-31$0
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$738
2021 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$307,768
Total plan liabilities at beginning of year2021-12-31$298,233
Total income from all sources2021-12-31$73,259
Expenses. Total of all expenses incurred2021-12-31$59,412
Benefits paid (including direct rollovers)2021-12-31$23,838
Total plan assets at end of year2021-12-31$963,258
Total plan assets at beginning of year2021-12-31$939,876
Total contributions received or receivable from participants2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$33,975
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$73,259
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$13,847
Net plan assets at end of year (total assets less liabilities)2021-12-31$655,490
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$641,643
Assets. Value of real-estate (other than employer real property)2021-12-31$889,200
Total contributions received or receivable from employer(s)2021-12-31$0
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$1,599
2020 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$298,233
Total plan liabilities at beginning of year2020-12-31$295,975
Total income from all sources2020-12-31$116,994
Expenses. Total of all expenses incurred2020-12-31$36,435
Benefits paid (including direct rollovers)2020-12-31$0
Total plan assets at end of year2020-12-31$939,876
Total plan assets at beginning of year2020-12-31$857,059
Value of fidelity bond covering the plan2020-12-31$7,300,000
Total contributions received or receivable from participants2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$35,011
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$116,994
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$80,559
Net plan assets at end of year (total assets less liabilities)2020-12-31$641,643
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$561,084
Assets. Value of real-estate (other than employer real property)2020-12-31$853,650
Total contributions received or receivable from employer(s)2020-12-31$0
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$1,424
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$295,975
Total plan liabilities at beginning of year2019-12-31$317,270
Total income from all sources2019-12-31$9,735
Expenses. Total of all expenses incurred2019-12-31$82,791
Benefits paid (including direct rollovers)2019-12-31$31,937
Total plan assets at end of year2019-12-31$857,059
Total plan assets at beginning of year2019-12-31$951,410
Value of fidelity bond covering the plan2019-12-31$7,300,000
Total contributions received or receivable from participants2019-12-31$7,520
Expenses. Other expenses not covered elsewhere2019-12-31$49,310
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$1,797
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$-73,056
Net plan assets at end of year (total assets less liabilities)2019-12-31$561,084
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$634,140
Assets. Value of real-estate (other than employer real property)2019-12-31$765,400
Total contributions received or receivable from employer(s)2019-12-31$418
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$1,544
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$317,270
Total plan liabilities at beginning of year2018-12-31$352,159
Total income from all sources2018-12-31$205,401
Expenses. Total of all expenses incurred2018-12-31$79,467
Benefits paid (including direct rollovers)2018-12-31$48,238
Total plan assets at end of year2018-12-31$951,410
Total plan assets at beginning of year2018-12-31$860,365
Value of fidelity bond covering the plan2018-12-31$7,300,000
Total contributions received or receivable from participants2018-12-31$44,990
Expenses. Other expenses not covered elsewhere2018-12-31$28,710
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$157,659
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$125,934
Net plan assets at end of year (total assets less liabilities)2018-12-31$634,140
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$508,206
Assets. Value of real-estate (other than employer real property)2018-12-31$823,900
Total contributions received or receivable from employer(s)2018-12-31$2,752
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$2,519
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$352,159
Total plan liabilities at beginning of year2017-12-31$371,465
Total income from all sources2017-12-31$110,932
Expenses. Total of all expenses incurred2017-12-31$160,657
Benefits paid (including direct rollovers)2017-12-31$1,479
Total plan assets at end of year2017-12-31$860,365
Total plan assets at beginning of year2017-12-31$929,396
Value of fidelity bond covering the plan2017-12-31$700,000
Total contributions received or receivable from participants2017-12-31$6,011
Expenses. Other expenses not covered elsewhere2017-12-31$156,727
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$43,068
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$-49,725
Net plan assets at end of year (total assets less liabilities)2017-12-31$508,206
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$557,931
Assets. Value of real-estate (other than employer real property)2017-12-31$673,815
Total contributions received or receivable from employer(s)2017-12-31$61,853
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$2,451
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$371,465
Total plan liabilities at beginning of year2016-12-31$396,602
Total income from all sources2016-12-31$118,730
Expenses. Total of all expenses incurred2016-12-31$53,524
Benefits paid (including direct rollovers)2016-12-31$5,553
Total plan assets at end of year2016-12-31$929,396
Total plan assets at beginning of year2016-12-31$889,327
