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N. KOHL GROCER CO. SALARY SAVINGS PLAN 401k Plan overview

Plan NameN. KOHL GROCER CO. SALARY SAVINGS PLAN
Plan identification number 003

N. KOHL GROCER CO. SALARY SAVINGS 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

N. KOHL GROCER CO., INC. has sponsored the creation of one or more 401k plans.

Company Name:N. KOHL GROCER CO., INC.
Employer identification number (EIN):370370260
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan N. KOHL GROCER CO. SALARY SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01
0032021-01-01
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01MARK EHRHART
0032016-01-01MARK EHRHART
0032015-01-01MARK EHRHART
0032014-01-01MARK EHRHART
0032013-01-01MARK J. EHRHART
0032012-01-01MARK J. EHRHART MARK J. EHRHART2013-07-31
0032011-01-01MARK J. EHRHART
0032010-01-01MARK J. EHRHART
0032009-01-01MARK EHRHART MARK EHRHART2010-08-02

Plan Statistics for N. KOHL GROCER CO. SALARY SAVINGS PLAN

401k plan membership statisitcs for N. KOHL GROCER CO. SALARY SAVINGS PLAN

Measure Date Value
2022: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01288
Total number of active participants reported on line 7a of the Form 55002022-01-01189
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01119
Total of all active and inactive participants2022-01-01308
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01308
Number of participants with account balances2022-01-01301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01288
Total number of active participants reported on line 7a of the Form 55002021-01-01170
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01112
Total of all active and inactive participants2021-01-01282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
Total participants2021-01-01283
Number of participants with account balances2021-01-01282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01273
Total number of active participants reported on line 7a of the Form 55002020-01-01191
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0196
Total of all active and inactive participants2020-01-01287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01287
Number of participants with account balances2020-01-01287
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01250
Total number of active participants reported on line 7a of the Form 55002019-01-01186
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0183
Total of all active and inactive participants2019-01-01269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01269
Number of participants with account balances2019-01-01269
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01262
Total number of active participants reported on line 7a of the Form 55002018-01-01175
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0171
Total of all active and inactive participants2018-01-01246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01246
Number of participants with account balances2018-01-01240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01237
Total number of active participants reported on line 7a of the Form 55002017-01-01192
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0161
Total of all active and inactive participants2017-01-01253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01253
Number of participants with account balances2017-01-01249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01223
Total number of active participants reported on line 7a of the Form 55002016-01-01185
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0145
Total of all active and inactive participants2016-01-01230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01230
Number of participants with account balances2016-01-01230
2015: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01200
Total number of active participants reported on line 7a of the Form 55002015-01-01182
Number of other retired or separated participants entitled to future benefits2015-01-0138
Total of all active and inactive participants2015-01-01220
Total participants2015-01-01220
Number of participants with account balances2015-01-01220
2014: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01172
Total number of active participants reported on line 7a of the Form 55002014-01-01159
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0133
Total of all active and inactive participants2014-01-01192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01192
Number of participants with account balances2014-01-01192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01164
Total number of active participants reported on line 7a of the Form 55002013-01-01150
Number of retired or separated participants receiving benefits2013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-0118
Total of all active and inactive participants2013-01-01171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01171
Number of participants with account balances2013-01-01171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01148
Total number of active participants reported on line 7a of the Form 55002012-01-01145
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-0117
Total of all active and inactive participants2012-01-01163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01163
Number of participants with account balances2012-01-01163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01140
Total number of active participants reported on line 7a of the Form 55002011-01-01134
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0112
Total of all active and inactive participants2011-01-01146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01146
Number of participants with account balances2011-01-01146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01139
Total number of active participants reported on line 7a of the Form 55002010-01-01130
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0110
Total of all active and inactive participants2010-01-01140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01140
Number of participants with account balances2010-01-01140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01127
Total number of active participants reported on line 7a of the Form 55002009-01-01128
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-017
Total of all active and inactive participants2009-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01135
Number of participants with account balances2009-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on N. KOHL GROCER CO. SALARY SAVINGS PLAN

