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KEYSTONE CUSTOM HOMES, INC. 401K PLAN 401k Plan overview

Plan NameKEYSTONE CUSTOM HOMES, INC. 401K PLAN
Plan identification number 001

KEYSTONE CUSTOM HOMES, INC. 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

KEYSTONE CUSTOM HOMES, INC. has sponsored the creation of one or more 401k plans.

Company Name:KEYSTONE CUSTOM HOMES, INC.
Employer identification number (EIN):232829209
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KEYSTONE CUSTOM HOMES, INC. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01LORA JOHNSON2019-07-17
0012017-01-01LORA JOHNSON
0012016-01-01LORA JOHNSON
0012015-01-01LORA JOHNSON
0012014-01-01LORA JOHNSON
0012013-01-01YVONNE DESALLE2014-07-07
0012012-01-01YVONNE DESALLE2013-04-24 YVONNE DESALLE2013-04-24
0012011-01-01JEFFREY RUTT2012-08-15 JEFFREY RUTT2012-08-15
0012010-01-01JEFFREY RUTT2011-07-22
0012009-01-01CYNTHIA KREIDER CYNTHIA KREIDER2010-07-28

Plan Statistics for KEYSTONE CUSTOM HOMES, INC. 401K PLAN

401k plan membership statisitcs for KEYSTONE CUSTOM HOMES, INC. 401K PLAN

Measure Date Value
2017: KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01104
Total number of active participants reported on line 7a of the Form 55002017-01-0173
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0116
Total of all active and inactive participants2017-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0189
Number of participants with account balances2017-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01133
Total number of active participants reported on line 7a of the Form 55002016-01-0181
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0123
Total of all active and inactive participants2016-01-01104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01104
Number of participants with account balances2016-01-0186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-016
2015: KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01146
Total number of active participants reported on line 7a of the Form 55002015-01-0186
Number of other retired or separated participants entitled to future benefits2015-01-0147
Total of all active and inactive participants2015-01-01133
Total participants2015-01-01133
Number of participants with account balances2015-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-017
2014: KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01122
Total number of active participants reported on line 7a of the Form 55002014-01-01104
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0139
Total of all active and inactive participants2014-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01143
Number of participants with account balances2014-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0118
2009: KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0191
Total number of active participants reported on line 7a of the Form 55002009-01-0185
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0115
Total of all active and inactive participants2009-01-01100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01100
Number of participants with account balances2009-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-014

