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DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 401k Plan overview

Plan NameDRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN
Plan identification number 002

DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K PLAN has sponsored the creation of one or more 401k plans.

Company Name:DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K PLAN
Employer identification number (EIN):391198906
NAIC Classification:621320
NAIC Description:Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022019-04-01
0022018-04-01
0022017-04-01FRED SHAFRIN
0022016-04-01FRED SHAFRIN
0022015-04-01FRED SHAFRIN
0022014-04-01FRED SHAFRIN
0022013-04-01FRED SHAFRIN
0022012-04-01FRED SHAFRIN
0022011-04-01FRED SHAFRIN
0022010-04-01FRED SHAFRIN
0022009-04-01FRED SHAFRIN

Plan Statistics for DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN

401k plan membership statisitcs for DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN

Measure Date Value
2019: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-0110
Total number of active participants reported on line 7a of the Form 55002019-04-010
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-04-010
Total participants2019-04-010
Number of participants with account balances2019-04-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-04-010
2018: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-0110
Total number of active participants reported on line 7a of the Form 55002018-04-019
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-011
Total of all active and inactive participants2018-04-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-04-010
Total participants2018-04-0110
Number of participants with account balances2018-04-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-04-010
2017: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-0112
Total number of active participants reported on line 7a of the Form 55002017-04-018
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-014
Total of all active and inactive participants2017-04-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-0112
Number of participants with account balances2017-04-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-04-010
2016: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-0112
Total number of active participants reported on line 7a of the Form 55002016-04-017
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-015
Total of all active and inactive participants2016-04-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-0112
Number of participants with account balances2016-04-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-0114
Total number of active participants reported on line 7a of the Form 55002015-04-017
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-015
Total of all active and inactive participants2015-04-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-0112
Number of participants with account balances2015-04-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010
2014: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-0112
Total number of active participants reported on line 7a of the Form 55002014-04-018
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-016
Total of all active and inactive participants2014-04-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-010
Total participants2014-04-0114
Number of participants with account balances2014-04-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-010
2013: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-0111
Total number of active participants reported on line 7a of the Form 55002013-04-018
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-014
Total of all active and inactive participants2013-04-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-0112
Number of participants with account balances2013-04-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-010
2012: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-0115
Total number of active participants reported on line 7a of the Form 55002012-04-019
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-012
Total of all active and inactive participants2012-04-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-0111
Number of participants with account balances2012-04-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-010
2011: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-0116
Total number of active participants reported on line 7a of the Form 55002011-04-018
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-017
Total of all active and inactive participants2011-04-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-0115
Number of participants with account balances2011-04-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
2010: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-0112
Total number of active participants reported on line 7a of the Form 55002010-04-0111
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-015
Total of all active and inactive participants2010-04-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-04-010
Total participants2010-04-0116
Number of participants with account balances2010-04-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-04-010
2009: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-0116
Total number of active participants reported on line 7a of the Form 55002009-04-019
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-013
Total of all active and inactive participants2009-04-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-0112
Number of participants with account balances2009-04-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Financial Data on DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN

