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M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 401k Plan overview

Plan NameM.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST
Plan identification number 001

M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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.
  • 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.

401k Sponsoring company profile

M.L. BAXLEY PAINTING AND DECORATING INC. has sponsored the creation of one or more 401k plans.

Company Name:M.L. BAXLEY PAINTING AND DECORATING INC.
Employer identification number (EIN):411279522
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01JULIE DAVEY2023-10-10 JULIE DAVEY2023-10-10
0012021-07-01JULIE DAVEY2022-09-26 JULIE DAVEY2022-09-26
0012020-07-01JULIE DAVEY2021-10-21 JULIE DAVEY2021-10-21
0012019-07-01JULIE DAVEY2020-09-14 JULIE DAVEY2020-09-14
0012018-07-01JULIE DAVEY2019-11-21
0012017-07-01
0012016-07-01MAXINE BAXLEY
0012015-07-01MAXINE BAXLEY
0012014-07-01MAXINE BAXLEY
0012013-07-01MAXINE BAXLEY
0012012-07-01MAXINE BAXLEY
0012011-07-01MAXINE BAXLEY
0012009-07-01MAXINE BAXLEY

Plan Statistics for M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST

401k plan membership statisitcs for M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST

Measure Date Value
2017: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-07-0120
Total number of active participants reported on line 7a of the Form 55002017-07-0117
Number of retired or separated participants receiving benefits2017-07-011
Number of other retired or separated participants entitled to future benefits2017-07-012
Total of all active and inactive participants2017-07-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-0120
Number of participants with account balances2017-07-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-07-0124
Total number of active participants reported on line 7a of the Form 55002016-07-0119
Number of retired or separated participants receiving benefits2016-07-011
Number of other retired or separated participants entitled to future benefits2016-07-012
Total of all active and inactive participants2016-07-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-0122
Number of participants with account balances2016-07-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-0130
Total number of active participants reported on line 7a of the Form 55002015-07-0119
Number of retired or separated participants receiving benefits2015-07-011
Number of other retired or separated participants entitled to future benefits2015-07-012
Total of all active and inactive participants2015-07-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0122
Number of participants with account balances2015-07-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-0134
Total number of active participants reported on line 7a of the Form 55002014-07-0131
Number of retired or separated participants receiving benefits2014-07-011
Number of other retired or separated participants entitled to future benefits2014-07-012
Total of all active and inactive participants2014-07-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0134
Number of participants with account balances2014-07-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-0126
Total number of active participants reported on line 7a of the Form 55002013-07-0124
Number of retired or separated participants receiving benefits2013-07-011
Number of other retired or separated participants entitled to future benefits2013-07-012
Total of all active and inactive participants2013-07-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-0127
Number of participants with account balances2013-07-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-0126
Total number of active participants reported on line 7a of the Form 55002012-07-0123
Number of retired or separated participants receiving benefits2012-07-011
Number of other retired or separated participants entitled to future benefits2012-07-012
Total of all active and inactive participants2012-07-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-0126
Number of participants with account balances2012-07-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-0131
Total number of active participants reported on line 7a of the Form 55002011-07-0118
Number of retired or separated participants receiving benefits2011-07-012
Number of other retired or separated participants entitled to future benefits2011-07-013
Total of all active and inactive participants2011-07-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-0123
Number of participants with account balances2011-07-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2009: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-0134
Total number of active participants reported on line 7a of the Form 55002009-07-0126
Number of retired or separated participants receiving benefits2009-07-012
Number of other retired or separated participants entitled to future benefits2009-07-012
Total of all active and inactive participants2009-07-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-0130
Number of participants with account balances2009-07-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-011