Measure Date Value
2022 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2022 401k financial data
Total transfer of assets from this plan2022-12-31$20,929
Total income from all sources (including contributions)2022-12-31$-1,812,228
Total of all expenses incurred2022-12-31$853,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$811,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$818,706
Value of total assets at end of year2022-12-31$10,754,447
Value of total assets at beginning of year2022-12-31$13,441,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$42,662
Total interest from all sources2022-12-31$17,967
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$132,659
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$132,659
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$433,794
Participant contributions at end of year2022-12-31$426,805
Participant contributions at beginning of year2022-12-31$397,093
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$955
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$819
Administrative expenses (other) incurred2022-12-31$36,508
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,666,033
Value of net assets at end of year (total assets less liabilities)2022-12-31$10,754,447
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$13,441,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$6,154
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$9,603,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$12,440,452
Interest on participant loans2022-12-31$17,967
Value of interest in common/collective trusts at end of year2022-12-31$723,294
Value of interest in common/collective trusts at beginning of year2022-12-31$603,045
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,798,215
Net investment gain or loss from common/collective trusts2022-12-31$16,655
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$384,912
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$811,143
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2022-12-31363077757
2021 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$2,893,358
Total of all expenses incurred2021-12-31$1,828,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,780,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$796,655
Value of total assets at end of year2021-12-31$13,441,409
Value of total assets at beginning of year2021-12-31$12,376,788
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$47,989
Total interest from all sources2021-12-31$22,212
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$198,993
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$198,993
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$397,233
Participant contributions at end of year2021-12-31$397,093
Participant contributions at beginning of year2021-12-31$476,182
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$819
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$499
Administrative expenses (other) incurred2021-12-31$40,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,064,621
Value of net assets at end of year (total assets less liabilities)2021-12-31$13,441,409
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$12,376,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$7,474
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$12,440,452
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$11,318,601
Interest on participant loans2021-12-31$22,212
Value of interest in common/collective trusts at end of year2021-12-31$603,045
Value of interest in common/collective trusts at beginning of year2021-12-31$581,506
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,861,424
Net investment gain or loss from common/collective trusts2021-12-31$14,074
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$399,422
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,780,748
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2021-12-31363077757
2020 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$2,659,477
Total of all expenses incurred2020-12-31$428,175
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$383,005
Expenses. Certain deemed distributions of participant loans2020-12-31$8,120
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$803,695
Value of total assets at end of year2020-12-31$12,376,788
Value of total assets at beginning of year2020-12-31$10,145,486
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$37,050
Total interest from all sources2020-12-31$22,445
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$125,267
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$125,267
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$361,751
Participant contributions at end of year2020-12-31$476,182
Participant contributions at beginning of year2020-12-31$423,615
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$499
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$444
Administrative expenses (other) incurred2020-12-31$32,913
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,231,302
Value of net assets at end of year (total assets less liabilities)2020-12-31$12,376,788
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,145,486
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$4,137
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$11,318,601
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$9,219,158
Interest on participant loans2020-12-31$22,445
Value of interest in common/collective trusts at end of year2020-12-31$581,506
Value of interest in common/collective trusts at beginning of year2020-12-31$502,269
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,690,628
Net investment gain or loss from common/collective trusts2020-12-31$17,442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$441,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$383,005
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2020-12-31363077757
2019 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$2,678,386
Total of all expenses incurred2019-12-31$484,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$451,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$831,122
Value of total assets at end of year2019-12-31$10,145,486
Value of total assets at beginning of year2019-12-31$7,951,858
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$32,918
Total interest from all sources2019-12-31$26,817
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$125,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$125,671
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$370,035
Participant contributions at end of year2019-12-31$423,615
Participant contributions at beginning of year2019-12-31$500,382
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$57,365
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$444
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$620
Administrative expenses (other) incurred2019-12-31$29,849
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,193,628
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,145,486
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,951,858
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$3,069
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$9,219,158
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,981,594
Interest on participant loans2019-12-31$26,817
Value of interest in common/collective trusts at end of year2019-12-31$502,269
Value of interest in common/collective trusts at beginning of year2019-12-31$467,397
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,865
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,683,000
Net investment gain or loss from common/collective trusts2019-12-31$11,776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$403,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$451,840
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2019-12-31363077757
2018 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$461,323
Total of all expenses incurred2018-12-31$856,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$845,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$792,021
Value of total assets at end of year2018-12-31$7,951,858
Value of total assets at beginning of year2018-12-31$8,347,300
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$11,677
Total interest from all sources2018-12-31$31,026
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$109,863
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$109,863
