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SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameSUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN
Plan identification number 002

SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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)).
  • Life insurance

401k Sponsoring company profile

SUMMIT ORTHOPEDICS, LTD. has sponsored the creation of one or more 401k plans.

Company Name:SUMMIT ORTHOPEDICS, LTD.
Employer identification number (EIN):411762331
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01KAREN GUSTAFSON
0022016-01-01KAREN GUSTAFSON
0022015-01-01JEFF HOOD
0022014-01-01GINA RENS
0022013-01-01JACQUELINE MUNSON
0022012-01-01JACQUELINE MUNSON JACQUELINE MUNSON2013-10-07
0022011-01-01JACQUELINE MUNSON JACQUELINE MUNSON2012-10-12
0022009-01-01JACQUELINE MUNSON JACQUELINE MUNSON2010-10-11

Plan Statistics for SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,182
Total number of active participants reported on line 7a of the Form 55002022-01-011,070
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01298
Total of all active and inactive participants2022-01-011,368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-011,369
Number of participants with account balances2022-01-011,340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01167
2021: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,074
Total number of active participants reported on line 7a of the Form 55002021-01-01908
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01273
Total of all active and inactive participants2021-01-011,181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
Total participants2021-01-011,182
Number of participants with account balances2021-01-011,160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-01132
2020: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,093
Total number of active participants reported on line 7a of the Form 55002020-01-01819
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01254
Total of all active and inactive participants2020-01-011,073
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-011,074
Number of participants with account balances2020-01-011,052
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-01141
2019: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,069
Total number of active participants reported on line 7a of the Form 55002019-01-01892
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01200
Total of all active and inactive participants2019-01-011,092
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-011,093
Number of participants with account balances2019-01-011,074
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-01145
2018: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,005
Total number of active participants reported on line 7a of the Form 55002018-01-01891
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01177
Total of all active and inactive participants2018-01-011,068
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-011,069
Number of participants with account balances2018-01-011,042
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-01141
2017: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01887
Total number of active participants reported on line 7a of the Form 55002017-01-01874
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01131
Total of all active and inactive participants2017-01-011,005
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,005
Number of participants with account balances2017-01-01973
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-01118
2016: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01558
Total number of active participants reported on line 7a of the Form 55002016-01-01789
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0198
Total of all active and inactive participants2016-01-01887
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01887
Number of participants with account balances2016-01-01858
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0184
2015: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01715
Total number of active participants reported on line 7a of the Form 55002015-01-01482
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0176
Total of all active and inactive participants2015-01-01558
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01558
Number of participants with account balances2015-01-01542
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0121
2014: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01478
Total number of active participants reported on line 7a of the Form 55002014-01-01617
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0198
Total of all active and inactive participants2014-01-01715
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01715
Number of participants with account balances2014-01-01511
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0124
2013: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01396
Total number of active participants reported on line 7a of the Form 55002013-01-01409
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0169
Total of all active and inactive participants2013-01-01478
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01478
Number of participants with account balances2013-01-01461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0130
2012: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01408
Total number of active participants reported on line 7a of the Form 55002012-01-01339
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-0154
Total of all active and inactive participants2012-01-01396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01396
Number of participants with account balances2012-01-01384
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0123
2011: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01442
Total number of active participants reported on line 7a of the Form 55002011-01-01329
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0159
Total of all active and inactive participants2011-01-01388
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01388
Number of participants with account balances2011-01-01386
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0120
2009: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01342
Total number of active participants reported on line 7a of the Form 55002009-01-01300
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0171
Total of all active and inactive participants2009-01-01371
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01371
Number of participants with account balances2009-01-01371
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0111

Financial Data on SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-5,785,750
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$3,576,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,395,892