Financial Data on KEYSTONE CUSTOM HOMES, INC. 401K PLAN

Measure Date Value
2017 : KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$863,785
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$287,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$271,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$503,737
Value of total assets at end of year2017-12-31$2,765,997
Value of total assets at beginning of year2017-12-31$2,189,602
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$16,341
Total interest from all sources2017-12-31$4,085
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$49,205
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$49,205
Administrative expenses professional fees incurred2017-12-31$7,000
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$300,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$328,298
Participant contributions at end of year2017-12-31$90,813
Participant contributions at beginning of year2017-12-31$73,645
Participant contributions at end of year2017-12-31$17,912
Participant contributions at beginning of year2017-12-31$18,017
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$5,868
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$183
Administrative expenses (other) incurred2017-12-31$1,269
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$576,395
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,765,997
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,189,602
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,633,476
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,897,432
Interest on participant loans2017-12-31$4,085
Income. Interest from loans (other than to participants)2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$14,513
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$190,438
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$232,467
Net investment gain/loss from pooled separate accounts2017-12-31$74,291
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$169,571
Employer contributions (assets) at end of year2017-12-31$9,100
Employer contributions (assets) at beginning of year2017-12-31$10,070
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$271,049
Contract administrator fees2017-12-31$8,072
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31SIMON LEVER, LLP
Accountancy firm EIN2017-12-31231692578
2016 : KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$628,457
Total of all expenses incurred2016-12-31$517,083
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$480,823
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$520,421
Value of total assets at end of year2016-12-31$2,189,602
Value of total assets at beginning of year2016-12-31$2,078,228
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$36,260
Total interest from all sources2016-12-31$2,485
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$40,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$325,951
Participant contributions at end of year2016-12-31$73,645
Participant contributions at beginning of year2016-12-31$60,278
Participant contributions at end of year2016-12-31$18,017
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$24,454
Administrative expenses (other) incurred2016-12-31$12,260
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$111,374
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,189,602
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,078,228
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$24,000
Value of interest in pooled separate accounts at end of year2016-12-31$1,897,432
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,923,108
Interest on participant loans2016-12-31$1,166
Interest earned on other investments2016-12-31$1,319
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$190,438
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$94,842
Net investment gain/loss from pooled separate accounts2016-12-31$105,551
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$170,016
Employer contributions (assets) at end of year2016-12-31$10,070
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$480,823
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31SIMON LEVER, LLP
Accountancy firm EIN2016-12-31231692578
2015 : KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$570,709
Total of all expenses incurred2015-12-31$161,773
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$150,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$586,560
Value of total assets at end of year2015-12-31$2,078,228
Value of total assets at beginning of year2015-12-31$1,669,292
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$11,385
Total interest from all sources2015-12-31$2,751
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$4,188
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$40,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$395,517
Participant contributions at end of year2015-12-31$60,278
Participant contributions at beginning of year2015-12-31$70,487
Other income not declared elsewhere2015-12-31$647
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$408,936
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,078,228
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,669,292
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$7,197
Value of interest in pooled separate accounts at end of year2015-12-31$1,923,108
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,525,978
Interest on participant loans2015-12-31$2,751
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$94,842
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$72,827
Net investment gain/loss from pooled separate accounts2015-12-31$-19,249
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$191,043
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$150,388
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ROSEN,SAPPERSTEIN & FRIEDLANDER,LLC
Accountancy firm EIN2015-12-31475153865
2014 : KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$863,547
Total of all expenses incurred2014-12-31$262,308
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$253,788
Value of total corrective distributions2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$785,653
Value of total assets at end of year2014-12-31$1,669,292
Value of total assets at beginning of year2014-12-31$1,068,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$8,520
Total interest from all sources2014-12-31$761
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$3,486
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$40,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$426,415
Participant contributions at end of year2014-12-31$70,487
Participant contributions at beginning of year2014-12-31$31,951
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$153,884
Other income not declared elsewhere2014-12-31$385
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$601,239
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,669,292
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,068,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$5,034
Value of interest in pooled separate accounts at end of year2014-12-31$1,525,978
Value of interest in pooled separate accounts at beginning of year2014-12-31$1,036,102
Interest on participant loans2014-12-31$761
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$72,827
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Net investment gain/loss from pooled separate accounts2014-12-31$76,748
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$205,354
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$253,788
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ROSEN, SAPPERSTEIN & FRIEDLANDER CT
Accountancy firm EIN2014-12-31521374503

Form 5500 Responses for KEYSTONE CUSTOM HOMES, INC. 401K PLAN

2017: KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: KEYSTONE CUSTOM HOMES, INC. 401K 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 – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: KEYSTONE CUSTOM HOMES, INC. 401K 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 – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: KEYSTONE CUSTOM HOMES, INC. 401K 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 – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2009: KEYSTONE CUSTOM HOMES, INC. 401K PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number601213-000
Policy instance 1
Insurance contract or identification number601213-000
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number601213-000
Policy instance 1
Insurance contract or identification number601213-000
Number of Individuals Covered127
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,982
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 $8,982
Insurance broker organization code?3
Insurance broker nameMICHAEL KENNEDY
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number601213-000
Policy instance 1
Insurance contract or identification number601213-000
Number of Individuals Covered133
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,008
Commission paid to Insurance BrokerUSD $6,008
Insurance broker organization code?3
Insurance broker nameMICHAEL KENNEDY

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