Measure Date Value
2020 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2020 401k financial data
Total income from all sources2020-03-31$756,466
Expenses. Total of all expenses incurred2020-03-31$12,047,364
Benefits paid (including direct rollovers)2020-03-31$12,018,532
Total plan assets at end of year2020-03-31$0
Total plan assets at beginning of year2020-03-31$11,290,898
Value of fidelity bond covering the plan2020-03-31$500,000
Total contributions received or receivable from participants2020-03-31$31,151
Other income received2020-03-31$712,267
Net income (gross income less expenses)2020-03-31$-11,290,898
Net plan assets at end of year (total assets less liabilities)2020-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-03-31$11,290,898
Total contributions received or receivable from employer(s)2020-03-31$13,048
Expenses. Administrative service providers (salaries,fees and commissions)2020-03-31$28,832
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-03-31$0
2019 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2019 401k financial data
Total income from all sources2019-03-31$600,037
Expenses. Total of all expenses incurred2019-03-31$226,805
Benefits paid (including direct rollovers)2019-03-31$171,509
Total plan assets at end of year2019-03-31$11,290,898
Total plan assets at beginning of year2019-03-31$10,917,666
Value of fidelity bond covering the plan2019-03-31$500,000
Total contributions received or receivable from participants2019-03-31$58,140
Expenses. Other expenses not covered elsewhere2019-03-31$0
Contributions received from other sources (not participants or employers)2019-03-31$0
Other income received2019-03-31$449,916
Noncash contributions received2019-03-31$0
Net income (gross income less expenses)2019-03-31$373,232
Net plan assets at end of year (total assets less liabilities)2019-03-31$11,290,898
Net plan assets at beginning of year (total assets less liabilities)2019-03-31$10,917,666
Total contributions received or receivable from employer(s)2019-03-31$91,981
Value of certain deemed distributions of participant loans2019-03-31$0
Value of corrective distributions2019-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-03-31$55,296
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-03-31$0
2018 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2018 401k financial data
Total income from all sources2018-03-31$1,007,079
Expenses. Total of all expenses incurred2018-03-31$308,939
Benefits paid (including direct rollovers)2018-03-31$233,700
Total plan assets at end of year2018-03-31$10,917,666
Total plan assets at beginning of year2018-03-31$10,219,526
Value of fidelity bond covering the plan2018-03-31$500,000
Total contributions received or receivable from participants2018-03-31$57,478
Expenses. Other expenses not covered elsewhere2018-03-31$0
Contributions received from other sources (not participants or employers)2018-03-31$0
Other income received2018-03-31$859,737
Noncash contributions received2018-03-31$0
Net income (gross income less expenses)2018-03-31$698,140
Net plan assets at end of year (total assets less liabilities)2018-03-31$10,917,666
Net plan assets at beginning of year (total assets less liabilities)2018-03-31$10,219,526
Total contributions received or receivable from employer(s)2018-03-31$89,864
Value of certain deemed distributions of participant loans2018-03-31$0
Value of corrective distributions2018-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-03-31$75,239
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-03-31$0
2017 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-03-31$1,551,099
Expenses. Total of all expenses incurred2017-03-31$331,650
Benefits paid (including direct rollovers)2017-03-31$283,465
Total plan assets at end of year2017-03-31$10,219,526
Total plan assets at beginning of year2017-03-31$9,000,077
Value of fidelity bond covering the plan2017-03-31$500,000
Total contributions received or receivable from participants2017-03-31$56,845
Other income received2017-03-31$1,409,210
Net income (gross income less expenses)2017-03-31$1,219,449
Net plan assets at end of year (total assets less liabilities)2017-03-31$10,219,526
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$9,000,077
Assets. Value of participant loans2017-03-31$0
Total contributions received or receivable from employer(s)2017-03-31$85,044
Expenses. Administrative service providers (salaries,fees and commissions)2017-03-31$48,185
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-03-31$0
2016 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-03-31$-155,116
Expenses. Total of all expenses incurred2016-03-31$186,665
Benefits paid (including direct rollovers)2016-03-31$147,797
Total plan assets at end of year2016-03-31$9,000,077
Total plan assets at beginning of year2016-03-31$9,341,858
Value of fidelity bond covering the plan2016-03-31$500,000
Total contributions received or receivable from participants2016-03-31$57,892
Other income received2016-03-31$-294,259
Net income (gross income less expenses)2016-03-31$-341,781
Net plan assets at end of year (total assets less liabilities)2016-03-31$9,000,077
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$9,341,858
Assets. Value of participant loans2016-03-31$877
Total contributions received or receivable from employer(s)2016-03-31$81,251
Expenses. Administrative service providers (salaries,fees and commissions)2016-03-31$38,868
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-31$0
2015 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2015 401k financial data
Total income from all sources2015-03-31$843,072
Expenses. Total of all expenses incurred2015-03-31$181,660
Benefits paid (including direct rollovers)2015-03-31$150,000
Total plan assets at end of year2015-03-31$9,341,858
Total plan assets at beginning of year2015-03-31$8,680,446
Value of fidelity bond covering the plan2015-03-31$500,000
Total contributions received or receivable from participants2015-03-31$55,894
Other income received2015-03-31$700,296
Net income (gross income less expenses)2015-03-31$661,412
Net plan assets at end of year (total assets less liabilities)2015-03-31$9,341,858
Net plan assets at beginning of year (total assets less liabilities)2015-03-31$8,680,446
Assets. Value of participant loans2015-03-31$2,941
Total contributions received or receivable from employer(s)2015-03-31$86,882
Expenses. Administrative service providers (salaries,fees and commissions)2015-03-31$31,660
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
2014 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2014 401k financial data
Total income from all sources2014-03-31$1,520,529
Expenses. Total of all expenses incurred2014-03-31$507,180
Benefits paid (including direct rollovers)2014-03-31$478,158
Total plan assets at end of year2014-03-31$8,680,446
Total plan assets at beginning of year2014-03-31$7,667,097
Value of fidelity bond covering the plan2014-03-31$500,000
Total contributions received or receivable from participants2014-03-31$56,854
Other income received2014-03-31$1,381,914
Net income (gross income less expenses)2014-03-31$1,013,349
Net plan assets at end of year (total assets less liabilities)2014-03-31$8,680,446
Net plan assets at beginning of year (total assets less liabilities)2014-03-31$7,667,097
Assets. Value of participant loans2014-03-31$6,717
Total contributions received or receivable from employer(s)2014-03-31$81,761
Expenses. Administrative service providers (salaries,fees and commissions)2014-03-31$29,022
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
2013 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2013 401k financial data
Total income from all sources2013-03-31$913,666
Expenses. Total of all expenses incurred2013-03-31$159,786
Benefits paid (including direct rollovers)2013-03-31$132,009
Total plan assets at end of year2013-03-31$7,667,097
Total plan assets at beginning of year2013-03-31$6,913,217
Value of fidelity bond covering the plan2013-03-31$500,000
Total contributions received or receivable from participants2013-03-31$54,027
Other income received2013-03-31$776,826
Net income (gross income less expenses)2013-03-31$753,880
Net plan assets at end of year (total assets less liabilities)2013-03-31$7,667,097
Net plan assets at beginning of year (total assets less liabilities)2013-03-31$6,913,217
Assets. Value of participant loans2013-03-31$10,465
Total contributions received or receivable from employer(s)2013-03-31$82,813
Expenses. Administrative service providers (salaries,fees and commissions)2013-03-31$27,777
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
2012 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-03-31$404,427
Expenses. Total of all expenses incurred2012-03-31$25,736
Benefits paid (including direct rollovers)2012-03-31$2,109
Total plan assets at end of year2012-03-31$6,913,217
Total plan assets at beginning of year2012-03-31$6,534,526
Value of fidelity bond covering the plan2012-03-31$500,000
Total contributions received or receivable from participants2012-03-31$53,292
Other income received2012-03-31$268,587
Net income (gross income less expenses)2012-03-31$378,691
Net plan assets at end of year (total assets less liabilities)2012-03-31$6,913,217
Net plan assets at beginning of year (total assets less liabilities)2012-03-31$6,534,526
Assets. Value of participant loans2012-03-31$14,257
Total contributions received or receivable from employer(s)2012-03-31$82,548
Expenses. Administrative service providers (salaries,fees and commissions)2012-03-31$23,627
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0
2011 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2011 401k financial data
Total income from all sources2011-03-31$1,029,775
Expenses. Total of all expenses incurred2011-03-31$20,575
Total plan assets at end of year2011-03-31$6,534,526
Total plan assets at beginning of year2011-03-31$5,525,326
Value of fidelity bond covering the plan2011-03-31$500,000
Total contributions received or receivable from participants2011-03-31$53,208
Contributions received from other sources (not participants or employers)2011-03-31$11,753
Other income received2011-03-31$885,875
Net income (gross income less expenses)2011-03-31$1,009,200
Net plan assets at end of year (total assets less liabilities)2011-03-31$6,534,526
Net plan assets at beginning of year (total assets less liabilities)2011-03-31$5,525,326
Assets. Value of participant loans2011-03-31$17,669
Total contributions received or receivable from employer(s)2011-03-31$78,939
Expenses. Administrative service providers (salaries,fees and commissions)2011-03-31$20,575
2010 : DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-03-31$0