Value of total corrective distributions2022-12-31$5,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$12,882,906
Value of total assets at end of year2022-12-31$108,665,086
Value of total assets at beginning of year2022-12-31$118,027,259
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$175,365
Total interest from all sources2022-12-31$21,355
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$213,028
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$213,028
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$7,162,385
Participant contributions at end of year2022-12-31$444,585
Participant contributions at beginning of year2022-12-31$467,145
Assets. Other investments not covered elsewhere at end of year2022-12-31$9,394,501
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$11,054,778
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$914,550
Other income not declared elsewhere2022-12-31$-2,324,222
Administrative expenses (other) incurred2022-12-31$94,221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-9,362,173
Value of net assets at end of year (total assets less liabilities)2022-12-31$108,665,086
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$118,027,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$81,144
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$8,533,125
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$8,852,727
Interest on participant loans2022-12-31$21,355
Value of interest in common/collective trusts at end of year2022-12-31$87,012,485
Value of interest in common/collective trusts at beginning of year2022-12-31$94,780,678
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$291,698
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$279,410
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,933,546
Net investment gain or loss from common/collective trusts2022-12-31$-14,645,271
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,805,971
Employer contributions (assets) at end of year2022-12-31$2,988,692
Employer contributions (assets) at beginning of year2022-12-31$2,592,521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,395,892
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31WIPFLI
Accountancy firm EIN2022-12-31390758449
2021 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$23,911,929
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$6,726,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$6,497,158
Expenses. Certain deemed distributions of participant loans2021-12-31$2,584
Value of total corrective distributions2021-12-31$11,515
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$11,156,637
Value of total assets at end of year2021-12-31$118,027,259
Value of total assets at beginning of year2021-12-31$100,841,432
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$214,845
Total interest from all sources2021-12-31$24,597
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$490,560
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$490,560
Administrative expenses professional fees incurred2021-12-31$9,600
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$6,018,808
Participant contributions at end of year2021-12-31$467,145
Participant contributions at beginning of year2021-12-31$625,583
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$78,366
Assets. Other investments not covered elsewhere at end of year2021-12-31$11,054,778
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$9,356,403
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$936,767
Other income not declared elsewhere2021-12-31$1,314,397
Administrative expenses (other) incurred2021-12-31$118,535
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$17,185,827
Value of net assets at end of year (total assets less liabilities)2021-12-31$118,027,259
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$100,841,432
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$86,710
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$8,852,727
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$8,181,628
Interest on participant loans2021-12-31$24,597
Value of interest in common/collective trusts at end of year2021-12-31$94,780,678
Value of interest in common/collective trusts at beginning of year2021-12-31$80,037,512
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$279,410
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$267,565
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$470,274
Net investment gain or loss from common/collective trusts2021-12-31$10,455,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$4,201,062
Employer contributions (assets) at end of year2021-12-31$2,592,521
Employer contributions (assets) at beginning of year2021-12-31$2,294,075
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$6,497,158
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31WIPFLI
Accountancy firm EIN2021-12-31390758449
2020 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$21,294,561
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$8,083,627
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$7,896,198
Value of total corrective distributions2020-12-31$344
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$8,344,083
Value of total assets at end of year2020-12-31$100,841,432
Value of total assets at beginning of year2020-12-31$87,630,498
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$187,085
Total interest from all sources2020-12-31$32,315
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$121,440
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$121,440
Administrative expenses professional fees incurred2020-12-31$9,500
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$4,838,006
Participant contributions at end of year2020-12-31$625,583
Participant contributions at beginning of year2020-12-31$745,517
Participant contributions at end of year2020-12-31$78,366
Participant contributions at beginning of year2020-12-31$0
Assets. Other investments not covered elsewhere at end of year2020-12-31$9,356,403
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$7,531,458
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$111,537
Other income not declared elsewhere2020-12-31$1,591,121
Administrative expenses (other) incurred2020-12-31$105,338
Total non interest bearing cash at end of year2020-12-31$300
Total non interest bearing cash at beginning of year2020-12-31$300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$13,210,934
Value of net assets at end of year (total assets less liabilities)2020-12-31$100,841,432
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$87,630,498
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$72,247
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$8,181,628
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$6,772,242
Interest on participant loans2020-12-31$32,315
Value of interest in common/collective trusts at end of year2020-12-31$80,037,512
