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PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 401k Plan overview

Plan NamePROMPT AMBULANCE SERVICE, INC. 401(K) PLAN
Plan identification number 001

PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PROMPT AMBULANCE SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:PROMPT AMBULANCE SERVICE, INC.
Employer identification number (EIN):352058342
NAIC Classification:485990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01MARY KATE TESKE
0012014-01-01MARY KATE TESKE
0012014-01-01MARY KATE TESKE
0012013-01-01MARY KATE TESKE
0012012-01-01CATHY HAVRANEK
0012011-01-01DAVID SNYDER
0012010-01-01DAVID SNYDER
0012009-01-01SHAR L. MILLER

Plan Statistics for PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN

401k plan membership statisitcs for PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN

Measure Date Value
2017: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01364
Total number of active participants reported on line 7a of the Form 55002017-01-0110
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0173
Total of all active and inactive participants2017-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0183
Number of participants with account balances2017-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01442
Total number of active participants reported on line 7a of the Form 55002016-01-01280
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0153
Total of all active and inactive participants2016-01-01333
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01333
Number of participants with account balances2016-01-01137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01465
Total number of active participants reported on line 7a of the Form 55002015-01-01352
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0145
Total of all active and inactive participants2015-01-01397
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01397
Number of participants with account balances2015-01-01159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01455
Total number of active participants reported on line 7a of the Form 55002014-01-01386
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 participants2014-01-01425
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01425
Number of participants with account balances2014-01-01165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01414
Total number of active participants reported on line 7a of the Form 55002013-01-01392
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0133
Total of all active and inactive participants2013-01-01425
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01425
Number of participants with account balances2013-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01465
Total number of active participants reported on line 7a of the Form 55002012-01-01378
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0129
Total of all active and inactive participants2012-01-01407
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-01408
Number of participants with account balances2012-01-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01324
Total number of active participants reported on line 7a of the Form 55002011-01-01390
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0125
Total of all active and inactive participants2011-01-01415
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01415
Number of participants with account balances2011-01-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0128
2010: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01196
Total number of active participants reported on line 7a of the Form 55002010-01-01295
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0122
Total of all active and inactive participants2010-01-01317
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01317
Number of participants with account balances2010-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01169
Total number of active participants reported on line 7a of the Form 55002009-01-01178
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0118
Total of all active and inactive participants2009-01-01196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01196
Number of participants with account balances2009-01-0197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN

Measure Date Value
2017 : PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$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$562,424
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,525,653
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,514,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$172,599
Value of total assets at end of year2017-12-31$1,731,760
Value of total assets at beginning of year2017-12-31$2,694,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$11,154
Total interest from all sources2017-12-31$5,947
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$400,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$104,855
Participant contributions at end of year2017-12-31$146,837
Participant contributions at beginning of year2017-12-31$123,841
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$398
Other income not declared elsewhere2017-12-31$375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-963,229
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,731,760
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,694,989
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
Interest on participant loans2017-12-31$5,947
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,584,923
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$2,571,131
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$383,503
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
Contributions received in cash from employer2017-12-31$67,346
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$17
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,514,499
Contract administrator fees2017-12-31$11,154
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 name2017-12-31MCMAHON AND ASSOCIATES, CPAS, P.C.
Accountancy firm EIN2017-12-31351438231
2016 : PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$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$532,372
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$672,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$664,481
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$328,143
Value of total assets at end of year2016-12-31$2,694,989
Value of total assets at beginning of year2016-12-31$2,835,404
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$8,306
Total interest from all sources2016-12-31$5,971
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$400,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$201,293
Participant contributions at end of year2016-12-31$123,841
Participant contributions at beginning of year2016-12-31$161,183
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$2,194
Other income not declared elsewhere2016-12-31$502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-140,415
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,694,989
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,835,404
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
Interest on participant loans2016-12-31$5,971
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$2,571,131
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$2,674,221
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$197,756
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
Contributions received in cash from employer2016-12-31$124,656
Employer contributions (assets) at end of year2016-12-31$17
Employer contributions (assets) at beginning of year2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$664,481
Contract administrator fees2016-12-31$8,306
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 name2016-12-31MCMAHON AND ASSOCIATES, CPAS, P.C.
Accountancy firm EIN2016-12-31351438231
2015 : PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$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$366,226
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$360,220
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$343,023
Expenses. Certain deemed distributions of participant loans2015-12-31$8,775
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$402,574
Value of total assets at end of year2015-12-31$2,835,404
Value of total assets at beginning of year2015-12-31$2,829,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,422
Total interest from all sources2015-12-31$6,760
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$400,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$250,495
Participant contributions at end of year2015-12-31$161,183
Participant contributions at beginning of year2015-12-31$177,236
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$12,573
Other income not declared elsewhere2015-12-31$121
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$6,006
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,835,404
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,829,398
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
Interest on participant loans2015-12-31$6,760
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$2,674,221
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$2,635,640
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-43,229
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
Contributions received in cash from employer2015-12-31$152,079
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$3,949
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$343,023
Contract administrator fees2015-12-31$8,422
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 name2015-12-31MCMAHON AND ASSOCIATES, CPAS, P.C.
Accountancy firm EIN2015-12-31351438231
2014 : PROMPT AMBULANCE SERVICE, INC. 401(K) 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$538,516
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$407,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$400,881
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$399,781
Value of total assets at end of year2014-12-31$2,820,731
Value of total assets at beginning of year2014-12-31$2,689,572
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$6,476
Total interest from all sources2014-12-31$5,964
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
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$260,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$240,818
Participant contributions at end of year2014-12-31$177,236
Participant contributions at beginning of year2014-12-31$150,377
Participant contributions at end of year2014-12-31$3,907
Participant contributions at beginning of year2014-12-31$60
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$1,075
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$131,159
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,820,731
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,689,572
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
Interest on participant loans2014-12-31$5,964
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$2,635,639
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$2,539,075
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$132,771
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$157,888
Employer contributions (assets) at end of year2014-12-31$3,949
Employer contributions (assets) at beginning of year2014-12-31$60
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$400,881
Contract administrator fees2014-12-31$6,476
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 name2014-12-31MCMAHON AND ASSOCIATES, CPAS, P.C.
Accountancy firm EIN2014-12-31351438231
2013 : PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$867,358
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$364,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$358,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$441,857
Value of total assets at end of year2013-12-31$2,689,572
Value of total assets at beginning of year2013-12-31$2,186,788
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$5,665
Total interest from all sources2013-12-31$5,214
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$260,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$237,086
Participant contributions at end of year2013-12-31$150,377
Participant contributions at beginning of year2013-12-31$118,447
Participant contributions at end of year2013-12-31$60
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$48,969
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$502,784
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,689,572
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,186,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Interest on participant loans2013-12-31$5,214
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$2,539,075
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$2,068,341
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$420,287
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$155,802
Employer contributions (assets) at end of year2013-12-31$60
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$358,909
Contract administrator fees2013-12-31$5,665
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31MCMAHON AND ASSOCIATES, CPAS, P.C.
Accountancy firm EIN2013-12-31351438231
2012 : PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$591,908
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$179,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$173,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$364,781
Value of total assets at end of year2012-12-31$2,186,788
Value of total assets at beginning of year2012-12-31$1,774,543
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$6,475
Total interest from all sources2012-12-31$3,864
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$260,000
If this is an individual account plan, was there a blackout period2012-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$226,975
Participant contributions at end of year2012-12-31$118,447
Participant contributions at beginning of year2012-12-31$105,872
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$13,962
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,343
Other income not declared elsewhere2012-12-31$187,098
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$412,245
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,186,788
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,774,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,584,347
Interest on participant loans2012-12-31$3,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$69,019
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$69,019
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$-21
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$2,068,341
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$36,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$137,806
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$173,188
Contract administrator fees2012-12-31$6,475
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31Yes
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31MCMAHON AND ASSOCIATES, CPAS, P.C.
Accountancy firm EIN2012-12-31351438231
2011 : PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$376,223
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$227,579
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$205,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$429,678
Value of total assets at end of year2011-12-31$1,774,543
Value of total assets at beginning of year2011-12-31$1,625,899
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$21,684
Total interest from all sources2011-12-31$1,180
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$260,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$262,003
Participant contributions at end of year2011-12-31$105,872
Participant contributions at beginning of year2011-12-31$47,315
Participant contributions at end of year2011-12-31$13,962
Participant contributions at beginning of year2011-12-31$11,128
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,343
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$66
Administrative expenses (other) incurred2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$148,644
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,774,543
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,625,899
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,584,347
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,500,435
Interest on participant loans2011-12-31$2,159
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$69,019
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$59,349
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$59,349
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$-979
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-54,635
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$167,675
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$7,606
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$205,895
Contract administrator fees2011-12-31$21,684
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31MCMAHON AND ASSOCIATES, CPAS, P.C..
Accountancy firm EIN2011-12-31351438231
2010 : PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$615,426
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$89,774
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$74,254
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$459,352
Value of total assets at end of year2010-12-31$1,625,899
Value of total assets at beginning of year2010-12-31$1,100,247
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$15,520
Total interest from all sources2010-12-31$1,145
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$100,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$274,648
Participant contributions at end of year2010-12-31$47,315
Participant contributions at beginning of year2010-12-31$29,658
Participant contributions at end of year2010-12-31$11,128
Participant contributions at beginning of year2010-12-31$6,960
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,904
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$66
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$41
Administrative expenses (other) incurred2010-12-31$15,520
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$525,652
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,625,899
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,100,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,500,435
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,026,594
Interest on participant loans2010-12-31$1,470
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$59,349
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$32,230
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$32,230
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$-325
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$154,929
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$182,800
Employer contributions (assets) at end of year2010-12-31$7,606
Employer contributions (assets) at beginning of year2010-12-31$4,764
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$74,254
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31MCMAHON AND ASSOCIATES, CPAS, P.C.
Accountancy firm EIN2010-12-31351438231
2009 : PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN

2017: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
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
2013: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PROMPT AMBULANCE SERVICE, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104247
Policy instance 1
Insurance contract or identification number104247
Number of Individuals Covered83
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14,441
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Amount paid for insurance broker fees12318
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker organization code?5
Insurance broker nameEDWARD D. JONES & CO., L.P.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104247
Policy instance 1
Insurance contract or identification number104247
Number of Individuals Covered178
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,922
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
Amount paid for insurance broker fees9111
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker organization code?5
Insurance broker nameRAYMOND JAMES & ASSOC, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104247
Policy instance 1
Insurance contract or identification number104247
Number of Individuals Covered187
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,788
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
Amount paid for insurance broker fees7283
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION OTHER ALLOWANCES
Insurance broker organization code?5
Insurance broker nameRAYMOND JAMES & ASSOC, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104247
Policy instance 1
Insurance contract or identification number104247
Number of Individuals Covered164
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,555
Total amount of fees paid to insurance companyUSD $6,449
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
Amount paid for insurance broker fees6449
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION OTHER ALLOWANCES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $5,555
Insurance broker nameRAYMOND JAMES & ASSOC, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104247
Policy instance 1
Insurance contract or identification number104247
Number of Individuals Covered136
Insurance policy start date2012-01-18
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,340
Total amount of fees paid to insurance companyUSD $11,035
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees11035
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION OTHER ALLOWANCES
Insurance broker organization code?5
Insurance broker nameRAYMOND JAMES & ASSOC, INC.

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