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PAUL MASSE SAVINGS AND RETIREMENT PLAN 401k Plan overview

Plan NamePAUL MASSE SAVINGS AND RETIREMENT PLAN
Plan identification number 001

PAUL MASSE SAVINGS AND RETIREMENT 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.
  • 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

PAUL MASSE BUICK GMC SOUTH, INC. has sponsored the creation of one or more 401k plans.

Company Name:PAUL MASSE BUICK GMC SOUTH, INC.
Employer identification number (EIN):272192359
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAUL MASSE SAVINGS AND RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01KELLY GAULIN2023-05-25
0012021-01-01KELLY GAULIN2022-05-20
0012020-01-01KELLY GAULIN2021-06-11
0012019-01-01KELLY GAULIN2020-06-30
0012018-01-01JEANNE ROCHON2019-07-26
0012017-01-01JEANNE C ROCHON
0012016-01-01JEANNE C ROCHON
0012015-01-01JEANNE C ROCHON
0012015-01-01JEANNE C ROCHON
0012014-01-01JEANNE ROCHON
0012014-01-01JEANNE ROCHON

Plan Statistics for PAUL MASSE SAVINGS AND RETIREMENT PLAN

401k plan membership statisitcs for PAUL MASSE SAVINGS AND RETIREMENT PLAN

Measure Date Value
2017: PAUL MASSE SAVINGS AND RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01105
Total number of active participants reported on line 7a of the Form 55002017-01-0192
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0194
Number of participants with account balances2017-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: PAUL MASSE SAVINGS AND RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01121
Total number of active participants reported on line 7a of the Form 55002016-01-0197
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-017
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 balances2016-01-0168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: PAUL MASSE SAVINGS AND RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0192
Total number of active participants reported on line 7a of the Form 55002015-01-0189
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0127
Total of all active and inactive participants2015-01-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01116
Number of participants with account balances2015-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-014
2014: PAUL MASSE SAVINGS AND RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01135
Total number of active participants reported on line 7a of the Form 55002014-01-0190
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 participants2014-01-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01129
Number of participants with account balances2014-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-017