Financial Data on M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST

Measure Date Value
2018 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2018 401k financial data
Total income from all sources2018-06-30$43,850
Expenses. Total of all expenses incurred2018-06-30$5,608
Benefits paid (including direct rollovers)2018-06-30$1,081
Total plan assets at end of year2018-06-30$818,607
Total plan assets at beginning of year2018-06-30$780,365
Value of fidelity bond covering the plan2018-06-30$100,000
Total contributions received or receivable from participants2018-06-30$12,158
Other income received2018-06-30$31,692
Net income (gross income less expenses)2018-06-30$38,242
Net plan assets at end of year (total assets less liabilities)2018-06-30$818,607
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$780,365
Assets. Value of participant loans2018-06-30$28,255
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$4,527
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
2017 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2017 401k financial data
Total income from all sources2017-06-30$65,374
Expenses. Total of all expenses incurred2017-06-30$6,441
Total plan assets at end of year2017-06-30$780,365
Total plan assets at beginning of year2017-06-30$721,432
Value of fidelity bond covering the plan2017-06-30$100,000
Total contributions received or receivable from participants2017-06-30$9,984
Other income received2017-06-30$55,390
Net income (gross income less expenses)2017-06-30$58,933
Net plan assets at end of year (total assets less liabilities)2017-06-30$780,365
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$721,432
Assets. Value of participant loans2017-06-30$32,310
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$6,441
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-06-30$0
2016 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2016 401k financial data
Total income from all sources2016-06-30$6,839
Expenses. Total of all expenses incurred2016-06-30$21,228
Benefits paid (including direct rollovers)2016-06-30$14,225
Total plan assets at end of year2016-06-30$721,432
Total plan assets at beginning of year2016-06-30$735,821
Value of fidelity bond covering the plan2016-06-30$100,000
Total contributions received or receivable from participants2016-06-30$11,653
Other income received2016-06-30$-4,814
Net income (gross income less expenses)2016-06-30$-14,389
Net plan assets at end of year (total assets less liabilities)2016-06-30$721,432
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$735,821
Assets. Value of participant loans2016-06-30$9,788
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$7,003
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
2015 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2015 401k financial data
Total plan liabilities at beginning of year2015-06-30$0
Total income from all sources2015-06-30$14,858
Expenses. Total of all expenses incurred2015-06-30$67,872
Benefits paid (including direct rollovers)2015-06-30$59,858
Total plan assets at end of year2015-06-30$735,821
Total plan assets at beginning of year2015-06-30$788,835
Value of fidelity bond covering the plan2015-06-30$100,000
Total contributions received or receivable from participants2015-06-30$10,266
Other income received2015-06-30$4,592
Net income (gross income less expenses)2015-06-30$-53,014
Net plan assets at end of year (total assets less liabilities)2015-06-30$735,821
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$788,835
Assets. Value of participant loans2015-06-30$646
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$8,014
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
2014 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2014 401k financial data
Total plan liabilities at end of year2014-06-30$0
Total plan liabilities at beginning of year2014-06-30$0
Total income from all sources2014-06-30$94,228
Expenses. Total of all expenses incurred2014-06-30$7,963
Total plan assets at end of year2014-06-30$788,835
Total plan assets at beginning of year2014-06-30$702,570
Value of fidelity bond covering the plan2014-06-30$100,000
Total contributions received or receivable from participants2014-06-30$9,780
Other income received2014-06-30$84,448
Net income (gross income less expenses)2014-06-30$86,265
Net plan assets at end of year (total assets less liabilities)2014-06-30$788,835
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$702,570
Assets. Value of participant loans2014-06-30$2,583
Value of corrective distributions2014-06-30$796
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$7,167
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
2013 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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$60,979
Expenses. Total of all expenses incurred2013-06-30$45,997
Benefits paid (including direct rollovers)2013-06-30$37,496
Total plan assets at end of year2013-06-30$702,570
Total plan assets at beginning of year2013-06-30$687,588
Value of fidelity bond covering the plan2013-06-30$100,000
Total contributions received or receivable from participants2013-06-30$9,734
Other income received2013-06-30$51,245
Net income (gross income less expenses)2013-06-30$14,982
Net plan assets at end of year (total assets less liabilities)2013-06-30$702,570
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$687,588
Assets. Value of participant loans2013-06-30$4,725
Value of corrective distributions2013-06-30$659
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$7,842
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
2012 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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$3,643
Expenses. Total of all expenses incurred2012-06-30$75,039
Benefits paid (including direct rollovers)2012-06-30$69,391
Total plan assets at end of year2012-06-30$687,588
Total plan assets at beginning of year2012-06-30$758,984
Value of fidelity bond covering the plan2012-06-30$100,000
Total contributions received or receivable from participants2012-06-30$9,199
Other income received2012-06-30$-5,556
Net income (gross income less expenses)2012-06-30$-71,396
Net plan assets at end of year (total assets less liabilities)2012-06-30$687,588
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$758,984
Assets. Value of participant loans2012-06-30$6,701
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$5,648
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
2011 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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$104,597
Expenses. Total of all expenses incurred2011-06-30$7,284
Benefits paid (including direct rollovers)2011-06-30$1,698
Total plan assets at end of year2011-06-30$758,984
Total plan assets at beginning of year2011-06-30$661,671
Value of fidelity bond covering the plan2011-06-30$100,000
Total contributions received or receivable from participants2011-06-30$9,261
Other income received2011-06-30$95,336
Net income (gross income less expenses)2011-06-30$97,313
Net plan assets at end of year (total assets less liabilities)2011-06-30$758,984
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$661,671
Assets. Value of participant loans2011-06-30$8,632
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$5,586
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
2010 : M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST

2017: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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 – TrustYes
2011-07-01Plan benefit arrangement - TrustYes
2009: M.L. BAXLEY PAINTING AND DECORATING, INC. PROFIT SHARING 401(K) PLAN AND TRUST 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 – TrustYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number601074-000
Policy instance 1
Insurance contract or identification number601074-000
Number of Individuals Covered12
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $3,900
Total amount of fees paid to insurance companyUSD $392
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 $1,326
Insurance broker organization code?3
Amount paid for insurance broker fees392
Additional information about fees paid to insurance brokerTPA
Insurance broker nameDS&B, LTD
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number601074-000
Policy instance 1
Insurance contract or identification number601074-000
Number of Individuals Covered11
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $3,572
Total amount of fees paid to insurance companyUSD $431
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 $1,214
Insurance broker organization code?3
Amount paid for insurance broker fees431
Additional information about fees paid to insurance brokerTPA
Insurance broker nameDS&B, LTD
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number601074-000
Policy instance 1
Insurance contract or identification number601074-000
Number of Individuals Covered13
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $3,747
Total amount of fees paid to insurance companyUSD $378
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 $1,274
Insurance broker organization code?3
Amount paid for insurance broker fees378
Additional information about fees paid to insurance brokerTPA
Insurance broker nameDS&B, LTD
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number601074-000
Policy instance 1
Insurance contract or identification number601074-000
Number of Individuals Covered13
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $3,115
Total amount of fees paid to insurance companyUSD $393
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 $1,059
Insurance broker organization code?3
Amount paid for insurance broker fees393
Additional information about fees paid to insurance brokerTPA
Insurance broker nameDS&B, LTD
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number601074-000
Policy instance 1
Insurance contract or identification number601074-000
Number of Individuals Covered12
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $3,544
Total amount of fees paid to insurance companyUSD $2,013
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 $3,544
Insurance broker organization code?3
Amount paid for insurance broker fees2013
Additional information about fees paid to insurance brokerTPA
Insurance broker nameDS&B, LTD

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