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$800,000
If this is an individual account plan, was there a blackout period2018-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$363,461
Participant contributions at end of year2018-12-31$500,382
Participant contributions at beginning of year2018-12-31$474,941
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$13,634
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$17,169
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$620
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Administrative expenses (other) incurred2018-12-31$11,677
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-395,442
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,951,858
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$8,347,300
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,981,594
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$0
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest in pooled separate accounts at beginning of year2018-12-31$7,322,924
Interest on participant loans2018-12-31$25,059
Interest earned on other investments2018-12-31$5,967
Value of interest in common/collective trusts at end of year2018-12-31$467,397
Value of interest in common/collective trusts at beginning of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,865
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$501,039
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-330,323
Net investment gain/loss from pooled separate accounts2018-12-31$-141,264
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$411,391
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$34,762
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$845,088
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31Yes
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2018-12-31363077757
2017 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$2,098,215
Total of all expenses incurred2017-12-31$765,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$756,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$872,922
Value of total assets at end of year2017-12-31$8,347,300
Value of total assets at beginning of year2017-12-31$7,014,145
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$9,010
Total interest from all sources2017-12-31$25,319
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$700,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$370,358
Participant contributions at end of year2017-12-31$474,941
Participant contributions at beginning of year2017-12-31$439,619
Participant contributions at end of year2017-12-31$13,634
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$70,252
Administrative expenses (other) incurred2017-12-31$9,010
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$1,333,155
Value of net assets at end of year (total assets less liabilities)2017-12-31$8,347,300
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$7,014,145
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
Value of interest in pooled separate accounts at end of year2017-12-31$7,322,924
Value of interest in pooled separate accounts at beginning of year2017-12-31$6,006,902
Interest on participant loans2017-12-31$19,054
Interest earned on other investments2017-12-31$6,265
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$501,039
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$567,624
Net investment gain/loss from pooled separate accounts2017-12-31$1,199,974
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$432,312
Employer contributions (assets) at end of year2017-12-31$34,762
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$756,050
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
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 name2017-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2017-12-31363077757
2016 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$1,204,782
Total of all expenses incurred2016-12-31$391,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$382,180
Expenses. Certain deemed distributions of participant loans2016-12-31$1,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$752,539
Value of total assets at end of year2016-12-31$7,014,145
Value of total assets at beginning of year2016-12-31$6,200,763
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$7,720
Total interest from all sources2016-12-31$18,161
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$700,000
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$310,697
Participant contributions at end of year2016-12-31$439,619
Participant contributions at beginning of year2016-12-31$439,907
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$27,578
Other income not declared elsewhere2016-12-31$5,864
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$813,382
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,014,145
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,200,763
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
Value of interest in pooled separate accounts at end of year2016-12-31$6,006,902
Value of interest in pooled separate accounts at beginning of year2016-12-31$5,345,616
Interest on participant loans2016-12-31$18,161
Income. Interest from loans (other than to participants)2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$567,624
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$415,240
Net investment gain/loss from pooled separate accounts2016-12-31$428,218
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$414,264
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$382,180
Contract administrator fees2016-12-31$7,720
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 name2016-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2016-12-31363077757
2015 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$723,332
Total of all expenses incurred2015-12-31$528,120
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$507,045
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$690,924
Value of total assets at end of year2015-12-31$6,200,763
Value of total assets at beginning of year2015-12-31$6,005,551
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$21,075
Total interest from all sources2015-12-31$16,627
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$700,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$277,212
Participant contributions at end of year2015-12-31$439,907
Participant contributions at beginning of year2015-12-31$362,264
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$13,616
Other income not declared elsewhere2015-12-31$5,598
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$195,212
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,200,763
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,005,551
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
Investment advisory and management fees2015-12-31$134
Value of interest in pooled separate accounts at end of year2015-12-31$5,345,616
Value of interest in pooled separate accounts at beginning of year2015-12-31$5,267,316
Interest on participant loans2015-12-31$16,627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$415,240
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$375,971
Net investment gain/loss from pooled separate accounts2015-12-31$10,183
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$400,096
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$507,045
Contract administrator fees2015-12-31$20,941
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 name2015-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2015-12-31363077757
2014 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,030,619
Total of all expenses incurred2014-12-31$776,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$754,051
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$617,267
Value of total assets at end of year2014-12-31$6,005,551
Value of total assets at beginning of year2014-12-31$5,750,991
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$22,008
Total interest from all sources2014-12-31$14,304
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$700,000
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$230,761
Participant contributions at end of year2014-12-31$362,264
Participant contributions at beginning of year2014-12-31$300,604
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$39,770
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$254,560
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,005,551
