CARL JOHANSON & SON CONSTRUCTION CO., INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN
401k plan membership statisitcs for CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN
| Measure | Date | Value |
|---|
| 2022: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 4 |
| Total of all active and inactive participants | 2022-01-01 | 4 |
| Total participants | 2022-01-01 | 4 |
| Number of participants with account balances | 2022-01-01 | 0 |
| 2020: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 4 |
| Total of all active and inactive participants | 2020-01-01 | 0 |
| Total participants | 2020-01-01 | 0 |
| Number of participants with account balances | 2020-01-01 | 0 |
| 2019: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 4 |
| Total of all active and inactive participants | 2019-01-01 | 4 |
| Total participants | 2019-01-01 | 4 |
| Number of participants with account balances | 2019-01-01 | 0 |
| 2018: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 4 |
| Total of all active and inactive participants | 2018-01-01 | 4 |
| Total participants | 2018-01-01 | 4 |
| Number of participants with account balances | 2018-01-01 | 4 |
| 2017: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 1 |
| Total of all active and inactive participants | 2017-01-01 | 4 |
| Total participants | 2017-01-01 | 4 |
| Number of participants with account balances | 2017-01-01 | 4 |
| 2016: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 1 |
| Total of all active and inactive participants | 2016-01-01 | 4 |
| Total participants | 2016-01-01 | 4 |
| Number of participants with account balances | 2016-01-01 | 4 |
| 2015: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 4 |
| 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 | 5 |
| Total participants | 2015-01-01 | 5 |
| Number of participants with account balances | 2015-01-01 | 4 |
| 2014: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 1 |
| Total of all active and inactive participants | 2014-01-01 | 5 |
| Total participants | 2014-01-01 | 5 |
| Number of participants with account balances | 2014-01-01 | 4 |
| 2013: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 5 |
| Total of all active and inactive participants | 2013-01-01 | 5 |
| Total participants | 2013-01-01 | 5 |
| Number of participants with account balances | 2013-01-01 | 5 |
| 2012: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 5 |
| Total of all active and inactive participants | 2012-01-01 | 5 |
| Total participants | 2012-01-01 | 5 |
| Number of participants with account balances | 2012-01-01 | 5 |
| Measure | Date | Value |
|---|
| 2022 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-12-31 | $-294,765 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $4,723 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $2,354 |
| Total plan assets at end of year | 2022-12-31 | $880,683 |
| Total plan assets at beginning of year | 2022-12-31 | $1,180,171 |
| Expenses. Other expenses not covered elsewhere | 2022-12-31 | $2,369 |
| Other income received | 2022-12-31 | $-294,765 |
| Net income (gross income less expenses) | 2022-12-31 | $-299,488 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $880,683 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $1,180,171 |
| 2020 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $181,619 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $2,354 |
| Total plan assets at end of year | 2020-12-31 | $1,016,594 |
| Total plan assets at beginning of year | 2020-12-31 | $837,329 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $2,354 |
| Other income received | 2020-12-31 | $181,619 |
| Net income (gross income less expenses) | 2020-12-31 | $179,265 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $1,016,594 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $837,329 |
| 2019 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $28,104 |
| Total plan assets at end of year | 2019-12-31 | $837,329 |
| Total plan assets at beginning of year | 2019-12-31 | $809,225 |
| Other income received | 2019-12-31 | $28,104 |
| Net income (gross income less expenses) | 2019-12-31 | $28,104 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $837,329 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $809,225 |
| 2018 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $-36,285 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $3,145 |
| Total plan assets at end of year | 2018-12-31 | $809,225 |
| Total plan assets at beginning of year | 2018-12-31 | $848,655 |
| Value of fidelity bond covering the plan | 2018-12-31 | $350,000 |
| Other income received | 2018-12-31 | $-36,285 |
| Net income (gross income less expenses) | 2018-12-31 | $-39,430 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $809,225 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $848,655 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $3,145 |
| 2017 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $107,483 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $2,974 |
| Total plan assets at end of year | 2017-12-31 | $848,655 |
| Total plan assets at beginning of year | 2017-12-31 | $744,146 |
| Value of fidelity bond covering the plan | 2017-12-31 | $350,000 |
| Other income received | 2017-12-31 | $107,483 |
| Net income (gross income less expenses) | 2017-12-31 | $104,509 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $848,655 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $744,146 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $2,974 |
| 2016 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $36,873 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $2,690 |
| Total plan assets at end of year | 2016-12-31 | $744,146 |
| Total plan assets at beginning of year | 2016-12-31 | $709,963 |
| Value of fidelity bond covering the plan | 2016-12-31 | $350,000 |
| Other income received | 2016-12-31 | $36,873 |
| Net income (gross income less expenses) | 2016-12-31 | $34,183 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $744,146 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $709,963 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $2,690 |
| 2015 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $11,875 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $2,713 |
| Total plan assets at end of year | 2015-12-31 | $709,963 |
| Total plan assets at beginning of year | 2015-12-31 | $700,801 |
| Value of fidelity bond covering the plan | 2015-12-31 | $350,000 |
| Other income received | 2015-12-31 | $11,875 |
| Net income (gross income less expenses) | 2015-12-31 | $9,162 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $709,963 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $700,801 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $2,713 |
| 2014 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $47,440 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $392,034 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $389,144 |
