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CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 401k Plan overview

Plan NameCANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN
Plan identification number 001

CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 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.
  • 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

CANYON DENTAL CLINIC, P.C. has sponsored the creation of one or more 401k plans.

Company Name:CANYON DENTAL CLINIC, P.C.
Employer identification number (EIN):200096953
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01DR. WILLIAM C. DAVIS
0012016-01-01DR. WILLIAM C. DAVIS
0012015-01-01DR. WILLIAM C. DAVIS
0012014-01-01DR. WILLIAM C. DAVIS
0012013-01-01DR. WILLIAM C. DAVIS
0012012-01-01DR. WILLIAM C. DAVIS
0012011-01-01DR. WILLIAM C. DAVIS
0012010-01-01DR. WILLIAM C. DAVIS
0012009-01-01DR. WILLIAM C. DAVIS

Plan Statistics for CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

401k plan membership statisitcs for CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

Measure Date Value
2020: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-017
Total number of active participants reported on line 7a of the Form 55002020-01-014
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-012
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
2019: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-017
Total number of active participants reported on line 7a of the Form 55002019-01-014
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-012
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: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-017
Total number of active participants reported on line 7a of the Form 55002018-01-014
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-017
Total participants2018-01-017
Number of participants with account balances2018-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 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% vested2017-01-010
2016: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-017
Total number of active participants reported on line 7a of the Form 55002016-01-015
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
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: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-017
Total number of active participants reported on line 7a of the Form 55002015-01-015
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-017
Number of participants with account balances2015-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-017
Total number of active participants reported on line 7a of the Form 55002014-01-015
Number of retired or separated participants receiving benefits2014-01-012
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-017
Number of participants with account balances2014-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-017
Total number of active participants reported on line 7a of the Form 55002013-01-015
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017
Number of participants with account balances2013-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-017
Total number of active participants reported on line 7a of the Form 55002012-01-015
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 participants2012-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-017
Number of participants with account balances2012-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-016
Total number of active participants reported on line 7a of the Form 55002011-01-014
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-016
Number of participants with account balances2011-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-017
Total number of active participants reported on line 7a of the Form 55002010-01-014
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-012
Total of all active and inactive participants2010-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-016
Number of participants with account balances2010-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-017
Total number of active participants reported on line 7a of the Form 55002009-01-015
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
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 balances2009-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

