401k Plan data: DARKO, INC. 401(K) PROFIT SHARING PLAN plan

DARKO, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	DARKO, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

DARKO, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

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

Company Name: DARKO, INC.

Employer identification number (EIN): 341934522

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Additional information about DARKO, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 2000-09-14

Company Identification Number: 1183959

Legal Registered Office Address: 2305 E. AURORA ROAD
UNIT A - 1
TWEINSBURG
United States of America (USA)
44087

More information about DARKO, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DARKO, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 JOE NAHRA 2024-10-14 JOE NAHRA 2024-10-14
001 2022-01-01 JOE NAHRA 2023-10-04 JOE NAHRA 2023-10-04
001 2021-01-01 JOE NAHRA 2023-10-04 JOE NAHRA 2023-10-04
001 2020-01-01 JOSEPH NAHRA 2021-10-12 JOSEPH NAHRA 2021-10-12
001 2019-01-01 DEAN RINICELLA 2020-10-14
001 2018-01-01 DEAN RINICELLA 2019-10-10
001 2017-01-01 DEAN RINICELLA 2018-10-11
001 2016-01-01 HERMAN FRIEDMAN HERMAN FRIEDMAN 2017-09-26
001 2016-01-01 HERMAN FRIEDMAN 2017-09-26
001 2015-01-01 HERMAN FRIEDMAN HERMAN FRIEDMAN 2016-04-26
001 2014-01-01 HERMAN FRIEDMAN HERMAN FRIEDMAN 2015-06-15
001 2013-01-01 HERMAN FRIEDMAN
001 2012-01-01 JOE NAHRA JOE NAHRA 2013-06-11
001 2011-01-01 JOE NAHRA JOE NAHRA 2012-06-06
001 2010-01-01 JOE NAHRA JOE NAHRA 2011-07-18
001 2009-01-01 JOE NAHRA JOE NAHRA 2010-07-27
001 2009-01-01 JOE NAHRA JOE NAHRA 2010-07-27
001 2009-01-01 JOE NAHRA JOE NAHRA 2010-07-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	JOE NAHRA	2024-10-14	JOE NAHRA	2024-10-14
001	2022-01-01	JOE NAHRA	2023-10-04	JOE NAHRA	2023-10-04
001	2021-01-01	JOE NAHRA	2023-10-04	JOE NAHRA	2023-10-04
001	2020-01-01	JOSEPH NAHRA	2021-10-12	JOSEPH NAHRA	2021-10-12
001	2019-01-01	DEAN RINICELLA	2020-10-14
001	2018-01-01	DEAN RINICELLA	2019-10-10
001	2017-01-01	DEAN RINICELLA	2018-10-11
001	2016-01-01	HERMAN FRIEDMAN		HERMAN FRIEDMAN	2017-09-26
001	2016-01-01			HERMAN FRIEDMAN	2017-09-26
001	2015-01-01	HERMAN FRIEDMAN		HERMAN FRIEDMAN	2016-04-26
001	2014-01-01	HERMAN FRIEDMAN		HERMAN FRIEDMAN	2015-06-15
001	2013-01-01	HERMAN FRIEDMAN
001	2012-01-01	JOE NAHRA		JOE NAHRA	2013-06-11
001	2011-01-01	JOE NAHRA		JOE NAHRA	2012-06-06
001	2010-01-01	JOE NAHRA		JOE NAHRA	2011-07-18
001	2009-01-01	JOE NAHRA		JOE NAHRA	2010-07-27
001	2009-01-01	JOE NAHRA		JOE NAHRA	2010-07-27
001	2009-01-01	JOE NAHRA		JOE NAHRA	2010-07-20