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,750,991
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
Value of interest in pooled separate accounts at end of year2014-12-31$5,267,316
Value of interest in pooled separate accounts at beginning of year2014-12-31$5,052,987
Interest on participant loans2014-12-31$14,304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$375,971
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$397,400
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$7,162
Net investment gain/loss from pooled separate accounts2014-12-31$391,886
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$346,736
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$754,051
Contract administrator fees2014-12-31$22,008
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 name2014-12-31GRAY HUNTER STENN LLP
Accountancy firm EIN2014-12-31363077757
2013 : N. KOHL GROCER CO. SALARY SAVINGS PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$1,567,733
Total of all expenses incurred2013-12-31$142,290
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$123,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$583,080
Value of total assets at end of year2013-12-31$5,750,991
Value of total assets at beginning of year2013-12-31$4,325,548
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$18,438
Total interest from all sources2013-12-31$11,671
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$700,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$208,778
Participant contributions at end of year2013-12-31$300,604
Participant contributions at beginning of year2013-12-31$231,516
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$47,958
Other income not declared elsewhere2013-12-31$7,179
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$1,425,443
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,750,991
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,325,548
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
Value of interest in pooled separate accounts at end of year2013-12-31$5,052,987
Value of interest in pooled separate accounts at beginning of year2013-12-31$3,510,599
Income. Interest from loans (other than to participants)2013-12-31$11,671
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$397,400
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$583,433
Net investment gain/loss from pooled separate accounts2013-12-31$965,803
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$326,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$123,852
Contract administrator fees2013-12-31$18,438
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 name2013-12-31WADE STABLES P.C.
Accountancy firm EIN2013-12-31431498457
2012 : N. KOHL GROCER CO. SALARY SAVINGS 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$910,678
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$240,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$223,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$479,111
Value of total assets at end of year2012-12-31$4,325,548
Value of total assets at beginning of year2012-12-31$3,655,659
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$17,774
Total interest from all sources2012-12-31$10,397
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$400,000
If this is an individual account plan, was there a blackout period2012-12-31No
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$178,759
Participant contributions at end of year2012-12-31$231,516
Participant contributions at beginning of year2012-12-31$269,373
Other income not declared elsewhere2012-12-31$9,297
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$669,889
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,325,548
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,655,659
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 pooled separate accounts at end of year2012-12-31$3,510,599
Value of interest in pooled separate accounts at beginning of year2012-12-31$2,794,619
Interest on participant loans2012-12-31$10,397
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$583,433
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$591,667
Net investment gain/loss from pooled separate accounts2012-12-31$411,873
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$300,352
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$223,015
Contract administrator fees2012-12-31$17,774
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 name2012-12-31WADE STABLES PC
Accountancy firm EIN2012-12-31431498457
2011 : N. KOHL GROCER CO. SALARY SAVINGS 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$429,476
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$521,274
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$500,504
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$474,979
Value of total assets at end of year2011-12-31$3,655,659
Value of total assets at beginning of year2011-12-31$3,747,457
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$20,770
Total interest from all sources2011-12-31$9,131
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$350,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$174,533
Participant contributions at end of year2011-12-31$269,373
Participant contributions at beginning of year2011-12-31$157,912
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$4,628
Other income not declared elsewhere2011-12-31$12,245
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-91,798
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,655,659
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,747,457
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 pooled separate accounts at end of year2011-12-31$2,794,619
Value of interest in pooled separate accounts at beginning of year2011-12-31$3,214,637
Interest on participant loans2011-12-31$9,131
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$591,667
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$374,908
Net investment gain/loss from pooled separate accounts2011-12-31$-66,879
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
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$295,818
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$500,504
Contract administrator fees2011-12-31$20,770
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 name2011-12-31WADE STABLE P.C
Accountancy firm EIN2011-12-31431498457
2010 : N. KOHL GROCER CO. SALARY SAVINGS 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$864,788
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$288,500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$270,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$437,298
Value of total assets at end of year2010-12-31$3,747,457
Value of total assets at beginning of year2010-12-31$3,171,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$18,456
Total interest from all sources2010-12-31$9,779
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$350,000
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$145,974
Participant contributions at end of year2010-12-31$157,912
Participant contributions at beginning of year2010-12-31$193,821
Participant contributions at beginning of year2010-12-31$5,149
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$4,220
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$3,762
Other income not declared elsewhere2010-12-31$11,946
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$576,288
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,747,457
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,171,169
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 pooled separate accounts at end of year2010-12-31$3,214,637
Value of interest in pooled separate accounts at beginning of year2010-12-31$2,574,120
Interest on participant loans2010-12-31$9,779
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$374,908
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$370,725
Net investment gain/loss from pooled separate accounts2010-12-31$405,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$287,104
Employer contributions (assets) at beginning of year2010-12-31$23,592
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$270,044
Contract administrator fees2010-12-31$18,456
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 name2010-12-31WADE STABLES P.C.
Accountancy firm EIN2010-12-31431498457
2009 : N. KOHL GROCER CO. SALARY SAVINGS 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 N. KOHL GROCER CO. SALARY SAVINGS PLAN

