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BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 401k Plan overview

Plan NameBOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN
Plan identification number 001

BOCA CONSTRUCTION, INC., 401(K) RETIR. 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.
  • 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.

401k Sponsoring company profile

BOCA CONSTRUCTION, INC. has sponsored the creation of one or more 401k plans.

Company Name:BOCA CONSTRUCTION, INC.
Employer identification number (EIN):341243529
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Additional information about BOCA CONSTRUCTION, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1978-03-28
Company Identification Number: 513640
Legal Registered Office Address: 380 EASTPARK DR
-
NORWALK
United States of America (USA)
44857

More information about BOCA CONSTRUCTION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01AIDAN MCDONNELL
0012017-01-01JOSEPH J. CAIZZO
0012016-01-01JOSEPH J. CAIZZO
0012016-01-01JOSEPH J. CAIZZO
0012015-01-01JOSEPH J. CAIZZO

Plan Statistics for BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN

401k plan membership statisitcs for BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN

Measure Date Value
2023: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0175
Total number of active participants reported on line 7a of the Form 55002023-01-0166
Number of retired or separated participants receiving benefits2023-01-012
Number of other retired or separated participants entitled to future benefits2023-01-019
Total of all active and inactive participants2023-01-0177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-0177
Number of participants with account balances2023-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-011
2022: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0181
Total number of active participants reported on line 7a of the Form 55002022-01-0162
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-0111
Total of all active and inactive participants2022-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0175
Number of participants with account balances2022-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-011
2021: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0180
Total number of active participants reported on line 7a of the Form 55002021-01-0166
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-0113
Total of all active and inactive participants2021-01-0181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0181
Number of participants with account balances2021-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0168
Total number of active participants reported on line 7a of the Form 55002020-01-0174
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0180
Number of participants with account balances2020-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0169
Total number of active participants reported on line 7a of the Form 55002019-01-0158
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-018
Total of all active and inactive participants2019-01-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0168
Number of participants with account balances2019-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0162
Total number of active participants reported on line 7a of the Form 55002018-01-0162
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-017
Total of all active and inactive participants2018-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0169
Number of participants with account balances2018-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-013
2017: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0160
Total number of active participants reported on line 7a of the Form 55002017-01-0157
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-015
Total of all active and inactive participants2017-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0162
Number of participants with account balances2017-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0153
Total number of active participants reported on line 7a of the Form 55002016-01-0153
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 participants2016-01-0160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0160
Number of participants with account balances2016-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0148
Total number of active participants reported on line 7a of the Form 55002015-01-0148
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-015
Total of all active and inactive participants2015-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0153
Number of participants with account balances2015-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011