Plan Statistics for DARKO, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for DARKO, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2016: DARKO, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 24
Number of other retired or separated participants entitled to future benefits 2016-01-01 8
Total of all active and inactive participants 2016-01-01 32
Total participants 2016-01-01 32
Number of participants with account balances 2016-01-01 32
2015: DARKO, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 25
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 26
Total participants 2015-01-01 26
Number of participants with account balances 2015-01-01 26
2014: DARKO, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 14
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 12
Total of all active and inactive participants 2014-01-01 26
Total participants 2014-01-01 26
Number of participants with account balances 2014-01-01 26
2013: DARKO, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 16
Number of other retired or separated participants entitled to future benefits 2013-01-01 11
Total of all active and inactive participants 2013-01-01 27
Total participants 2013-01-01 27
Number of participants with account balances 2013-01-01 27
2012: DARKO, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 21
Number of other retired or separated participants entitled to future benefits 2012-01-01 7
Total of all active and inactive participants 2012-01-01 28
Total participants 2012-01-01 28
Number of participants with account balances 2012-01-01 28
2011: DARKO, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 15
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 14
Total of all active and inactive participants 2011-01-01 29
Total participants 2011-01-01 29
Number of participants with account balances 2011-01-01 29
2010: DARKO, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 22
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 8
Total of all active and inactive participants 2010-01-01 30
Total participants 2010-01-01 30
Number of participants with account balances 2010-01-01 30
2009: DARKO, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 35
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 0
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 0
Total of all active and inactive participants 2009-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 0
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: DARKO, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	24
Number of other retired or separated participants entitled to future benefits	2016-01-01	8
Total of all active and inactive participants	2016-01-01	32
Total participants	2016-01-01	32
Number of participants with account balances	2016-01-01	32
2015: DARKO, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	25
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	26
Total participants	2015-01-01	26
Number of participants with account balances	2015-01-01	26
2014: DARKO, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	14
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	12
Total of all active and inactive participants	2014-01-01	26
Total participants	2014-01-01	26
Number of participants with account balances	2014-01-01	26
2013: DARKO, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	16
Number of other retired or separated participants entitled to future benefits	2013-01-01	11
Total of all active and inactive participants	2013-01-01	27
Total participants	2013-01-01	27
Number of participants with account balances	2013-01-01	27
2012: DARKO, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	21
Number of other retired or separated participants entitled to future benefits	2012-01-01	7
Total of all active and inactive participants	2012-01-01	28
Total participants	2012-01-01	28
Number of participants with account balances	2012-01-01	28
2011: DARKO, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	15
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	14
Total of all active and inactive participants	2011-01-01	29
Total participants	2011-01-01	29
Number of participants with account balances	2011-01-01	29
2010: DARKO, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	22
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	8
Total of all active and inactive participants	2010-01-01	30
Total participants	2010-01-01	30
Number of participants with account balances	2010-01-01	30
2009: DARKO, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	35
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	0
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	0
Total of all active and inactive participants	2009-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	0
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on DARKO, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2016 : DARKO, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$329,651
Expenses. Total of all expenses incurred	2016-12-31	$20,807
Total plan assets at end of year	2016-12-31	$2,269,360
Total plan assets at beginning of year	2016-12-31	$1,960,516
Value of fidelity bond covering the plan	2016-12-31	$250,000
Total contributions received or receivable from participants	2016-12-31	$113,768
Contributions received from other sources (not participants or employers)	2016-12-31	$11,685
Other income received	2016-12-31	$186,495
Net income (gross income less expenses)	2016-12-31	$308,844
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,269,360
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,960,516
Assets. Value of participant loans	2016-12-31	$24,640
Total contributions received or receivable from employer(s)	2016-12-31	$17,703
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$20,807
2015 : DARKO, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$104,559
Expenses. Total of all expenses incurred	2015-12-31	$48,781
Benefits paid (including direct rollovers)	2015-12-31	$28,836
Total plan assets at end of year	2015-12-31	$1,960,516
Total plan assets at beginning of year	2015-12-31	$1,904,738
Value of fidelity bond covering the plan	2015-12-31	$250,000
Total contributions received or receivable from participants	2015-12-31	$113,768
Contributions received from other sources (not participants or employers)	2015-12-31	$20,455
Other income received	2015-12-31	$-47,367
Net income (gross income less expenses)	2015-12-31	$55,778
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,960,516
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,904,738
Assets. Value of participant loans	2015-12-31	$34,658
Total contributions received or receivable from employer(s)	2015-12-31	$17,703
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$19,945
2014 : DARKO, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$252,313
Expenses. Total of all expenses incurred	2014-12-31	$116,309
Benefits paid (including direct rollovers)	2014-12-31	$97,657
Total plan assets at end of year	2014-12-31	$1,904,738
Total plan assets at beginning of year	2014-12-31	$1,768,734
Value of fidelity bond covering the plan	2014-12-31	$250,000
Total contributions received or receivable from participants	2014-12-31	$111,394
Contributions received from other sources (not participants or employers)	2014-12-31	$24,247
Other income received	2014-12-31	$100,484
Net income (gross income less expenses)	2014-12-31	$136,004
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,904,738
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,768,734
Assets. Value of participant loans	2014-12-31	$43,033
Total contributions received or receivable from employer(s)	2014-12-31	$16,188
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$18,652
2013 : DARKO, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$435,952
Expenses. Total of all expenses incurred	2013-12-31	$90,508
Benefits paid (including direct rollovers)	2013-12-31	$73,432
Total plan assets at end of year	2013-12-31	$1,768,734
Total plan assets at beginning of year	2013-12-31	$1,423,290
Total contributions received or receivable from participants	2013-12-31	$105,982
Expenses. Other expenses not covered elsewhere	2013-12-31	$17,076
Contributions received from other sources (not participants or employers)	2013-12-31	$32,482
Other income received	2013-12-31	$278,809
Net income (gross income less expenses)	2013-12-31	$345,444
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,768,734
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,423,290
Assets. Value of participant loans	2013-12-31	$43,742
Total contributions received or receivable from employer(s)	2013-12-31	$18,679
2012 : DARKO, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total income from all sources	2012-12-31	$318,104
Expenses. Total of all expenses incurred	2012-12-31	$24,712
Benefits paid (including direct rollovers)	2012-12-31	$10,353
Total plan assets at end of year	2012-12-31	$1,423,290
Total plan assets at beginning of year	2012-12-31	$1,129,898
Total contributions received or receivable from participants	2012-12-31	$107,178
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$17,226
Other income received	2012-12-31	$172,852
Net income (gross income less expenses)	2012-12-31	$293,392
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,423,290
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,129,898
Assets. Value of participant loans	2012-12-31	$47,135
Total contributions received or receivable from employer(s)	2012-12-31	$20,848
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$14,359
2011 : DARKO, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$73,340
Expenses. Total of all expenses incurred	2011-12-31	$42,124
Benefits paid (including direct rollovers)	2011-12-31	$20,877
Total plan assets at end of year	2011-12-31	$1,129,898
Total plan assets at beginning of year	2011-12-31	$1,098,682
Total contributions received or receivable from participants	2011-12-31	$115,026
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$13,709
Other income received	2011-12-31	$-78,400
Net income (gross income less expenses)	2011-12-31	$31,216
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,129,898
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,098,682
Assets. Value of participant loans	2011-12-31	$56,639
Total contributions received or receivable from employer(s)	2011-12-31	$23,005
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$21,247
2010 : DARKO, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$287,319
Expenses. Total of all expenses incurred	2010-12-31	$57,839
Benefits paid (including direct rollovers)	2010-12-31	$46,637
Total plan assets at end of year	2010-12-31	$1,098,682
Total plan assets at beginning of year	2010-12-31	$869,202
Total contributions received or receivable from participants	2010-12-31	$97,711
Contributions received from other sources (not participants or employers)	2010-12-31	$103,620
Other income received	2010-12-31	$31,835
Net income (gross income less expenses)	2010-12-31	$229,480
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,098,682
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$869,202
Assets. Value of participant loans	2010-12-31	$70,349
Total contributions received or receivable from employer(s)	2010-12-31	$54,153
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$11,202