Value of fidelity bond covering the plan2016-12-31$700,000
Total contributions received or receivable from participants2016-12-31$9,118
Expenses. Other expenses not covered elsewhere2016-12-31$45,601
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$47,029
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$65,206
Net plan assets at end of year (total assets less liabilities)2016-12-31$557,931
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$492,725
Assets. Value of real-estate (other than employer real property)2016-12-31$690,000
Total contributions received or receivable from employer(s)2016-12-31$62,583
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$2,370
2015 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$396,602
Total plan liabilities at beginning of year2015-12-31$420,599
Total income from all sources2015-12-31$107,747
Expenses. Total of all expenses incurred2015-12-31$56,222
Benefits paid (including direct rollovers)2015-12-31$5,012
Total plan assets at end of year2015-12-31$889,327
Total plan assets at beginning of year2015-12-31$861,799
Value of fidelity bond covering the plan2015-12-31$700,000
Total contributions received or receivable from participants2015-12-31$11,348
Expenses. Other expenses not covered elsewhere2015-12-31$48,129
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$49,195
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$51,525
Net plan assets at end of year (total assets less liabilities)2015-12-31$492,725
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$441,200
Assets. Value of real-estate (other than employer real property)2015-12-31$683,500
Total contributions received or receivable from employer(s)2015-12-31$47,204
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$3,081
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$420,599
Total plan liabilities at beginning of year2014-12-31$443,459
Total income from all sources2014-12-31$142,347
Expenses. Total of all expenses incurred2014-12-31$51,570
Benefits paid (including direct rollovers)2014-12-31$3,350
Total plan assets at end of year2014-12-31$861,799
Total plan assets at beginning of year2014-12-31$793,882
Value of fidelity bond covering the plan2014-12-31$700,000
Total contributions received or receivable from participants2014-12-31$12,559
Expenses. Other expenses not covered elsewhere2014-12-31$45,969
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$99,369
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$90,777
Net plan assets at end of year (total assets less liabilities)2014-12-31$441,200
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$350,423
Assets. Value of real-estate (other than employer real property)2014-12-31$683,840
Total contributions received or receivable from employer(s)2014-12-31$30,419
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$2,251
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$443,459
Total plan liabilities at beginning of year2013-12-31$465,235
Total income from all sources2013-12-31$98,895
Expenses. Total of all expenses incurred2013-12-31$25,030
Benefits paid (including direct rollovers)2013-12-31$71
Total plan assets at end of year2013-12-31$793,882
Total plan assets at beginning of year2013-12-31$741,793
Value of fidelity bond covering the plan2013-12-31$600,000
Total contributions received or receivable from participants2013-12-31$21,477
Expenses. Other expenses not covered elsewhere2013-12-31$22,198
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$49,073
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$73,865
Net plan assets at end of year (total assets less liabilities)2013-12-31$350,423
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$276,558
Assets. Value of real-estate (other than employer real property)2013-12-31$631,053
Total contributions received or receivable from employer(s)2013-12-31$28,345
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$2,761
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$465,235
Total plan liabilities at beginning of year2012-12-31$461,762
Total income from all sources2012-12-31$106,034
Expenses. Total of all expenses incurred2012-12-31$65,322
Benefits paid (including direct rollovers)2012-12-31$0
Total plan assets at end of year2012-12-31$741,793
Total plan assets at beginning of year2012-12-31$697,608
Value of fidelity bond covering the plan2012-12-31$600,000
Total contributions received or receivable from participants2012-12-31$20,307
Expenses. Other expenses not covered elsewhere2012-12-31$63,512
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$54,483
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$40,712
Net plan assets at end of year (total assets less liabilities)2012-12-31$276,558
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$235,846
Assets. Value of real-estate (other than employer real property)2012-12-31$577,956
Total contributions received or receivable from employer(s)2012-12-31$31,244
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$1,810
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$453,993
Total plan liabilities at beginning of year2011-12-31$473,993
Total income from all sources2011-12-31$-15,365
Expenses. Total of all expenses incurred2011-12-31$37,450
Benefits paid (including direct rollovers)2011-12-31$3,517
Total plan assets at end of year2011-12-31$705,794
Total plan assets at beginning of year2011-12-31$778,609
Value of fidelity bond covering the plan2011-12-31$800,000
Total contributions received or receivable from participants2011-12-31$27,039
Expenses. Other expenses not covered elsewhere2011-12-31$32,137
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-55,948
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$-52,815
Net plan assets at end of year (total assets less liabilities)2011-12-31$251,801
