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AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 401k Plan overview

Plan NameAMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL
Plan identification number 333

AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

AMERICAN HOUSE MANAGEMENT SERVICES has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN HOUSE MANAGEMENT SERVICES
Employer identification number (EIN):382645138
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
3332016-01-01ERIKA BOHNENSTIEHL ERIKA BOHNENSTIEHL2017-10-16
3332015-01-01ERIKA BOHNENSTIEHL ERIKA BOHNENSTIEHL2016-10-13
3332015-01-01ERIKA BOHNENSTIEHL ERIKA BOHNENSTIEHL2016-10-11
3332014-01-01ERIKA BOHNENSTIEHL ERIKA BOHNENSTIEHL2015-10-09
3332013-01-01ERIKA BOHNENSTIEHL ERIKA BOHNENSTIEHL2014-10-10
3332012-01-01ERIKA BOHNENSTIEHL ERIKA BOHNENSTIEHL2013-10-14
3332011-01-01ERIKA BOHNENSTIEHL ERIKA BOHNENSTIEHL2012-10-11

Plan Statistics for AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL

401k plan membership statisitcs for AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL

Measure Date Value
2016: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2016 401k membership
Total participants, beginning-of-year2016-01-01408
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2015 401k membership
Total participants, beginning-of-year2015-01-01424
Total number of active participants reported on line 7a of the Form 55002015-01-01407
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-01408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01408
Number of participants with account balances2015-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2014 401k membership
Total participants, beginning-of-year2014-01-01440
Total number of active participants reported on line 7a of the Form 55002014-01-01423
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-01424
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01424
Number of participants with account balances2014-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2013 401k membership
Total participants, beginning-of-year2013-01-01561
Total number of active participants reported on line 7a of the Form 55002013-01-01437
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-01440
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01440
Number of participants with account balances2013-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2012 401k membership
Total participants, beginning-of-year2012-01-01588
Total number of active participants reported on line 7a of the Form 55002012-01-01559
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-01561
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01561
Number of participants with account balances2012-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2011 401k membership
Total participants, beginning-of-year2011-01-01419
Total number of active participants reported on line 7a of the Form 55002011-01-01587
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-01588
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01588
Number of participants with account balances2011-01-01124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL

Measure Date Value
2016 : AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-10-05$0
Total transfer of assets from this plan2016-10-05$635,687
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-05$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-05$0
Total income from all sources (including contributions)2016-10-05$96,353
Total loss/gain on sale of assets2016-10-05$0
Total of all expenses incurred2016-10-05$59,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-05$57,974
Expenses. Certain deemed distributions of participant loans2016-10-05$0
Value of total corrective distributions2016-10-05$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-05$67,613
Value of total assets at end of year2016-10-05$0
Value of total assets at beginning of year2016-10-05$598,617
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-05$1,309
Total interest from all sources2016-10-05$1,488
Total dividends received (eg from common stock, registered investment company shares)2016-10-05$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-05No
Total dividends received from registered investment company shares (eg mutual funds)2016-10-05$0
Administrative expenses professional fees incurred2016-10-05$0
Was this plan covered by a fidelity bond2016-10-05Yes
Value of fidelity bond cover2016-10-05$1,000,000
If this is an individual account plan, was there a blackout period2016-10-05No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-10-05$0
Funding deficiency by the employer to the plan for this plan year2016-10-05$0
Minimum employer required contribution for this plan year2016-10-05$0
Amount contributed by the employer to the plan for this plan year2016-10-05$0
Were there any nonexempt tranactions with any party-in-interest2016-10-05No
Contributions received from participants2016-10-05$49,394
Participant contributions at end of year2016-10-05$0
Participant contributions at beginning of year2016-10-05$10,756
Assets. Other investments not covered elsewhere at end of year2016-10-05$0
Assets. Other investments not covered elsewhere at beginning of year2016-10-05$0
Income. Received or receivable in cash from other sources (including rollovers)2016-10-05$-658
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-10-05$0
Other income not declared elsewhere2016-10-05$0
Administrative expenses (other) incurred2016-10-05$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-05No
Value of net income/loss2016-10-05$37,070
Value of net assets at end of year (total assets less liabilities)2016-10-05$0
Value of net assets at beginning of year (total assets less liabilities)2016-10-05$598,617
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-05No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-05No
Were any leases to which the plan was party in default or uncollectible2016-10-05No
Investment advisory and management fees2016-10-05$774
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-10-05$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-10-05$533,311
Value of interest in pooled separate accounts at end of year2016-10-05$0
Value of interest in pooled separate accounts at beginning of year2016-10-05$0
Interest on participant loans2016-10-05$379
Interest earned on other investments2016-10-05$1,109
Value of interest in common/collective trusts at end of year2016-10-05$0
Value of interest in common/collective trusts at beginning of year2016-10-05$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-10-05$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-10-05$54,550
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-05$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-10-05$0
Net investment gain/loss from pooled separate accounts2016-10-05$27,252
Net investment gain or loss from common/collective trusts2016-10-05$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-05No
Was there a failure to transmit to the plan any participant contributions2016-10-05Yes
Has the plan failed to provide any benefit when due under the plan2016-10-05No
Assets. Invements in employer securities at end of year2016-10-05$0
Assets. Invements in employer securities at beginning of year2016-10-05$0
Contributions received in cash from employer2016-10-05$18,877
Income. Dividends from common stock2016-10-05$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-05$57,974
Contract administrator fees2016-10-05$535
Did the plan have assets held for investment2016-10-05No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-05No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-05No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-05Yes
Opinion of an independent qualified public accountant for this plan2016-10-05Disclaimer
Accountancy firm name2016-10-05KIRSCHNER, HUTTON, PERLIN, P.C.
Accountancy firm EIN2016-10-05382308034
2015 : AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$60,457
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$92,431
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$89,558
Expenses. Certain deemed distributions of participant loans2015-12-31$0
Value of total corrective distributions2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$56,838
Value of total assets at end of year2015-12-31$598,617
Value of total assets at beginning of year2015-12-31$630,591
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,873
Total interest from all sources2015-12-31$2,293
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$0
Administrative expenses professional fees incurred2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
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$56,780
Participant contributions at end of year2015-12-31$10,756
Participant contributions at beginning of year2015-12-31$14,758
Assets. Other investments not covered elsewhere at end of year2015-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$58
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
Other income not declared elsewhere2015-12-31$0
Administrative expenses (other) incurred2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-31,974
Value of net assets at end of year (total assets less liabilities)2015-12-31$598,617
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$630,591
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$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$533,311
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$0
Value of interest in pooled separate accounts at end of year2015-12-31$0
Value of interest in pooled separate accounts at beginning of year2015-12-31$554,940
Interest on participant loans2015-12-31$515
Interest earned on other investments2015-12-31$1,778
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest in common/collective trusts at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$54,550
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$60,893
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-398
Net investment gain/loss from pooled separate accounts2015-12-31$1,724
Net investment gain or loss from common/collective trusts2015-12-31$0
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$0
