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A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 401k Plan overview

Plan NameA GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN
Plan identification number 002

A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • Life insurance

401k Sponsoring company profile

A GENTLE DENTAL CENTER, P.A. has sponsored the creation of one or more 401k plans.

Company Name:A GENTLE DENTAL CENTER, P.A.
Employer identification number (EIN):410985735
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022018-07-01
0022017-07-01WILLIAM PUCEL WILLIAM PUCEL2018-09-05
0022016-07-01WILLIAM F. PUCEL WILLIAM F. PUCEL2017-11-07
0022015-07-01WILLIAM F. PUCEL WILLIAM F. PUCEL2017-01-10
0022014-07-01WILLIAM PUCEL WILLIAM PUCEL2015-11-19
0022013-07-01WILLIAM PUCEL WILLIAM PUCEL2014-08-25
0022012-07-01WILLIAM PUCEL WILLIAM PUCEL2013-11-21
0022011-07-01WILLIAM PUCEL WILLIAM PUCEL2013-02-18
0022009-07-01WILLIAM PUCEL WILLIAM PUCEL2011-01-27

Plan Statistics for A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN

401k plan membership statisitcs for A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN

Measure Date Value
2018: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-015
Total number of active participants reported on line 7a of the Form 55002018-07-011
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-011
Number of participants with account balances2018-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
2017: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-015
Total number of active participants reported on line 7a of the Form 55002017-07-015
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-015
Number of participants with account balances2017-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-016
Total number of active participants reported on line 7a of the Form 55002016-07-015
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-015
Number of participants with account balances2016-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-016
Total number of active participants reported on line 7a of the Form 55002015-07-016
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-016
Number of participants with account balances2015-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-016
Total number of active participants reported on line 7a of the Form 55002014-07-016
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-016
Number of participants with account balances2014-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-016
Total number of active participants reported on line 7a of the Form 55002013-07-016
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-016
Number of participants with account balances2013-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-016
Total number of active participants reported on line 7a of the Form 55002012-07-016
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-016
Number of participants with account balances2012-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-016
Total number of active participants reported on line 7a of the Form 55002011-07-016
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-016
Number of participants with account balances2011-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2009: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-016
Total number of active participants reported on line 7a of the Form 55002009-07-016
Total of all active and inactive participants2009-07-016
Total participants2009-07-016
Number of participants with account balances2009-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN

Measure Date Value
2019 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at beginning of year2019-06-30$0
Total income from all sources2019-06-30$93,858
Expenses. Total of all expenses incurred2019-06-30$58,000
Benefits paid (including direct rollovers)2019-06-30$58,000
Total plan assets at end of year2019-06-30$1,577,560
Total plan assets at beginning of year2019-06-30$1,541,702
Value of fidelity bond covering the plan2019-06-30$100,000,000
Total contributions received or receivable from participants2019-06-30$0
Expenses. Other expenses not covered elsewhere2019-06-30$0
Contributions received from other sources (not participants or employers)2019-06-30$0
Other income received2019-06-30$93,858
Net income (gross income less expenses)2019-06-30$35,858
Net plan assets at end of year (total assets less liabilities)2019-06-30$1,577,560
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$1,541,702
Total contributions received or receivable from employer(s)2019-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
2018 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year2018-06-30$0
Total plan liabilities at beginning of year2018-06-30$0
Total income from all sources2018-06-30$245,981
Expenses. Total of all expenses incurred2018-06-30$50,700
Benefits paid (including direct rollovers)2018-06-30$50,700
Total plan assets at end of year2018-06-30$1,541,702
Total plan assets at beginning of year2018-06-30$1,346,421
Value of fidelity bond covering the plan2018-06-30$100,000,000
Total contributions received or receivable from participants2018-06-30$0
Expenses. Other expenses not covered elsewhere2018-06-30$0
Contributions received from other sources (not participants or employers)2018-06-30$0
Other income received2018-06-30$245,981
Net income (gross income less expenses)2018-06-30$195,281
Net plan assets at end of year (total assets less liabilities)2018-06-30$1,541,702
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$1,346,421
Total contributions received or receivable from employer(s)2018-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
2017 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-06-30$133,721
Expenses. Total of all expenses incurred2017-06-30$45,000
Benefits paid (including direct rollovers)2017-06-30$45,000
Total plan assets at end of year2017-06-30$1,346,421
Total plan assets at beginning of year2017-06-30$1,257,700
Value of fidelity bond covering the plan2017-06-30$100,000,000
Total contributions received or receivable from participants2017-06-30$0
Expenses. Other expenses not covered elsewhere2017-06-30$0
Contributions received from other sources (not participants or employers)2017-06-30$0
Other income received2017-06-30$133,721
Net income (gross income less expenses)2017-06-30$88,721
Net plan assets at end of year (total assets less liabilities)2017-06-30$1,346,421
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$1,257,700
Total contributions received or receivable from employer(s)2017-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-06-30$0
2016 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-06-30$74,733
Expenses. Total of all expenses incurred2016-06-30$0
Total plan assets at end of year2016-06-30$1,257,700
Total plan assets at beginning of year2016-06-30$1,182,967
Value of fidelity bond covering the plan2016-06-30$100,000,000
Total contributions received or receivable from participants2016-06-30$0
Expenses. Other expenses not covered elsewhere2016-06-30$0
Contributions received from other sources (not participants or employers)2016-06-30$0
Other income received2016-06-30$74,733
Net income (gross income less expenses)2016-06-30$74,733
Net plan assets at end of year (total assets less liabilities)2016-06-30$1,257,700
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$1,182,967
Total contributions received or receivable from employer(s)2016-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$0
2015 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-06-30$7,684
Expenses. Total of all expenses incurred2015-06-30$0
Total plan assets at end of year2015-06-30$1,182,967
Total plan assets at beginning of year2015-06-30$1,175,283
Value of fidelity bond covering the plan2015-06-30$120,000
Total contributions received or receivable from participants2015-06-30$0
Expenses. Other expenses not covered elsewhere2015-06-30$0
Other income received2015-06-30$7,684
Net income (gross income less expenses)2015-06-30$7,684
Net plan assets at end of year (total assets less liabilities)2015-06-30$1,182,967
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$1,175,283
Total contributions received or receivable from employer(s)2015-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$0
2014 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-06-30$156,506
Expenses. Total of all expenses incurred2014-06-30$0
Total plan assets at end of year2014-06-30$1,175,283
Total plan assets at beginning of year2014-06-30$1,018,777
Value of fidelity bond covering the plan2014-06-30$120,000
Other income received2014-06-30$156,506
Net income (gross income less expenses)2014-06-30$156,506
Net plan assets at end of year (total assets less liabilities)2014-06-30$1,175,283
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$1,018,777
2013 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-06-30$0
Total plan liabilities at beginning of year2013-06-30$0
Total income from all sources2013-06-30$146,875
Expenses. Total of all expenses incurred2013-06-30$0
Total plan assets at end of year2013-06-30$1,018,777
Total plan assets at beginning of year2013-06-30$871,902
Value of fidelity bond covering the plan2013-06-30$100,000
Other income received2013-06-30$146,875
Net income (gross income less expenses)2013-06-30$146,875
Net plan assets at end of year (total assets less liabilities)2013-06-30$1,018,777
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$871,902
2012 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-06-30$0
Total plan liabilities at beginning of year2012-06-30$0
Total income from all sources2012-06-30$28,278
Expenses. Total of all expenses incurred2012-06-30$0
Total plan assets at end of year2012-06-30$871,902
Total plan assets at beginning of year2012-06-30$843,624
Value of fidelity bond covering the plan2012-06-30$100,000
Other income received2012-06-30$28,278
Net income (gross income less expenses)2012-06-30$28,278
Net plan assets at end of year (total assets less liabilities)2012-06-30$871,902
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$843,624
2011 : A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year2011-06-30$0
Total plan liabilities at beginning of year2011-06-30$0
Total income from all sources2011-06-30$145,295
Expenses. Total of all expenses incurred2011-06-30$0
Total plan assets at end of year2011-06-30$843,624
Total plan assets at beginning of year2011-06-30$698,329
Value of fidelity bond covering the plan2011-06-30$100,000
Other income received2011-06-30$145,295
Net income (gross income less expenses)2011-06-30$145,295
Net plan assets at end of year (total assets less liabilities)2011-06-30$843,624
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$698,329

Form 5500 Responses for A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN

2018: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: A GENTLE DENTAL CENTER, P.A. PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number9560-9561
Policy instance 1
Insurance contract or identification number9560-9561
Number of Individuals Covered1
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $64
Are there contracts with allocated funds for individual policies?1
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees64
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?4
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number9560-9561
Policy instance 1
Insurance contract or identification number9560-9561
Number of Individuals Covered1
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $64
Are there contracts with allocated funds for individual policies?1
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees64
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?4
Insurance broker nameMCNELLIS AND ASATO, LTD.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number9560-9561
Policy instance 1
Insurance contract or identification number9560-9561
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $64
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees64
Insurance broker organization code?4
Insurance broker nameMCNELLIS AND ASATO, LTD.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number9560-9561
Policy instance 1
Insurance contract or identification number9560-9561
Number of Individuals Covered1
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $64
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Amount paid for insurance broker fees64
Insurance broker organization code?4
Insurance broker nameMCNELLIS AND ASATO, LTD.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number9560-9561
Policy instance 1
Insurance contract or identification number9560-9561
Number of Individuals Covered1
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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?Yes
Life Insurance Welfare BenefitYes
Insurance broker organization code?3
Insurance broker nameMCNELLIS AND ASATO, LTD.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number9560-9561
Policy instance 1
Insurance contract or identification number9560-9561
Number of Individuals Covered1
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $97
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees97
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameMCNELLIS AND ASATO, LTD.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number9560-9561
Policy instance 1
Insurance contract or identification number9560-9561
Number of Individuals Covered1
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $32
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number9560-9561
Policy instance 1
Insurance contract or identification number9560-9561
Number of Individuals Covered1
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $64
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes

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