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PDC 401(K) PLAN 401k Plan overview

Plan NamePDC 401(K) PLAN
Plan identification number 001

PDC 401(K) 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.
  • 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

PEACE DINING DBA GENJI, LLC has sponsored the creation of one or more 401k plans.

Company Name:PEACE DINING DBA GENJI, LLC
Employer identification number (EIN):232881535
NAIC Classification:722300
NAIC Description: Special Food Services

Additional information about PEACE DINING DBA GENJI, LLC

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number: 0400141516

More information about PEACE DINING DBA GENJI, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PDC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01SARA HERITAGE2021-10-15
0012019-01-01YEN DINH2020-10-14
0012018-01-01YEN DINH2019-10-14
0012017-01-01
0012016-01-01
0012015-01-01
0012014-07-30SHARON EGGERS
0012009-01-01MARK LEINWOHL

Plan Statistics for PDC 401(K) PLAN

401k plan membership statisitcs for PDC 401(K) PLAN

Measure Date Value
2020: PDC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,026
Total number of active participants reported on line 7a of the Form 55002020-01-01691
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0170
Total of all active and inactive participants2020-01-01761
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01761
Number of participants with account balances2020-01-01183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0113
2019: PDC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,013
Total number of active participants reported on line 7a of the Form 55002019-01-01901
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0149
Total of all active and inactive participants2019-01-01950
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01950
Number of participants with account balances2019-01-01171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: PDC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01955
Total number of active participants reported on line 7a of the Form 55002018-01-01944
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0146
Total of all active and inactive participants2018-01-01990
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01990
Number of participants with account balances2018-01-01154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0110
2017: PDC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01810
Total number of active participants reported on line 7a of the Form 55002017-01-01855
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0125
Total of all active and inactive participants2017-01-01880
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01880
Number of participants with account balances2017-01-01120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-015
2016: PDC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01786
Total number of active participants reported on line 7a of the Form 55002016-01-01775
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 participants2016-01-01798
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01798
Number of participants with account balances2016-01-0192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-014
2015: PDC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01986
Total number of active participants reported on line 7a of the Form 55002015-01-011,190
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0111
Total of all active and inactive participants2015-01-011,201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,201
Number of participants with account balances2015-01-0177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-013
2014: PDC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-301,027
Total number of active participants reported on line 7a of the Form 55002014-07-30975
Number of retired or separated participants receiving benefits2014-07-300
Number of other retired or separated participants entitled to future benefits2014-07-300
Total of all active and inactive participants2014-07-30975
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-300
Total participants2014-07-30975
Number of participants with account balances2014-07-3065
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-300
2009: PDC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01517
Total number of active participants reported on line 7a of the Form 55002009-01-010
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-010
Number of participants with account balances2009-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on PDC 401(K) PLAN