Assets. Invements in employer securities at beginning of year2015-12-31$0
Contributions received in cash from employer2015-12-31$0
Income. Dividends from common stock2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$89,558
Contract administrator fees2015-12-31$2,873
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 name2015-12-31KIRSCHNER, HUTTON, AND PERLIN, P.C
Accountancy firm EIN2015-12-31382308034
2014 : AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets from this plan2014-12-31$103,189
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$94,557
Total loss/gain on sale of assets2014-12-31$15,445
Total of all expenses incurred2014-12-31$43,179
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$37,961
Expenses. Certain deemed distributions of participant loans2014-12-31$1,078
Value of total corrective distributions2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$52,034
Value of total assets at end of year2014-12-31$630,592
Value of total assets at beginning of year2014-12-31$682,403
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$4,140
Total interest from all sources2014-12-31$2,310
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,009
Administrative expenses professional fees incurred2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$44,328
Participant contributions at end of year2014-12-31$14,758
Participant contributions at beginning of year2014-12-31$15,810
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$7,415
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Administrative expenses (other) incurred2014-12-31$15
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$51,378
Value of net assets at end of year (total assets less liabilities)2014-12-31$630,592
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$682,403
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
Investment advisory and management fees2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$20,303
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$73,872
Value of interest in pooled separate accounts at end of year2014-12-31$534,638
Value of interest in pooled separate accounts at beginning of year2014-12-31$513,104
Interest on participant loans2014-12-31$456
Interest earned on other investments2014-12-31$1,854
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$60,893
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$79,617
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-10,421
Net investment gain/loss from pooled separate accounts2014-12-31$34,180
Net investment gain or loss from common/collective trusts2014-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Assets. Invements in employer securities at end of year2014-12-31$0
Assets. Invements in employer securities at beginning of year2014-12-31$0
Contributions received in cash from employer2014-12-31$291
Income. Dividends from common stock2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$37,961
Contract administrator fees2014-12-31$4,125
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
Aggregate proceeds on sale of assets2014-12-31$78,991
Aggregate carrying amount (costs) on sale of assets2014-12-31$63,546
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31KIRSCHNER, HUTTON, PERLIN PC
Accountancy firm EIN2014-12-31382308034
2013 : AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-4
Total unrealized appreciation/depreciation of assets2013-12-31$-4
Total transfer of assets to this plan2013-12-31$12,663
Total transfer of assets from this plan2013-12-31$27,293
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$178,874
Total loss/gain on sale of assets2013-12-31$589
Total of all expenses incurred2013-12-31$87,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$79,956
Expenses. Certain deemed distributions of participant loans2013-12-31$2,653
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$67,219
Value of total assets at end of year2013-12-31$682,403
Value of total assets at beginning of year2013-12-31$605,212
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$4,444
Total interest from all sources2013-12-31$3,161
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$2,514
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$2,514
Administrative expenses professional fees incurred2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
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$67,219
Participant contributions at end of year2013-12-31$15,810
Participant contributions at beginning of year2013-12-31$7,198
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Other income not declared elsewhere2013-12-31$0
Administrative expenses (other) incurred2013-12-31$15
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$91,821
Value of net assets at end of year (total assets less liabilities)2013-12-31$682,403
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$605,212
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
Investment advisory and management fees2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$73,872
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$58,540
Value of interest in pooled separate accounts at end of year2013-12-31$513,104
Value of interest in pooled separate accounts at beginning of year2013-12-31$416,273
Interest on participant loans2013-12-31$465
Interest earned on other investments2013-12-31$2,696
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$79,617
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$123,201
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$13,444
Net investment gain/loss from pooled separate accounts2013-12-31$91,951
Net investment gain or loss from common/collective trusts2013-12-31$0
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 contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Assets. Invements in employer securities at end of year2013-12-31$0
Assets. Invements in employer securities at beginning of year2013-12-31$0
Contributions received in cash from employer2013-12-31$0
Income. Dividends from common stock2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$79,956
Contract administrator fees2013-12-31$4,429
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
Aggregate proceeds on sale of assets2013-12-31$3,680
Aggregate carrying amount (costs) on sale of assets2013-12-31$3,091
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 name2013-12-31KIRSCHNER, HUTTON, PERLIN, PC
Accountancy firm EIN2013-12-31382308034
2012 : AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets to this plan2012-12-31$32
Total transfer of assets from this plan2012-12-31$9,192
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$130,422
Total loss/gain on sale of assets2012-12-31$270
Total of all expenses incurred2012-12-31$45,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$44,272
Expenses. Certain deemed distributions of participant loans2012-12-31$0
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$66,119
Value of total assets at end of year2012-12-31$605,212
Value of total assets at beginning of year2012-12-31$529,705