Financial Data on PAUL MASSE SAVINGS AND RETIREMENT PLAN

Measure Date Value
2017 : PAUL MASSE SAVINGS AND RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$0
Total transfer of assets from this plan2017-12-31$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$778,814
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$388,245
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$364,577
Expenses. Certain deemed distributions of participant loans2017-12-31$573
Value of total corrective distributions2017-12-31$21,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$319,472
Value of total assets at end of year2017-12-31$3,113,851
Value of total assets at beginning of year2017-12-31$2,723,282
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,418
Total interest from all sources2017-12-31$2,386
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$76,313
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$76,313
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$273,000
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$302,659
Participant contributions at end of year2017-12-31$71,465
Participant contributions at beginning of year2017-12-31$34,975
Participant contributions at end of year2017-12-31$3,782
Participant contributions at beginning of year2017-12-31$4,330
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$16,813
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$4,946
Administrative expenses (other) incurred2017-12-31$1,418
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$390,569
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,113,851
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,723,282
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$2,124,810
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,699,589
Interest on participant loans2017-12-31$2,386
Value of interest in common/collective trusts at end of year2017-12-31$913,794
Value of interest in common/collective trusts at beginning of year2017-12-31$979,442
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$250,532
Net investment gain or loss from common/collective trusts2017-12-31$130,111
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$364,577
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 name2017-12-31CARL WEINBERG & CO., LLP
Accountancy firm EIN2017-12-31050401635
2016 : PAUL MASSE SAVINGS AND RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$5,236
Total transfer of assets from this plan2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$473,776
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$439,763
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$413,358
Expenses. Certain deemed distributions of participant loans2016-12-31$546
Value of total corrective distributions2016-12-31$23,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$331,444
Value of total assets at end of year2016-12-31$2,723,282
Value of total assets at beginning of year2016-12-31$2,684,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,000
Total interest from all sources2016-12-31$2,046
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$39,150
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$39,150
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$269,000
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$331,444
Participant contributions at end of year2016-12-31$34,975
Participant contributions at beginning of year2016-12-31$37,184
Participant contributions at end of year2016-12-31$4,330
Participant contributions at beginning of year2016-12-31$3,990
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$4,946
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$4,946
Administrative expenses (other) incurred2016-12-31$2,000
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$34,013
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,723,282
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,684,033
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,699,589
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,694,695
Interest on participant loans2016-12-31$2,046
Value of interest in common/collective trusts at end of year2016-12-31$979,442
Value of interest in common/collective trusts at beginning of year2016-12-31$943,218
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$34,629
Net investment gain or loss from common/collective trusts2016-12-31$66,507
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$413,358
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 name2016-12-31CARL WEINBERG & CO., LLP
Accountancy firm EIN2016-12-31050401635
2015 : PAUL MASSE SAVINGS AND RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets from this plan2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
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$336,260
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$176,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$157,929
Expenses. Certain deemed distributions of participant loans2015-12-31$10,404
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$354,681
Value of total assets at end of year2015-12-31$2,679,087
Value of total assets at beginning of year2015-12-31$2,519,193
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,033
Total interest from all sources2015-12-31$2,106
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$64,305
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$64,305
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$252,000
If this is an individual account plan, was there a blackout period2015-12-31Yes
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$354,681
Participant contributions at end of year2015-12-31$37,184
Participant contributions at beginning of year2015-12-31$48,190
Participant contributions at end of year2015-12-31$3,990
Participant contributions at beginning of year2015-12-31$4,801
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$4,946
Other income not declared elsewhere2015-12-31$3,940
Administrative expenses (other) incurred2015-12-31$8,033
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$159,894
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,679,087
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,519,193
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,694,695
Value of interest in pooled separate accounts at beginning of year2015-12-31$2,253,105
Interest on participant loans2015-12-31$2,106
Value of interest in common/collective trusts at end of year2015-12-31$943,218
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$213,097
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-94,812
Net investment gain/loss from pooled separate accounts2015-12-31$19,200
Net investment gain or loss from common/collective trusts2015-12-31$-13,160
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$157,929
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31Yes
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 name2015-12-31CARL WEINBERG & CO., LLP
Accountancy firm EIN2015-12-31050401635
2014 : PAUL MASSE SAVINGS AND RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$552,550
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$90,027
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$80,516
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$389,773
Value of total assets at end of year2014-12-31$2,519,193
Value of total assets at beginning of year2014-12-31$2,056,670
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$9,511
Total interest from all sources2014-12-31$4,735
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
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$9,511
Was this plan covered by a fidelity bond2014-12-31No
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$366,300
Participant contributions at end of year2014-12-31$48,190
Participant contributions at beginning of year2014-12-31$22,828
Participant contributions at end of year2014-12-31$4,801
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$4,801
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$462,523
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,519,193
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,056,670
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 pooled separate accounts at end of year2014-12-31$2,253,105
Value of interest in pooled separate accounts at beginning of year2014-12-31$1,860,711
Interest on participant loans2014-12-31$1,506
Interest earned on other investments2014-12-31$3,229
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$213,097
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$173,131
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$7,457
Net investment gain/loss from pooled separate accounts2014-12-31$158,042
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$18,672
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$73,059
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 name2014-12-31CARL WEINBERG & CO., LLP
Accountancy firm EIN2014-12-31050401635

Form 5500 Responses for PAUL MASSE SAVINGS AND RETIREMENT PLAN

2017: PAUL MASSE SAVINGS AND RETIREMENT 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PAUL MASSE SAVINGS AND RETIREMENT 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PAUL MASSE SAVINGS AND RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
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: PAUL MASSE SAVINGS AND RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91690276
Policy instance 1
Insurance contract or identification number91690276
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-11-30
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91690276
Policy instance 1
Insurance contract or identification number91690276
Number of Individuals Covered129
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,453
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,453
Amount paid for insurance broker fees0
Additional information about fees paid to insurance broker0
Insurance broker organization code?3
Insurance broker nameDELGADO, CFP, DONNA M

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