JENSEN EYE ASSOCIATES, PLLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan JENSEN EYE ASSOCIATES, PLLC 401K PLAN
| Measure | Date | Value |
|---|
| 2017: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 0 |
| Number of participants with account balances | 2017-01-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| 2016: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 13 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 3 |
| Total of all active and inactive participants | 2016-01-01 | 16 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 16 |
| Number of participants with account balances | 2016-01-01 | 8 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 14 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 2 |
| Total of all active and inactive participants | 2015-01-01 | 16 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 16 |
| Number of participants with account balances | 2015-01-01 | 8 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 0 |
| 2014: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 20 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 1 |
| Total of all active and inactive participants | 2014-01-01 | 21 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 21 |
| Number of participants with account balances | 2014-01-01 | 7 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| 2013: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 1 |
| Total of all active and inactive participants | 2013-01-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 13 |
| Number of participants with account balances | 2013-01-01 | 8 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 0 |
| 2012: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 14 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 15 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 15 |
| Number of participants with account balances | 2012-01-01 | 8 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| 2011: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 14 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 2 |
| Total of all active and inactive participants | 2011-01-01 | 16 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 16 |
| Number of participants with account balances | 2011-01-01 | 9 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| 2009: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 12 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 1 |
| Total of all active and inactive participants | 2009-01-01 | 13 |
| Total participants | 2009-01-01 | 13 |
| Measure | Date | Value |
|---|
| 2017 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-02-28 | $9,442 |
| Expenses. Total of all expenses incurred | 2017-02-28 | $312,249 |
| Benefits paid (including direct rollovers) | 2017-02-28 | $312,249 |
| Total plan assets at end of year | 2017-02-28 | $0 |
| Total plan assets at beginning of year | 2017-02-28 | $302,807 |
| Value of fidelity bond covering the plan | 2017-02-28 | $400,000 |
| Total contributions received or receivable from participants | 2017-02-28 | $2,642 |
| Other income received | 2017-02-28 | $6,682 |
| Net income (gross income less expenses) | 2017-02-28 | $-302,807 |
| Net plan assets at end of year (total assets less liabilities) | 2017-02-28 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-02-28 | $302,807 |
| Assets. Value of assets in partnership/joint-venture interests | 2017-02-28 | $0 |
| Total contributions received or receivable from employer(s) | 2017-02-28 | $118 |
| 2016 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $154,636 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $434,958 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $434,958 |
| Total plan assets at end of year | 2016-12-31 | $302,807 |
| Total plan assets at beginning of year | 2016-12-31 | $583,129 |
| Value of fidelity bond covering the plan | 2016-12-31 | $400,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $32,864 |
| Other income received | 2016-12-31 | $114,353 |
| Net income (gross income less expenses) | 2016-12-31 | $-280,322 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $302,807 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $583,129 |
| Assets. Value of assets in partnership/joint-venture interests | 2016-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $7,419 |
| 2015 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $56,783 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $2,145,786 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $2,145,786 |
| Total plan assets at end of year | 2015-12-31 | $583,129 |
| Total plan assets at beginning of year | 2015-12-31 | $2,672,132 |
| Value of fidelity bond covering the plan | 2015-12-31 | $400,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $27,564 |
| Other income received | 2015-12-31 | $25,329 |
| Net income (gross income less expenses) | 2015-12-31 | $-2,089,003 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $583,129 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $2,672,132 |
| Assets. Value of assets in partnership/joint-venture interests | 2015-12-31 | $222,083 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $3,890 |
| 2014 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $85,225 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $147,394 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $146,144 |
| Total plan assets at end of year | 2014-12-31 | $2,672,132 |
| Total plan assets at beginning of year | 2014-12-31 | $2,734,301 |
| Value of fidelity bond covering the plan | 2014-12-31 | $400,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $25,320 |
| Expenses. Other expenses not covered elsewhere | 2014-12-31 | $1,250 |
| Other income received | 2014-12-31 | $56,006 |
| Net income (gross income less expenses) | 2014-12-31 | $-62,169 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $2,672,132 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $2,734,301 |
| Assets. Value of assets in partnership/joint-venture interests | 2014-12-31 | $222,083 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $3,899 |
| 2013 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $368,510 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $52,131 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $50,301 |
| Total plan assets at end of year | 2013-12-31 | $2,734,301 |
| Total plan assets at beginning of year | 2013-12-31 | $2,417,922 |
| Value of fidelity bond covering the plan | 2013-12-31 | $625,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $21,871 |
| Expenses. Other expenses not covered elsewhere | 2013-12-31 | $1,830 |
| Other income received | 2013-12-31 | $341,356 |
| Net income (gross income less expenses) | 2013-12-31 | $316,379 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $2,734,301 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $2,417,922 |
| Assets. Value of assets in partnership/joint-venture interests | 2013-12-31 | $296,111 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $5,283 |