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,483
Total interest from all sources2012-12-31$3,666
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,276
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,276
Administrative expenses professional fees incurred2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
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$65,319
Participant contributions at end of year2012-12-31$7,198
Participant contributions at beginning of year2012-12-31$33,898
Assets. Other investments not covered elsewhere at end of year2012-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$800
Administrative expenses (other) incurred2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$84,667
Value of net assets at end of year (total assets less liabilities)2012-12-31$605,212
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$529,705
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
Investment advisory and management fees2012-12-31$658
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$58,540
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$27,474
Value of interest in pooled separate accounts at end of year2012-12-31$416,273
Value of interest in pooled separate accounts at beginning of year2012-12-31$401,270
Interest on participant loans2012-12-31$900
Interest earned on other investments2012-12-31$2,766
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest in common/collective trusts at beginning of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$123,201
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$67,063
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,168
Net investment gain/loss from pooled separate accounts2012-12-31$57,923
Net investment gain or loss from common/collective trusts2012-12-31$0
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 contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Invements in employer securities at end of year2012-12-31$0
Assets. Invements in employer securities at beginning of year2012-12-31$0
Contributions received in cash from employer2012-12-31$0
Income. Dividends from common stock2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$44,272
Contract administrator fees2012-12-31$825
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
Aggregate proceeds on sale of assets2012-12-31$6,402
Aggregate carrying amount (costs) on sale of assets2012-12-31$6,132
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 name2012-12-31KIRSCHNER, HUTTON, PERLIN, PC
Accountancy firm EIN2012-12-31382308034
2011 : AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$12,382
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$52,618
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$73,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$71,029
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$58,446
Value of total assets at end of year2011-12-31$532,004
Value of total assets at beginning of year2011-12-31$540,327
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,294
Total interest from all sources2011-12-31$3,761
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
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
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$58,390
Participant contributions at end of year2011-12-31$33,898
Participant contributions at beginning of year2011-12-31$6,251
Participant contributions at end of year2011-12-31$2,299
Participant contributions at beginning of year2011-12-31$5,871
Assets. Other investments not covered elsewhere at end of year2011-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$56
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Other income not declared elsewhere2011-12-31$0
Administrative expenses (other) incurred2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-20,705
Value of net assets at end of year (total assets less liabilities)2011-12-31$532,004
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$540,327
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
Investment advisory and management fees2011-12-31$1,098
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$27,474
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$36,533
Value of interest in pooled separate accounts at end of year2011-12-31$401,270
Value of interest in pooled separate accounts at beginning of year2011-12-31$428,709
Interest on participant loans2011-12-31$738
Interest earned on other investments2011-12-31$3,023
Value of interest in common/collective trusts at end of year2011-12-31$0
Value of interest in common/collective trusts at beginning of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$67,063
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$62,963
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-2,606
Net investment gain/loss from pooled separate accounts2011-12-31$-6,983
Net investment gain or loss from common/collective trusts2011-12-31$0
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 contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$0
Assets. Invements in employer securities at beginning of year2011-12-31$0
Contributions received in cash from employer2011-12-31$0
Income. Dividends from common stock2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$71,029
Contract administrator fees2011-12-31$1,196
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 name2011-12-31KIRSCHNER HUTTON PERLIN, PC
Accountancy firm EIN2011-12-31382308034

Form 5500 Responses for AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL

2016: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 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: AMERICAN HOUSE MANAGEMENT SERVICES, INC. 401(K) PL 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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52093
Policy instance 1
Insurance contract or identification numberFL 52093
Number of Individuals Covered408
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52093
Policy instance 1
Insurance contract or identification numberFL 52093
Number of Individuals Covered424
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52093
Policy instance 1
Insurance contract or identification numberFL 52093
Number of Individuals Covered440
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,459
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,459
Insurance broker organization code?4
Insurance broker nameCANTELLA INS AGENCY INC
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52093
Policy instance 1
Insurance contract or identification numberFL 52093
Number of Individuals Covered561
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,957
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,957
Insurance broker organization code?4
Insurance broker nameCANTELLA INS AGENCY INC
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52093
Policy instance 1
Insurance contract or identification numberFL 52093
Number of Individuals Covered588
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,830
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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