PACIFICA FOODS, LLC has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2017: PACIFICA FOODS 401K PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 85 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 111 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 5 |
| Total of all active and inactive participants | 2017-01-01 | 116 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 116 |
| Number of participants with account balances | 2017-01-01 | 95 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| 2016: PACIFICA FOODS 401K PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 84 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 1 |
| Total of all active and inactive participants | 2016-01-01 | 85 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 85 |
| Number of participants with account balances | 2016-01-01 | 84 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: PACIFICA FOODS 401K PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 94 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 90 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 7 |
| Total of all active and inactive participants | 2015-01-01 | 97 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 97 |
| Number of participants with account balances | 2015-01-01 | 97 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 0 |
| 2014: PACIFICA FOODS 401K PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 94 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 88 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 6 |
| Total of all active and inactive participants | 2014-01-01 | 94 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 94 |
| Number of participants with account balances | 2014-01-01 | 81 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| 2013: PACIFICA FOODS 401K PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 87 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 73 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 21 |
| Total of all active and inactive participants | 2013-01-01 | 94 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 94 |
| Number of participants with account balances | 2013-01-01 | 78 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 0 |
| 2012: PACIFICA FOODS 401K PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 77 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 66 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 21 |
| Total of all active and inactive participants | 2012-01-01 | 87 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 87 |
| Number of participants with account balances | 2012-01-01 | 78 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| 2011: PACIFICA FOODS 401K PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 48 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 64 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 13 |
| Total of all active and inactive participants | 2011-01-01 | 77 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 77 |
| Number of participants with account balances | 2011-01-01 | 56 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| 2009: PACIFICA FOODS 401K PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 39 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 39 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 7 |
| Total of all active and inactive participants | 2009-01-01 | 46 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 46 |
| Number of participants with account balances | 2009-01-01 | 41 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2017 : PACIFICA FOODS 401K PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $748,932 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $100,965 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $87,723 |
| Total plan assets at end of year | 2017-12-31 | $2,812,618 |
| Total plan assets at beginning of year | 2017-12-31 | $2,164,651 |
| Value of fidelity bond covering the plan | 2017-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $289,746 |
| Other income received | 2017-12-31 | $300,060 |
| Net income (gross income less expenses) | 2017-12-31 | $647,967 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $2,812,618 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $2,164,651 |
| Assets. Value of participant loans | 2017-12-31 | $121,649 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $159,126 |
| Value of corrective distributions | 2017-12-31 | $3,903 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $9,339 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-12-31 | $0 |
| 2016 : PACIFICA FOODS 401K PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $518,341 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $286,418 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $273,710 |
| Total plan assets at end of year | 2016-12-31 | $2,164,651 |
| Total plan assets at beginning of year | 2016-12-31 | $1,932,728 |
| Value of fidelity bond covering the plan | 2016-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $213,560 |
| Contributions received from other sources (not participants or employers) | 2016-12-31 | $29,523 |
| Other income received | 2016-12-31 | $150,177 |
| Net income (gross income less expenses) | 2016-12-31 | $231,923 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $2,164,651 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $1,932,728 |
| Assets. Value of participant loans | 2016-12-31 | $160,384 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $125,081 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $12,708 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| 2015 : PACIFICA FOODS 401K PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $166,609 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $58,726 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $47,526 |
| Total plan assets at end of year | 2015-12-31 | $1,932,728 |
| Total plan assets at beginning of year | 2015-12-31 | $1,824,845 |
| Value of fidelity bond covering the plan | 2015-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $147,230 |
| Other income received | 2015-12-31 | $-61,584 |
| Net income (gross income less expenses) | 2015-12-31 | $107,883 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $1,932,728 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $1,824,845 |
| Assets. Value of participant loans | 2015-12-31 | $142,085 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $80,963 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $11,200 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| 2014 : PACIFICA FOODS 401K PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $230,746 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $45,680 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $35,000 |
| Total plan assets at end of year | 2014-12-31 | $1,824,845 |
| Total plan assets at beginning of year | 2014-12-31 | $1,639,779 |
| Value of fidelity bond covering the plan | 2014-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $136,843 |
| Other income received | 2014-12-31 | $16,647 |
| Net income (gross income less expenses) | 2014-12-31 | $185,066 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $1,824,845 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $1,639,779 |