Form 5500 Responses for DARKO, INC. 401(K) PROFIT SHARING PLAN

2016: DARKO, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
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: DARKO, INC. 401(K) PROFIT SHARING 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: DARKO, INC. 401(K) PROFIT SHARING 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: DARKO, INC. 401(K) PROFIT SHARING 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: DARKO, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DARKO, INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: DARKO, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DARKO, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

13266

Policy instance

Insurance contract or identification number	13266
Number of Individuals Covered	26
Insurance policy start date	2015-01-01
Insurance policy end date	2005-12-31
Total amount of commissions paid to insurance broker	USD $14,670
Total amount of fees paid to insurance company	USD $6
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

13266

Policy instance

Insurance contract or identification number	13266
Number of Individuals Covered	27
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $11,758
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
Amount paid for insurance broker fees	11758
Additional information about fees paid to insurance broker	INSURANCE FEES
Insurance broker organization code?	3
Insurance broker name	CAPITAL CITY INSURANCE GROUP, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

13266

Policy instance

Insurance contract or identification number	13266
Number of Individuals Covered	28
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $9,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,389
Insurance broker organization code?	3
Insurance broker name	CAPITAL CITY INSURANCE GROUP, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

13266

Policy instance

Insurance contract or identification number	13266
Number of Individuals Covered	29
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,291

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Company Name:	DARKO, INC.
Employer identification number (EIN):	341934522
NAIC Classification:	812990
NAIC Description:	All Other Personal Services

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	2000-09-14
Company Identification Number:	1183959
Legal Registered Office Address:	2305 E. AURORA ROAD UNIT A - 1 TWEINSBURG United States of America (USA) 44087