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$304,616
Assets. Value of real-estate (other than employer real property)2011-12-31$562,845
Total contributions received or receivable from employer(s)2011-12-31$13,544
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$1,796
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$473,993
Total plan liabilities at beginning of year2010-12-31$493,428
Total income from all sources2010-12-31$-180,108
Expenses. Total of all expenses incurred2010-12-31$2,091
Benefits paid (including direct rollovers)2010-12-31$550
Total plan assets at end of year2010-12-31$757,160
Total plan assets at beginning of year2010-12-31$958,794
Value of fidelity bond covering the plan2010-12-31$800,000
Total contributions received or receivable from participants2010-12-31$24,808
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$-216,874
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$-182,199
Net plan assets at end of year (total assets less liabilities)2010-12-31$283,167
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$465,366
Assets. Value of real-estate (other than employer real property)2010-12-31$643,265
Total contributions received or receivable from employer(s)2010-12-31$11,958
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$1,541
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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 CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST

2022: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
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
2009: CASANOVA & CASANOVA, M.D.'S, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-12
Total amount of commissions paid to insurance brokerUSD $328
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $328
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered6
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $367
Total amount of fees paid to insurance companyUSD $225
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $367
Insurance broker organization code?3
Amount paid for insurance broker fees225
Additional information about fees paid to insurance brokerDISTRIBUTION FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered6
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $384
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $384
Insurance broker organization code?3
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerDISTRIBUTION FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered5
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $404
Total amount of fees paid to insurance companyUSD $75
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $404
Insurance broker organization code?3
Amount paid for insurance broker fees75
Additional information about fees paid to insurance brokerDISTRIBUTION FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered5
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $731
Total amount of fees paid to insurance companyUSD $81
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $731
Insurance broker organization code?3
Amount paid for insurance broker fees81
Additional information about fees paid to insurance brokerDISTRIBUTION FEES REVENUE SHARING
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered5
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $921
Total amount of fees paid to insurance companyUSD $386
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $921
Insurance broker organization code?3
Amount paid for insurance broker fees386
Additional information about fees paid to insurance brokerDISTRIBUTION FEES REVENUE SHARING
Insurance broker nameFULL SPECTRUM RETIREMENT PLANS, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered6
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $847
Total amount of fees paid to insurance companyUSD $150
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $847
Insurance broker organization code?3
Amount paid for insurance broker fees150
Additional information about fees paid to insurance brokerDISTRIBUTION FEES
Insurance broker nameFULL SPECTRUM RETIREMENT PLANS, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered8
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $796
Total amount of fees paid to insurance companyUSD $225
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $796
Insurance broker organization code?3
Amount paid for insurance broker fees225
Additional information about fees paid to insurance brokerDISTRIBUTION FEES
Insurance broker nameFULL SPECTRUM RETIREMENT PLANS, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered8
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $774
Total amount of fees paid to insurance companyUSD $40
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $774
Insurance broker organization code?3
Amount paid for insurance broker fees40
Additional information about fees paid to insurance brokerDISTRIBUTION FEES
Insurance broker nameFULL SPECTRUM RETIREMENT PLANS, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered7
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $723
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $723
Insurance broker organization code?3
Insurance broker nameNORTHWESTERN MUTUAL INVESTMENTS SER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered6
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $684
Total amount of fees paid to insurance companyUSD $75
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?Yes
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number29220
Policy instance 1
Insurance contract or identification number29220
Number of Individuals Covered6
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $611
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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