Measure Date Value
2020 : PDC 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$764,559
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$377,378
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$374,989
Value of total corrective distributions2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$465,275
Value of total assets at end of year2020-12-31$2,523,063
Value of total assets at beginning of year2020-12-31$2,135,882
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,389
Total interest from all sources2020-12-31$1,666
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$415,047
Participant contributions at end of year2020-12-31$22,986
Participant contributions at beginning of year2020-12-31$15,905
Participant contributions at end of year2020-12-31$18,031
Participant contributions at beginning of year2020-12-31$11,876
Other income not declared elsewhere2020-12-31$1,056
Administrative expenses (other) incurred2020-12-31$2,389
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$387,181
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,523,063
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,135,882
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$2,453,318
Value of interest in pooled separate accounts at beginning of year2020-12-31$2,103,925
Interest on participant loans2020-12-31$1,666
Value of interest in common/collective trusts at end of year2020-12-31$26,831
Value of interest in common/collective trusts at beginning of year2020-12-31$4,176
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$296,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$50,228
Employer contributions (assets) at end of year2020-12-31$1,897
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$374,989
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31WITHUM, SMITH & BROWN
Accountancy firm EIN2020-12-31222027092
2019 : PDC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$21,213
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$21,213
Total income from all sources (including contributions)2019-12-31$832,142
Total income from all sources (including contributions)2019-12-31$832,142
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$59,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$57,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$57,998
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$521,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$521,547
Value of total assets at end of year2019-12-31$2,135,882
Value of total assets at end of year2019-12-31$2,135,882
Value of total assets at beginning of year2019-12-31$1,384,124
Value of total assets at beginning of year2019-12-31$1,384,124
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,173
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,173
Total interest from all sources2019-12-31$640
Total interest from all sources2019-12-31$640
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$426,421
Contributions received from participants2019-12-31$426,421
Participant contributions at end of year2019-12-31$15,905
Participant contributions at end of year2019-12-31$15,905
Participant contributions at beginning of year2019-12-31$5,325
Participant contributions at beginning of year2019-12-31$5,325
Participant contributions at end of year2019-12-31$11,876
Participant contributions at end of year2019-12-31$11,876
Participant contributions at beginning of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$40,107
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$40,107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$772,971
Value of net income/loss2019-12-31$772,971
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,135,882
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,135,882
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,362,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$2,103,925
Value of interest in pooled separate accounts at end of year2019-12-31$2,103,925
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,375,063
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,375,063
Interest on participant loans2019-12-31$640
Value of interest in common/collective trusts at end of year2019-12-31$4,176
Value of interest in common/collective trusts at end of year2019-12-31$4,176
Value of interest in common/collective trusts at beginning of year2019-12-31$3,736
Value of interest in common/collective trusts at beginning of year2019-12-31$3,736
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$309,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$309,955
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$55,019
Contributions received in cash from employer2019-12-31$55,019
Employer contributions (assets) at beginning of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$57,998
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$57,998
Contract administrator fees2019-12-31$1,173
Contract administrator fees2019-12-31$1,173
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$21,213
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$21,213
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31WITHUM, SMITH & BROWN
Accountancy firm name2019-12-31WITHUM, SMITH & BROWN
Accountancy firm EIN2019-12-31222027092
Accountancy firm EIN2019-12-31222027092
2018 : PDC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$21,213
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$6,904
Total income from all sources (including contributions)2018-12-31$352,057
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$193,929
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$171,137
Value of total corrective distributions2018-12-31$21,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$458,069
Value of total assets at end of year2018-12-31$1,384,124
Value of total assets at beginning of year2018-12-31$1,211,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,579
Total interest from all sources2018-12-31$350
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$395,763
Participant contributions at end of year2018-12-31$5,325
Participant contributions at beginning of year2018-12-31$2,130
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$760
Other income not declared elsewhere2018-12-31$668
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$158,128
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,362,911
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,204,783
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$1,579
Value of interest in pooled separate accounts at end of year2018-12-31$1,375,063
Value of interest in pooled separate accounts at beginning of year2018-12-31$1,207,656
Interest on participant loans2018-12-31$194
Interest earned on other investments2018-12-31$156
Value of interest in common/collective trusts at end of year2018-12-31$3,736
Value of interest in common/collective trusts at beginning of year2018-12-31$1,901
Net investment gain/loss from pooled separate accounts2018-12-31$-107,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$61,546
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$171,137
Liabilities. Value of benefit claims payable at end of year2018-12-31$21,213
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$6,904
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WITHUM, SMITH & BROWN
Accountancy firm EIN2018-12-31222027092
2017 : PDC 401(K) 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$6,904
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$40,207
Total income from all sources (including contributions)2017-12-31$511,474
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$103,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$101,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$365,966
Value of total assets at end of year2017-12-31$1,211,687
Value of total assets at beginning of year2017-12-31$836,920
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,059
Total interest from all sources2017-12-31$608
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
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$328,124
Participant contributions at end of year2017-12-31$2,130
Participant contributions at beginning of year2017-12-31$745
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$403
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$408,070
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,204,783
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$796,713
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
Investment advisory and management fees2017-12-31$2,059
Value of interest in pooled separate accounts at end of year2017-12-31$1,207,656
Value of interest in pooled separate accounts at beginning of year2017-12-31$816,502
Interest on participant loans2017-12-31$91
Interest earned on other investments2017-12-31$517
Value of interest in common/collective trusts at end of year2017-12-31$1,901
Value of interest in common/collective trusts at beginning of year2017-12-31$19,226
Net investment gain/loss from pooled separate accounts2017-12-31$144,900
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 contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$37,842
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$44
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$101,345
Liabilities. Value of benefit claims payable at end of year2017-12-31$6,904
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$40,207
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 name2017-12-31WITHUM, SMITH & BROWN
Accountancy firm EIN2017-12-31222027092
2016 : PDC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$40,207
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$41,074
Total income from all sources (including contributions)2016-12-31$437,740
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$58,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$49,050
Value of total corrective distributions2016-12-31$6,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$378,728
Value of total assets at end of year2016-12-31$836,920
Value of total assets at beginning of year2016-12-31$458,968
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,967
Total interest from all sources2016-12-31$616
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$1,000,000
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$318,023
Participant contributions at end of year2016-12-31$745
Participant contributions at beginning of year2016-12-31$0
Participant contributions at end of year2016-12-31$403
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$24,314
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$378,819
Value of net assets at end of year (total assets less liabilities)2016-12-31$796,713
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$417,894
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$2,967
Value of interest in pooled separate accounts at end of year2016-12-31$816,502
Value of interest in pooled separate accounts at beginning of year2016-12-31$449,129
Interest on participant loans2016-12-31$17
Interest earned on other investments2016-12-31$599
Value of interest in common/collective trusts at end of year2016-12-31$19,226
Value of interest in common/collective trusts at beginning of year2016-12-31$9,839
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$0
Net investment gain/loss from pooled separate accounts2016-12-31$58,396
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$36,391
Employer contributions (assets) at end of year2016-12-31$44
Employer contributions (assets) at beginning of year2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$49,050
Liabilities. Value of benefit claims payable at end of year2016-12-31$40,207
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$41,074
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 name2016-12-31WITHUM, SMITH & BROWN
Accountancy firm EIN2016-12-31222027092
2015 : PDC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$41,074
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$325,481
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$57,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$14,016
Value of total corrective distributions2015-12-31$41,074
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$337,628
Value of total assets at end of year2015-12-31$458,968
Value of total assets at beginning of year2015-12-31$149,417
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,914
Total interest from all sources2015-12-31$156
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
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$300,380
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$268,477
Value of net assets at end of year (total assets less liabilities)2015-12-31$417,894
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$149,417
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$1,914
Value of interest in pooled separate accounts at end of year2015-12-31$449,129
Value of interest in pooled separate accounts at beginning of year2015-12-31$147,986
Interest earned on other investments2015-12-31$156
Value of interest in common/collective trusts at end of year2015-12-31$9,839
Value of interest in common/collective trusts at beginning of year2015-12-31$1,431
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-12,303
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$37,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$14,016
Liabilities. Value of benefit claims payable at end of year2015-12-31$41,074
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
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 name2015-12-31WITHUM, SMITH & BROWN
Accountancy firm EIN2015-12-31222027092
2014 : PDC 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$149,618
Total of all expenses incurred2014-12-31$201
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$148,187
Value of total assets at end of year2014-12-31$149,417
Value of total assets at beginning of year2014-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$201
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$0
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$118,970
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$15,973
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$149,417
Value of net assets at end of year (total assets less liabilities)2014-12-31$149,417
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$149,417
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,431
Net investment gain/loss from pooled separate accounts2014-12-31$0
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 contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$13,244
Contract administrator fees2014-12-31$201
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$0
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
2009 : PDC 401(K) PLAN 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 PDC 401(K) PLAN