Form 5500 Responses for DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN

2019: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingYes
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2010: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan funding arrangement – TrustYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement - TrustYes
2009: DRS. FABRIC, SHAFRIN AND BLOOM, S.C. 401K SAVINGS PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number670894
Policy instance 1
Insurance contract or identification number670894
Number of Individuals Covered0
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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?Yes
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number670894
Policy instance 1
Insurance contract or identification number670894
Number of Individuals Covered10
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $886
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $886
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?7
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number670894
Policy instance 1
Insurance contract or identification number670894
Number of Individuals Covered9
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $813
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $813
Insurance broker organization code?7
Insurance broker nameERIC ELIAS
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91670894
Policy instance 1
Insurance contract or identification number91670894
Number of Individuals Covered12
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $901
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 $901
Insurance broker organization code?7
Insurance broker nameERIC ELIAS
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91670894
Policy instance 1
Insurance contract or identification number91670894
Number of Individuals Covered11
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $840
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 $840
Insurance broker organization code?7
Insurance broker nameERIC ELIAS
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91670894
Policy instance 1
Insurance contract or identification number91670894
Number of Individuals Covered12
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $729
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 $729
Insurance broker organization code?7
Insurance broker nameERIC ELIAS
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91670894
Policy instance 1
Insurance contract or identification number91670894
Number of Individuals Covered8
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $613
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 $613
Insurance broker organization code?7
Insurance broker nameERIC ELIAS
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91670894
Policy instance 1
Insurance contract or identification number91670894
Number of Individuals Covered12
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $549
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91670894
Policy instance 1
Insurance contract or identification number91670894
Number of Individuals Covered13
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $574
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 $574
Insurance broker organization code?7
Insurance broker nameERIC ELIAS

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