| Assets. Value of participant loans | 2014-12-31 | $105,299 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $77,256 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $10,680 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| 2013 : PACIFICA FOODS 401K PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $375,065 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $51,188 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $41,933 |
| Total plan assets at end of year | 2013-12-31 | $1,639,779 |
| Total plan assets at beginning of year | 2013-12-31 | $1,315,902 |
| Value of fidelity bond covering the plan | 2013-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $120,770 |
| Other income received | 2013-12-31 | $184,699 |
| Net income (gross income less expenses) | 2013-12-31 | $323,877 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $1,639,779 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $1,315,902 |
| Assets. Value of participant loans | 2013-12-31 | $62,688 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $69,596 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $9,255 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| 2012 : PACIFICA FOODS 401K PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $253,059 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $8,628 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $915 |
| Total plan assets at end of year | 2012-12-31 | $1,315,902 |
| Total plan assets at beginning of year | 2012-12-31 | $1,071,471 |
| Value of fidelity bond covering the plan | 2012-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $106,827 |
| Other income received | 2012-12-31 | $86,509 |
| Net income (gross income less expenses) | 2012-12-31 | $244,431 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $1,315,902 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,071,471 |
| Assets. Value of participant loans | 2012-12-31 | $60,185 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $59,723 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $7,713 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| 2011 : PACIFICA FOODS 401K PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $212,222 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $9,100 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $776 |
| Total plan assets at end of year | 2011-12-31 | $1,071,471 |
| Total plan assets at beginning of year | 2011-12-31 | $868,349 |
| Value of fidelity bond covering the plan | 2011-12-31 | $110,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $90,002 |
| Other income received | 2011-12-31 | $-67,893 |
| Net income (gross income less expenses) | 2011-12-31 | $203,122 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $1,071,471 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $868,349 |
| Assets. Value of participant loans | 2011-12-31 | $35,840 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $190,113 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $8,324 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| 2010 : PACIFICA FOODS 401K PLAN 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $271,987 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $3,418 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $3,168 |
| Total plan assets at end of year | 2010-12-31 | $868,349 |
| Total plan assets at beginning of year | 2010-12-31 | $599,780 |
| Value of fidelity bond covering the plan | 2010-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $91,822 |
| Other income received | 2010-12-31 | $98,882 |
| Net income (gross income less expenses) | 2010-12-31 | $268,569 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $868,349 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $599,780 |
| Assets. Value of participant loans | 2010-12-31 | $28,890 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $81,283 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $250 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-12-31 | $0 |
| 2009 : PACIFICA FOODS 401K PLAN 2009 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2009-12-31 | $0 |
| 2017: PACIFICA FOODS 401K PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: PACIFICA FOODS 401K PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: PACIFICA FOODS 401K PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: PACIFICA FOODS 401K PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: PACIFICA FOODS 401K PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: PACIFICA FOODS 401K PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: PACIFICA FOODS 401K PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: PACIFICA FOODS 401K PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 642148 |
| Policy instance | 1 |
| Insurance contract or identification number | 642148 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,939 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $2,939 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | BROKER | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFREY LIPSCOMB |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 642148 |
| Policy instance | 1 |
| Insurance contract or identification number | 642148 | | Number of Individuals Covered | 97 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $2,357 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $1,192 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | BROKER | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFREY LIPSCOMB |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 642148 |
| Policy instance | 1 |
| Insurance contract or identification number | 642148 | | Number of Individuals Covered | 81 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $2,157 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $1,451 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | BROKER | | Insurance broker organization code? | 3 | | Insurance broker name | MALKA WINOGARD |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 642148 |
| Policy instance | 1 |
| Insurance contract or identification number | 642148 | | Number of Individuals Covered | 85 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $1,776 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $1,332 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | BROKER | | Insurance broker organization code? | 3 | | Insurance broker name | GEORGE CHAMMAS |
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| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 642148 |
| Policy instance | 1 |
| Insurance contract or identification number | 642148 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $1,264 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $948 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | BROKER | | Insurance broker organization code? | 3 | | Insurance broker name | GEORGE CHAMMAS |
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| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 642148 |
| Policy instance | 1 |
| Insurance contract or identification number | 642148 | | Number of Individuals Covered | 56 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $6,297 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
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