Financial Data on BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN

Measure Date Value
2023 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2023 401k financial data
Total income from all sources2023-12-31$1,882,181
Expenses. Total of all expenses incurred2023-12-31$713,520
Benefits paid (including direct rollovers)2023-12-31$713,502
Total plan assets at end of year2023-12-31$10,765,176
Total plan assets at beginning of year2023-12-31$9,596,515
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$232,564
Contributions received from other sources (not participants or employers)2023-12-31$63,647
Other income received2023-12-31$1,269,917
Net income (gross income less expenses)2023-12-31$1,168,661
Net plan assets at end of year (total assets less liabilities)2023-12-31$10,765,176
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$9,596,515
Assets. Value of participant loans2023-12-31$0
Total contributions received or receivable from employer(s)2023-12-31$316,053
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$18
2022 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2022 401k financial data
Total income from all sources2022-12-31$-1,032,021
Expenses. Total of all expenses incurred2022-12-31$565,408
Benefits paid (including direct rollovers)2022-12-31$565,096
Total plan assets at end of year2022-12-31$9,596,515
Total plan assets at beginning of year2022-12-31$11,193,944
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$240,404
Expenses. Other expenses not covered elsewhere2022-12-31$288
Other income received2022-12-31$-1,589,837
Net income (gross income less expenses)2022-12-31$-1,597,429
Net plan assets at end of year (total assets less liabilities)2022-12-31$9,596,515
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$11,193,944
Assets. Value of participant loans2022-12-31$5,788
Total contributions received or receivable from employer(s)2022-12-31$317,412
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$24
2021 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2021 401k financial data
Total income from all sources2021-12-31$1,707,769
Expenses. Total of all expenses incurred2021-12-31$499,217
Benefits paid (including direct rollovers)2021-12-31$499,193
Total plan assets at end of year2021-12-31$11,193,944
Total plan assets at beginning of year2021-12-31$9,985,392
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$218,396
Other income received2021-12-31$1,196,738
Net income (gross income less expenses)2021-12-31$1,208,552
Net plan assets at end of year (total assets less liabilities)2021-12-31$11,193,944
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$9,985,392
Assets. Value of participant loans2021-12-31$11,113
Total contributions received or receivable from employer(s)2021-12-31$292,635
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$24
2020 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2020 401k financial data
Total plan liabilities at beginning of year2020-12-31$400
Total income from all sources2020-12-31$1,772,160
Expenses. Total of all expenses incurred2020-12-31$553,056
Benefits paid (including direct rollovers)2020-12-31$553,032
Total plan assets at end of year2020-12-31$9,985,392
Total plan assets at beginning of year2020-12-31$8,766,688
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$188,858
Other income received2020-12-31$1,279,541
Net income (gross income less expenses)2020-12-31$1,219,104
Net plan assets at end of year (total assets less liabilities)2020-12-31$9,985,392
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$8,766,288
Assets. Value of participant loans2020-12-31$16,000
Total contributions received or receivable from employer(s)2020-12-31$303,761
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$24
2019 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$400
Total income from all sources2019-12-31$1,945,741
Expenses. Total of all expenses incurred2019-12-31$335,145
Benefits paid (including direct rollovers)2019-12-31$335,099
Total plan assets at end of year2019-12-31$8,962,995
Total plan assets at beginning of year2019-12-31$7,351,999
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$208,693
Other income received2019-12-31$1,464,062
Net income (gross income less expenses)2019-12-31$1,610,596
Net plan assets at end of year (total assets less liabilities)2019-12-31$8,962,595
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$7,351,999
Assets. Value of participant loans2019-12-31$20,909
Total contributions received or receivable from employer(s)2019-12-31$272,986
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$46
2018 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2018 401k financial data
Total income from all sources2018-12-31$216,580
Expenses. Total of all expenses incurred2018-12-31$1,450,308
Benefits paid (including direct rollovers)2018-12-31$1,449,762
Total plan assets at end of year2018-12-31$7,351,999
Total plan assets at beginning of year2018-12-31$8,585,727
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$289,528
Other income received2018-12-31$-452,921
Net income (gross income less expenses)2018-12-31$-1,233,728
Net plan assets at end of year (total assets less liabilities)2018-12-31$7,351,999
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$8,585,727
Assets. Value of participant loans2018-12-31$15,010
Total contributions received or receivable from employer(s)2018-12-31$379,973
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$546
2017 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,720,421
Expenses. Total of all expenses incurred2017-12-31$233,787
Benefits paid (including direct rollovers)2017-12-31$233,763
Total plan assets at end of year2017-12-31$8,585,727
Total plan assets at beginning of year2017-12-31$7,099,093
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$193,014
Other income received2017-12-31$1,170,245
Net income (gross income less expenses)2017-12-31$1,486,634
Net plan assets at end of year (total assets less liabilities)2017-12-31$8,585,727
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$7,099,093
Assets. Value of participant loans2017-12-31$1,966
Total contributions received or receivable from employer(s)2017-12-31$357,162
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$24
2016 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2016 401k financial data
Total income from all sources2016-12-31$817,594
Expenses. Total of all expenses incurred2016-12-31$227,104
Benefits paid (including direct rollovers)2016-12-31$227,080
Total plan assets at end of year2016-12-31$7,092,624
Total plan assets at beginning of year2016-12-31$6,502,134
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$187,200
Other income received2016-12-31$307,910
Net income (gross income less expenses)2016-12-31$590,490
Net plan assets at end of year (total assets less liabilities)2016-12-31$7,092,624
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$6,502,134
Assets. Value of participant loans2016-12-31$3,183
Total contributions received or receivable from employer(s)2016-12-31$322,484
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$24
2015 : BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2015 401k financial data
Total income from all sources2015-12-31$522,419
Expenses. Total of all expenses incurred2015-12-31$418,874
Benefits paid (including direct rollovers)2015-12-31$418,100
Total plan assets at end of year2015-12-31$6,502,134
Total plan assets at beginning of year2015-12-31$6,398,589
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$212,425
Other income received2015-12-31$-17,966
Net income (gross income less expenses)2015-12-31$103,545
Net plan assets at end of year (total assets less liabilities)2015-12-31$6,502,134
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$6,398,589
Assets. Value of participant loans2015-12-31$4,327
Total contributions received or receivable from employer(s)2015-12-31$327,960
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$774

Form 5500 Responses for BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN

2023: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
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: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
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: BOCA CONSTRUCTION, INC., 401(K) RETIR. PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58304
Policy instance 1
Insurance contract or identification number58304
Number of Individuals Covered51
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $24,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58304
Policy instance 1
Insurance contract or identification number58304
Number of Individuals Covered52
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $24,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,569
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58304
Policy instance 1
Insurance contract or identification number58304
Number of Individuals Covered57
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $26,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,057
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58304
Policy instance 1
Insurance contract or identification number58304
Number of Individuals Covered50
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $21,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,859
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58304
Policy instance 1
Insurance contract or identification number58304
Number of Individuals Covered50
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $22,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,286
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58304
Policy instance 1
Insurance contract or identification number58304
Number of Individuals Covered46
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,558
Total amount of fees paid to insurance companyUSD $500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,749
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBROKER COMMISION
Amount paid for insurance broker fees500
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58304
Policy instance 1
Insurance contract or identification number58304
Number of Individuals Covered46
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $21,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,268
Additional information about fees paid to insurance brokerBROKER COMMISION
Insurance broker organization code?3
Insurance broker nameVAN DOOTINGH, MOSHER, MELLEN

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