| Total plan assets at end of year | 2014-12-31 | $700,801 |
| Total plan assets at beginning of year | 2014-12-31 | $1,045,395 |
| Value of fidelity bond covering the plan | 2014-12-31 | $350,000 |
| Other income received | 2014-12-31 | $47,440 |
| Net income (gross income less expenses) | 2014-12-31 | $-344,594 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $700,801 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $1,045,395 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $2,890 |
| 2013 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $139,244 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $3,550 |
| Total plan assets at end of year | 2013-12-31 | $1,045,395 |
| Total plan assets at beginning of year | 2013-12-31 | $909,701 |
| Value of fidelity bond covering the plan | 2013-12-31 | $200,000 |
| Other income received | 2013-12-31 | $139,244 |
| Net income (gross income less expenses) | 2013-12-31 | $135,694 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $1,045,395 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $909,701 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $3,550 |
| 2012 : CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $96,674 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $3,269 |
| Total plan assets at end of year | 2012-12-31 | $909,701 |
| Total plan assets at beginning of year | 2012-12-31 | $816,296 |
| Value of fidelity bond covering the plan | 2012-12-31 | $200,000 |
| Other income received | 2012-12-31 | $96,674 |
| Net income (gross income less expenses) | 2012-12-31 | $93,405 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $909,701 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $816,296 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $3,269 |
| 2022: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan is a collectively bargained plan | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan is a collectively bargained plan | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan is a collectively bargained plan | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan is a collectively bargained plan | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan is a collectively bargained plan | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: CARL JOHANSON & SON CONSTRUCTION CO., INC. PROFIT SHARING PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 2 |
| Insurance contract or identification number | 68481 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 1 |
| Insurance contract or identification number | 008641065 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2021-12-01 | | Insurance policy end date | 2022-11-30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 2 |
| Insurance contract or identification number | 68481 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 1 |
| Insurance contract or identification number | 008641065 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 2 |
| Insurance contract or identification number | 68481 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 1 |
| Insurance contract or identification number | 008641065 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 2 |
| Insurance contract or identification number | 68481 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $3,145 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3145 | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 1 |
| Insurance contract or identification number | 008641065 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 2 |
| Insurance contract or identification number | 68481 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of fees paid to insurance company | USD $2,974 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2974 | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES | | Insurance broker name | JOHN HANCOCK LIFE INSURANCE COMPANY |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 1 |
| Insurance contract or identification number | 008641065 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2016-12-01 | | Insurance policy end date | 2017-11-30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | PETER H. HOOPIS |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 2 |
| Insurance contract or identification number | 008641065 | | Number of Individuals Covered | 3 | | Insurance policy end date | 2015-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | PEARRE DAVID A II |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 1 |
| Insurance contract or identification number | 68481 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of fees paid to insurance company | USD $2,713 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2713 | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES | | Insurance broker name | JOHN HANCOCK LIFE INSURANCE COMPANY |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 2 |
| Insurance contract or identification number | 008641065 | | Number of Individuals Covered | 3 | | Insurance policy end date | 2014-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | PEARRE DAVID A II |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 1 |
| Insurance contract or identification number | 68481 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of fees paid to insurance company | USD $2,890 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2890 | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES | | Insurance broker name | JOHN HANCOCK LIFE INSURANCE COMPANY |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 2 |
| Insurance contract or identification number | 008641065 | | Number of Individuals Covered | 3 | | Insurance policy end date | 2013-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | PEARRE DAVID A II |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 1 |
| Insurance contract or identification number | 68481 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of fees paid to insurance company | USD $3,550 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3550 | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES | | Insurance broker name | JOHN HANCOCK LIFE INSURANCE COMPANY |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 68481 |
| Policy instance | 2 |
| Insurance contract or identification number | 68481 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $3,269 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3269 | | Additional information about fees paid to insurance broker | CONTRACT ADMINISTRATION FEES | | Insurance broker name | JOHN HANCOCK LIFE INSURANCE COMPANY |
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| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 008641065 |
| Policy instance | 1 |
| Insurance contract or identification number | 008641065 | | Number of Individuals Covered | 3 | | Insurance policy end date | 2012-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | PEARRE DAVID A II |
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