2022: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: N. KOHL GROCER CO. SALARY SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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: N. KOHL GROCER CO. SALARY SAVINGS 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: N. KOHL GROCER CO. SALARY SAVINGS 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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: N. KOHL GROCER CO. SALARY SAVINGS 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 – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: N. KOHL GROCER CO. SALARY SAVINGS 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number517512
Policy instance 1
Insurance contract or identification number517512
Number of Individuals Covered287
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number517512
Policy instance 1
Insurance contract or identification number517512
Number of Individuals Covered269
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number517512
Policy instance 2
Insurance contract or identification number517512
Number of Individuals Covered240
Insurance policy start date2018-11-23
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number995750
Policy instance 1
Insurance contract or identification number995750
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-11-23
Total amount of commissions paid to insurance brokerUSD $13,552
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,552
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number995750
Policy instance 1
Insurance contract or identification number995750
Number of Individuals Covered249
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $21,504
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,504
Insurance broker organization code?3
Insurance broker nameTBS AGENCY INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number995750-000
Policy instance 1
Insurance contract or identification number995750-000
Number of Individuals Covered220
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $22,314
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,314
Insurance broker organization code?3
Insurance broker nameJEROME A. DREIER
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number995750-000
Policy instance 1
Insurance contract or identification number995750-000
Number of Individuals Covered192
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $22,846
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,846
Insurance broker organization code?3
Insurance broker nameJEROME A. DREIER
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number995750
Policy instance 1
Insurance contract or identification number995750
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $18,674
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $18,674
Insurance broker organization code?3
Insurance broker nameJEROME DREIER
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number995750
Policy instance 1
Insurance contract or identification number995750
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $15,143
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?Yes
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 $15,143
Insurance broker organization code?3
Insurance broker nameJEROME DREIER
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number995750
Policy instance 1
Insurance contract or identification number995750
Number of Individuals Covered146
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $14,226
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?Yes
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number995750
Policy instance 1
Insurance contract or identification number995750
Number of Individuals Covered140
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12,541
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?Yes
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 $12,541
Insurance broker organization code?3
Insurance broker nameJEROME DREIER

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