| 2012 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $229,815 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $46,838 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $46,838 |
| Total plan assets at end of year | 2012-12-31 | $2,417,922 |
| Total plan assets at beginning of year | 2012-12-31 | $2,234,945 |
| Value of fidelity bond covering the plan | 2012-12-31 | $625,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $44,764 |
| Contributions received from other sources (not participants or employers) | 2012-12-31 | $19,694 |
| Other income received | 2012-12-31 | $159,511 |
| Net income (gross income less expenses) | 2012-12-31 | $182,977 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $2,417,922 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $2,234,945 |
| Assets. Value of assets in partnership/joint-venture interests | 2012-12-31 | $296,328 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $5,846 |
| 2011 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $10,811 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $66,553 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $58,293 |
| Total plan assets at end of year | 2011-12-31 | $2,234,945 |
| Total plan assets at beginning of year | 2011-12-31 | $2,290,687 |
| Value of fidelity bond covering the plan | 2011-12-31 | $625,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $22,700 |
| Other income received | 2011-12-31 | $-17,689 |
| Net income (gross income less expenses) | 2011-12-31 | $-55,742 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $2,234,945 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $2,290,687 |
| Assets. Value of assets in partnership/joint-venture interests | 2011-12-31 | $329,968 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $5,800 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $8,260 |
| 2010 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $-418,434 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $7,030 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $1,346 |
| Total plan assets at end of year | 2010-12-31 | $2,290,687 |
| Total plan assets at beginning of year | 2010-12-31 | $2,716,151 |
| Total contributions received or receivable from participants | 2010-12-31 | $22,276 |
| Other income received | 2010-12-31 | $-446,233 |
| Net income (gross income less expenses) | 2010-12-31 | $-425,464 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $2,290,687 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $2,716,151 |
| Assets. Value of assets in partnership/joint-venture interests | 2010-12-31 | $251,584 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $5,523 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $5,684 |
| 2009 : JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2009 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2009-12-31 | $0 |
| 2017: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | This submission is the final filing | Yes |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: JENSEN EYE ASSOCIATES, PLLC 401K PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308628395 |
| Policy instance | 2 |
| Insurance contract or identification number | 308628395 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $3,406 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,372 | | Insurance broker organization code? | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308659502 |
| Policy instance | 3 |
| Insurance contract or identification number | 308659502 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $2,984 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,954 | | Insurance broker organization code? | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308630238 |
| Policy instance | 1 |
| Insurance contract or identification number | 308630238 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $3,393 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,359 | | Insurance broker organization code? | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308630238 |
| Policy instance | 1 |
| Insurance contract or identification number | 308630238 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $3,247 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,215 | | Insurance broker organization code? | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308628395 |
| Policy instance | 2 |
| Insurance contract or identification number | 308628395 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $3,260 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,227 | | Insurance broker organization code? | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308659502 |
| Policy instance | 3 |
| Insurance contract or identification number | 308659502 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $2,768 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,740 | | Insurance broker organization code? | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308630238 |
| Policy instance | 1 |
| Insurance contract or identification number | 308630238 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $2,938 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,909 | | Additional information about fees paid to insurance broker | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308659502 |
| Policy instance | 3 |
| Insurance contract or identification number | 308659502 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $2,458 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,433 | | Additional information about fees paid to insurance broker | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308628395 |
| Policy instance | 2 |
| Insurance contract or identification number | 308628395 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $2,948 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,919 | | Additional information about fees paid to insurance broker | 4 | | Insurance broker name | JOHN W GOTTSCHALL |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308630238 |
| Policy instance | 1 |
| Insurance contract or identification number | 308630238 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $2,913 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308628395 |
| Policy instance | 2 |
| Insurance contract or identification number | 308628395 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $2,923 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308659502 |
| Policy instance | 3 |
| Insurance contract or identification number | 308659502 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $2,425 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308630238 |
| Policy instance | 1 |
| Insurance contract or identification number | 308630238 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $2,838 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 308628395 |
| Policy instance | 2 |
| Insurance contract or identification number | 308628395 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $2,847 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