Value of interest in common/collective trusts at beginning of year2020-12-31$70,022,573
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$267,565
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$254,710
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$975,347
Net investment gain or loss from common/collective trusts2020-12-31$10,230,255
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,394,540
Employer contributions (assets) at end of year2020-12-31$2,294,075
Employer contributions (assets) at beginning of year2020-12-31$2,303,698
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$7,896,198
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31WIPFLI
Accountancy firm EIN2020-12-31390758449
2019 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$25,500,367
Total income from all sources (including contributions)2019-12-31$25,500,367
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$10,626,470
Total of all expenses incurred2019-12-31$10,626,470
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$10,452,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$10,452,257
Expenses. Certain deemed distributions of participant loans2019-12-31$2,584
Expenses. Certain deemed distributions of participant loans2019-12-31$2,584
Value of total corrective distributions2019-12-31$590
Value of total corrective distributions2019-12-31$590
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$11,037,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$11,037,092
Value of total assets at end of year2019-12-31$87,630,498
Value of total assets at end of year2019-12-31$87,630,498
Value of total assets at beginning of year2019-12-31$72,756,601
Value of total assets at beginning of year2019-12-31$72,756,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$171,039
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$171,039
Total interest from all sources2019-12-31$40,476
Total interest from all sources2019-12-31$40,476
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$195,156
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$195,156
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$195,156
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$195,156
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$5,448,066
Contributions received from participants2019-12-31$5,448,066
Participant contributions at end of year2019-12-31$745,517
Participant contributions at end of year2019-12-31$745,517
Participant contributions at beginning of year2019-12-31$748,952
Participant contributions at beginning of year2019-12-31$748,952
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$42,932
Participant contributions at beginning of year2019-12-31$42,932
Assets. Other investments not covered elsewhere at end of year2019-12-31$7,531,458
Assets. Other investments not covered elsewhere at end of year2019-12-31$7,531,458
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$7,570,679
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$7,570,679
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,604,925
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,604,925
Other income not declared elsewhere2019-12-31$1,495,862
Other income not declared elsewhere2019-12-31$1,495,862
Administrative expenses (other) incurred2019-12-31$77,647
Administrative expenses (other) incurred2019-12-31$77,647
Total non interest bearing cash at end of year2019-12-31$300
Total non interest bearing cash at beginning of year2019-12-31$316
Total non interest bearing cash at beginning of year2019-12-31$316
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$14,873,897
Value of net income/loss2019-12-31$14,873,897
Value of net assets at end of year (total assets less liabilities)2019-12-31$87,630,498
Value of net assets at end of year (total assets less liabilities)2019-12-31$87,630,498
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$72,756,601
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$72,756,601
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$93,392
Investment advisory and management fees2019-12-31$93,392
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$6,772,242
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$6,772,242
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,610,887
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,610,887
Interest on participant loans2019-12-31$40,476
Interest on participant loans2019-12-31$40,476
Value of interest in common/collective trusts at end of year2019-12-31$70,022,573
Value of interest in common/collective trusts at end of year2019-12-31$70,022,573
Value of interest in common/collective trusts at beginning of year2019-12-31$57,035,416
Value of interest in common/collective trusts at beginning of year2019-12-31$57,035,416
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$254,710
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$254,710
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$412,843
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$412,843
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$7,470
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$7,470
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$935,017
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$935,017
Net investment gain or loss from common/collective trusts2019-12-31$11,796,764
Net investment gain or loss from common/collective trusts2019-12-31$11,796,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,984,101
Contributions received in cash from employer2019-12-31$3,984,101
Employer contributions (assets) at end of year2019-12-31$2,303,698
Employer contributions (assets) at end of year2019-12-31$2,303,698
Employer contributions (assets) at beginning of year2019-12-31$2,334,576
Employer contributions (assets) at beginning of year2019-12-31$2,334,576
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$10,444,787
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$10,444,787
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31WIPFLI
Accountancy firm name2019-12-31WIPFLI
Accountancy firm EIN2019-12-31390758449
Accountancy firm EIN2019-12-31390758449
2018 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$6,135,603
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$9,731,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$9,560,374
Value of total corrective distributions2018-12-31$4,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$9,734,169
Value of total assets at end of year2018-12-31$72,756,601
Value of total assets at beginning of year2018-12-31$76,352,996
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$167,112
Total interest from all sources2018-12-31$32,634
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$268,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$268,812
Administrative expenses professional fees incurred2018-12-31$9,500
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$5,208,408
Participant contributions at end of year2018-12-31$748,952