Measure Date Value
2020 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$253,652
Expenses. Total of all expenses incurred2020-12-31$16,476
Benefits paid (including direct rollovers)2020-12-31$16,476
Total plan assets at end of year2020-12-31$1,734,418
Total plan assets at beginning of year2020-12-31$1,497,242
Value of fidelity bond covering the plan2020-12-31$100,000
Total contributions received or receivable from participants2020-12-31$26,717
Other income received2020-12-31$220,552
Net income (gross income less expenses)2020-12-31$237,176
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,734,418
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,497,242
Total contributions received or receivable from employer(s)2020-12-31$6,383
2019 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$303,493
Expenses. Total of all expenses incurred2019-12-31$11,229
Benefits paid (including direct rollovers)2019-12-31$11,229
Total plan assets at end of year2019-12-31$1,497,242
Total plan assets at beginning of year2019-12-31$1,204,978
Value of fidelity bond covering the plan2019-12-31$100,000
Total contributions received or receivable from participants2019-12-31$27,149
Other income received2019-12-31$270,119
Net income (gross income less expenses)2019-12-31$292,264
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,497,242
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,204,978
Total contributions received or receivable from employer(s)2019-12-31$6,225
2018 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-62,772
Total plan assets at end of year2018-12-31$1,204,978
Total plan assets at beginning of year2018-12-31$1,267,750
Value of fidelity bond covering the plan2018-12-31$100,000
Total contributions received or receivable from participants2018-12-31$26,490
Other income received2018-12-31$-95,276
Net income (gross income less expenses)2018-12-31$-62,772
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,204,978
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,267,750
Total contributions received or receivable from employer(s)2018-12-31$6,014
2017 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$235,025
Total plan assets at end of year2017-12-31$1,267,750
Total plan assets at beginning of year2017-12-31$1,032,725
Value of fidelity bond covering the plan2017-12-31$100,000
Total contributions received or receivable from participants2017-12-31$27,000
Other income received2017-12-31$201,510
Net income (gross income less expenses)2017-12-31$235,025
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,267,750
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,032,725
Total contributions received or receivable from employer(s)2017-12-31$6,515
2016 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$107,548
Total plan assets at end of year2016-12-31$1,032,725
Total plan assets at beginning of year2016-12-31$925,177
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$26,824
Other income received2016-12-31$74,838
Net income (gross income less expenses)2016-12-31$107,548
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,032,725
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$925,177
Total contributions received or receivable from employer(s)2016-12-31$5,886
2015 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$18,007
Total plan assets at end of year2015-12-31$925,177
Total plan assets at beginning of year2015-12-31$907,170
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$26,872
Other income received2015-12-31$-14,950
Net income (gross income less expenses)2015-12-31$18,007
Net plan assets at end of year (total assets less liabilities)2015-12-31$925,177
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$907,170
Total contributions received or receivable from employer(s)2015-12-31$6,085
2014 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$73,886
Total plan assets at end of year2014-12-31$907,170
Total plan assets at beginning of year2014-12-31$833,284
Value of fidelity bond covering the plan2014-12-31$50,000
Total contributions received or receivable from participants2014-12-31$25,714
Other income received2014-12-31$42,231
Net income (gross income less expenses)2014-12-31$73,886
Net plan assets at end of year (total assets less liabilities)2014-12-31$907,170
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$833,284
Total contributions received or receivable from employer(s)2014-12-31$5,941
2013 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$217,724
Total plan assets at end of year2013-12-31$833,284
Total plan assets at beginning of year2013-12-31$615,560
Value of fidelity bond covering the plan2013-12-31$50,000
Total contributions received or receivable from participants2013-12-31$25,289
Other income received2013-12-31$186,860
Net income (gross income less expenses)2013-12-31$217,724
Net plan assets at end of year (total assets less liabilities)2013-12-31$833,284
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$615,560
Total contributions received or receivable from employer(s)2013-12-31$5,575
2012 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$103,732
Total plan assets at end of year2012-12-31$615,560
Total plan assets at beginning of year2012-12-31$511,828
Value of fidelity bond covering the plan2012-12-31$50,000
Total contributions received or receivable from participants2012-12-31$24,913
Other income received2012-12-31$73,980
Net income (gross income less expenses)2012-12-31$103,732
Net plan assets at end of year (total assets less liabilities)2012-12-31$615,560
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$511,828
Total contributions received or receivable from employer(s)2012-12-31$4,839
2011 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$2,902
Total plan assets at end of year2011-12-31$511,828
Total plan assets at beginning of year2011-12-31$508,926
Value of fidelity bond covering the plan2011-12-31$50,000
Total contributions received or receivable from participants2011-12-31$3,815
Other income received2011-12-31$-19,881
Net income (gross income less expenses)2011-12-31$2,902
Net plan assets at end of year (total assets less liabilities)2011-12-31$511,828
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$508,926
Total contributions received or receivable from employer(s)2011-12-31$18,968
2010 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$83,595
Expenses. Total of all expenses incurred2010-12-31$2,511
Benefits paid (including direct rollovers)2010-12-31$2,511
Total plan assets at end of year2010-12-31$508,926
Total plan assets at beginning of year2010-12-31$427,842
Value of fidelity bond covering the plan2010-12-31$50,000
Total contributions received or receivable from participants2010-12-31$18,323
Other income received2010-12-31$61,632
Net income (gross income less expenses)2010-12-31$81,084
Net plan assets at end of year (total assets less liabilities)2010-12-31$508,926
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$427,842
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$3,139
Total contributions received or receivable from employer(s)2010-12-31$3,640

Form 5500 Responses for CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

2020: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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 number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered6
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,986
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,493
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered6
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,732
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,366
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered7
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,618
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,309
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered7
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,266
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,133
Insurance broker organization code?3
Insurance broker nameRICHARD A BREGGER
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered7
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,864
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $932
Insurance broker organization code?3
Insurance broker nameBRANDON O PATRICK
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered7
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,714
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $1,200
Insurance broker organization code?3
Insurance broker nameBRANDON O PATRICK
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered7
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,409
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $1,127
Insurance broker organization code?3
Insurance broker nameBRANDON O PATRICK
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered7
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,018
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $1,018
Insurance broker organization code?3
Insurance broker nameBRANDON O PATRICK
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered6
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $819
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number670266
Policy instance 1
Insurance contract or identification number670266
Number of Individuals Covered6
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,364
Commission paid to Insurance BrokerUSD $1,364
Insurance broker organization code?3
Insurance broker nameRICHARD A BREGGER

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