2020: PDC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PDC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PDC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PDC 401(K) 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: PDC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PDC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PDC 401(K) PLAN 2014 form 5500 responses
2014-07-30Type of plan entitySingle employer plan
2014-07-30First time form 5500 has been submittedYes
2014-07-30Submission has been amendedNo
2014-07-30This submission is the final filingNo
2014-07-30This return/report is a short plan year return/report (less than 12 months)Yes
2014-07-30Plan is a collectively bargained planNo
2014-07-30Plan funding arrangement – InsuranceYes
2014-07-30Plan funding arrangement – TrustYes
2014-07-30Plan benefit arrangement – InsuranceYes
2014-07-30Plan benefit arrangement - TrustYes
2009: PDC 401(K) 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 filingYes
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 – InsuranceYes
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 number114014
Policy instance 1
Insurance contract or identification number114014
Number of Individuals Covered198
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,806
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2806
Additional information about fees paid to insurance brokerTPA COMPENSATION, TPA FEES, OTHER ALLOWANCES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number114014
Policy instance 1
Insurance contract or identification number114014
Number of Individuals Covered190
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,643
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1643
Additional information about fees paid to insurance brokerTPA COMPENSATION, TPA FEES, OTHER ALLOWANCES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number114014
Policy instance 1
Insurance contract or identification number114014
Number of Individuals Covered154
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,863
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1863
Additional information about fees paid to insurance brokerTPA COMPENSATION, TPA FEES, OTHER ALLOWANCES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number114014
Policy instance 1
Insurance contract or identification number114014
Number of Individuals Covered129
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 $1,103
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1103
Additional information about fees paid to insurance brokerTPA COMPENSATION, TPA FEES, OTHER ALLOWANCES
Insurance broker organization code?5
Insurance broker nameATLANTIC PENSION SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number114014
Policy instance 1
Insurance contract or identification number114014
Number of Individuals Covered83
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,082
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?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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2529
Additional information about fees paid to insurance brokerTPA COMPENSATION, TPA FEES, OTHER ALLOWANCES
Insurance broker organization code?5
Insurance broker nameINNOVATIVE INVESTMENT
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number114014
Policy instance 1
Insurance contract or identification number114014
Number of Individuals Covered975
Insurance policy start date2014-07-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $616
Total amount of fees paid to insurance companyUSD $169
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees169
Insurance broker organization code?7
Insurance broker nameATLANTIC PENSION SERVICES, INC.

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