Participant contributions at beginning of year2018-12-31$640,925
Participant contributions at end of year2018-12-31$42,932
Participant contributions at beginning of year2018-12-31$0
Assets. Other investments not covered elsewhere at end of year2018-12-31$7,570,679
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$7,210,569
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$469,912
Other income not declared elsewhere2018-12-31$412,543
Total non interest bearing cash at end of year2018-12-31$316
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,596,395
Value of net assets at end of year (total assets less liabilities)2018-12-31$72,756,601
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$76,352,996
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$157,612
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$4,610,887
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$8,445,444
Interest on participant loans2018-12-31$32,634
Value of interest in common/collective trusts at end of year2018-12-31$57,035,416
Value of interest in common/collective trusts at beginning of year2018-12-31$57,886,337
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$300
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$300
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$412,843
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$7,635
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,041,373
Net investment gain or loss from common/collective trusts2018-12-31$-3,271,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$4,055,849
Employer contributions (assets) at end of year2018-12-31$2,334,576
Employer contributions (assets) at beginning of year2018-12-31$2,169,421
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$9,552,739
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WIPFLI
Accountancy firm EIN2018-12-31390758449
2017 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$38,315
Total income from all sources (including contributions)2017-12-31$18,943,909
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$5,378,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,270,961
Value of total corrective distributions2017-12-31$2,059
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$9,989,099
Value of total assets at end of year2017-12-31$76,352,996
Value of total assets at beginning of year2017-12-31$62,826,322
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$105,900
Total interest from all sources2017-12-31$31,485
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$161,656
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$161,656
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$4,737,927
Participant contributions at end of year2017-12-31$640,925
Participant contributions at beginning of year2017-12-31$192,794
Assets. Other investments not covered elsewhere at end of year2017-12-31$7,210,569
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$5,157,034
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,453,649
Other income not declared elsewhere2017-12-31$757,491
Administrative expenses (other) incurred2017-12-31$100,659
Liabilities. Value of operating payables at end of year2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$38,315
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$13,564,989
Value of net assets at end of year (total assets less liabilities)2017-12-31$76,352,996
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$62,788,007
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$5,241
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$8,445,444
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$4,364,272
Interest on participant loans2017-12-31$18,338
Income. Interest from US Government securities2017-12-31$13,147
Value of interest in common/collective trusts at end of year2017-12-31$57,886,337
Value of interest in common/collective trusts at beginning of year2017-12-31$50,968,252
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$300
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$9,989
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$9,989
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$12,344
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,017,255
Net investment gain or loss from common/collective trusts2017-12-31$6,986,923
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$3,797,523
Employer contributions (assets) at end of year2017-12-31$2,169,421
Employer contributions (assets) at beginning of year2017-12-31$2,133,981
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,258,617
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WIPFLI
Accountancy firm EIN2017-12-31390758449
2016 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$454,244
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$38,315
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$10,805,731
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$6,151,492
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,010,761
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$8,428,212
Value of total assets at end of year2016-12-31$62,826,322
Value of total assets at beginning of year2016-12-31$57,679,524
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$140,731
Total interest from all sources2016-12-31$3,302
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$76,502
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$76,502
Administrative expenses professional fees incurred2016-12-31$13,647
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$3,805,135
Participant contributions at end of year2016-12-31$192,794
Participant contributions at beginning of year2016-12-31$0
Assets. Other investments not covered elsewhere at end of year2016-12-31$5,157,034
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$4,364,548
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,396,192
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$478,448
Other income not declared elsewhere2016-12-31$289,435
Administrative expenses (other) incurred2016-12-31$73,471
Liabilities. Value of operating payables at end of year2016-12-31$38,315
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$4,654,239
Value of net assets at end of year (total assets less liabilities)2016-12-31$62,788,007
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$57,679,524
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$53,613
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$4,364,272
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$45,492,379
Interest earned on other investments2016-12-31$3,302
Value of interest in common/collective trusts at end of year2016-12-31$50,968,252
Value of interest in common/collective trusts at beginning of year2016-12-31$4,676,364
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$9,989
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$300
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$300
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$12,192
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$2,082,246
Net investment gain or loss from common/collective trusts2016-12-31$-73,966
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$3,226,885
Employer contributions (assets) at end of year2016-12-31$2,133,981
Employer contributions (assets) at beginning of year2016-12-31$2,667,485
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,998,569
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749
2015 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$897,895
Total transfer of assets from this plan2015-12-31$15,898
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$4,622,873
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,941,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,841,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,846,197
Value of total assets at end of year2015-12-31$57,679,524
Value of total assets at beginning of year2015-12-31$54,115,808
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$100,052
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$2,846,667
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$2,846,667
Administrative expenses professional fees incurred2015-12-31$22,031
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,159,446
Assets. Other investments not covered elsewhere at end of year2015-12-31$4,364,548
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$2,748,513
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$19,266
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$478,448
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$-146,594
Administrative expenses (other) incurred2015-12-31$9,953
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$2,681,719
Value of net assets at end of year (total assets less liabilities)2015-12-31$57,679,524
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$54,115,808
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$68,068
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$45,492,379
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$44,262,677
Value of interest in common/collective trusts at end of year2015-12-31$4,676,364
Value of interest in common/collective trusts at beginning of year2015-12-31$4,629,477
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$300
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,417
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$13,435
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-3,084,572
Net investment gain or loss from common/collective trusts2015-12-31$161,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,667,485
Employer contributions (assets) at end of year2015-12-31$2,667,485
Employer contributions (assets) at beginning of year2015-12-31$2,472,724
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,827,667
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2015-12-31410746749
2014 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$325,349
Total transfer of assets from this plan2014-12-31$101,844
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$7,265,869
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$3,371,332
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,291,466
Value of total corrective distributions2014-12-31$17,817
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,390,763
Value of total assets at end of year2014-12-31$54,115,808
Value of total assets at beginning of year2014-12-31$49,997,766
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$62,049
Total interest from all sources2014-12-31$2,596
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$3,343,805
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$3,343,805
Administrative expenses professional fees incurred2014-12-31$9,345
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$168,403
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,808,366
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$4,300
Assets. Other investments not covered elsewhere at end of year2014-12-31$2,748,513
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$107,548
Other income not declared elsewhere2014-12-31$253,807
Administrative expenses (other) incurred2014-12-31$949
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$3,894,537
Value of net assets at end of year (total assets less liabilities)2014-12-31$54,115,808
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$49,997,766
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$51,755
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$44,262,677
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$34,588,534
Interest on participant loans2014-12-31$179
Value of interest in common/collective trusts at end of year2014-12-31$4,629,477
Value of interest in common/collective trusts at beginning of year2014-12-31$3,780,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,417
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$8,720,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$8,720,579
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$2,417
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$19,415
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-951,334
Net investment gain or loss from common/collective trusts2014-12-31$226,232
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,474,849
Employer contributions (assets) at end of year2014-12-31$2,472,724
Employer contributions (assets) at beginning of year2014-12-31$2,251,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,272,051
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$469,067
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31Yes
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$14,557
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2014-12-31410746749
2013 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-68,338
Total unrealized appreciation/depreciation of assets2013-12-31$-68,338
Total transfer of assets to this plan2013-12-31$224,473
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$11,457,597
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$2,131,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,118,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,922,048
Value of total assets at end of year2013-12-31$49,997,766
Value of total assets at beginning of year2013-12-31$40,447,199
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$12,869
Total interest from all sources2013-12-31$26,651
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$2,077,628
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$2,067,230
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$168,403
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$105,820
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,580,145
Participant contributions at end of year2013-12-31$4,300
Participant contributions at beginning of year2013-12-31$10,093
Assets. Other investments not covered elsewhere at end of year2013-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$318,585
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$90,027
Other income not declared elsewhere2013-12-31$204,366
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$9,326,094
Value of net assets at end of year (total assets less liabilities)2013-12-31$49,997,766
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$40,447,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$34,588,534
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$32,384,090
Interest on participant loans2013-12-31$211
Income. Interest from corporate debt instruments2013-12-31$25,974
Value of interest in common/collective trusts at end of year2013-12-31$3,780,450
Value of interest in common/collective trusts at beginning of year2013-12-31$3,836,443
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$8,720,579
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$113,194
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$113,194
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$466
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$15,808
Asset value of US Government securities at end of year2013-12-31$0
Asset value of US Government securities at beginning of year2013-12-31$286,520
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$5,134,325
Net investment gain or loss from common/collective trusts2013-12-31$160,917
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,251,876
Employer contributions (assets) at end of year2013-12-31$2,251,876
Employer contributions (assets) at beginning of year2013-12-31$2,128,557
Income. Dividends from preferred stock2013-12-31$10,250
Income. Dividends from common stock2013-12-31$148
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,102,826
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$469,067
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$247,107
Contract administrator fees2013-12-31$12,869
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$14,557
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,016,790
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2013-12-31410746749
2012 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets to this plan2012-12-31$73,659
Total transfer of assets from this plan2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$7,581,262
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,808,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,767,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$3,719,276
Value of total assets at end of year2012-12-31$40,447,199
Value of total assets at beginning of year2012-12-31$34,601,160
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$41,044
Total income from rents2012-12-31$0
Total interest from all sources2012-12-31$22,844
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$547,427
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$522,805
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$105,820
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$98,641
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,375,314
Participant contributions at end of year2012-12-31$10,093
Participant contributions at beginning of year2012-12-31$14,873
Assets. Other investments not covered elsewhere at end of year2012-12-31$318,585
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$428,225
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$215,405
Other income not declared elsewhere2012-12-31$81,726
Administrative expenses (other) incurred2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$5,772,380
Value of net assets at end of year (total assets less liabilities)2012-12-31$40,447,199
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$34,601,160
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$41,044
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$32,384,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$26,921,940
Interest on participant loans2012-12-31$749
Interest earned on other investments2012-12-31$2,016
Income. Interest from US Government securities2012-12-31$7,860
Income. Interest from corporate debt instruments2012-12-31$9,805
Value of interest in common/collective trusts at end of year2012-12-31$3,836,443
Value of interest in common/collective trusts at beginning of year2012-12-31$3,861,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$113,194
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$88,729
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$88,729
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$2,414
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$15,864
Asset value of US Government securities at end of year2012-12-31$286,520
Asset value of US Government securities at beginning of year2012-12-31$284,845
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$2,866,257
Net investment gain or loss from common/collective trusts2012-12-31$343,732
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,128,557
Employer contributions (assets) at end of year2012-12-31$2,128,557
Employer contributions (assets) at beginning of year2012-12-31$1,958,152
Income. Dividends from preferred stock2012-12-31$7,427
Income. Dividends from common stock2012-12-31$17,195
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,751,974
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$247,107
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$175,669
Contract administrator fees2012-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,016,790
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$768,854
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31LURIE BESIKOF LAPIDUS & CO., LLP
Accountancy firm EIN2012-12-31410721734
2011 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$67,213
Total income from all sources (including contributions)2011-12-31$3,021,170
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$3,687,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,649,431
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$3,386,404
Value of total assets at end of year2011-12-31$34,601,160
Value of total assets at beginning of year2011-12-31$35,335,014
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$38,380
Total interest from all sources2011-12-31$10,631
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$826,102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$803,510
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$98,641
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$108,459
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,247,020
Participant contributions at end of year2011-12-31$14,873
Participant contributions at beginning of year2011-12-31$19,601
Assets. Other investments not covered elsewhere at end of year2011-12-31$428,225
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$175,702
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$67,213
Other income not declared elsewhere2011-12-31$-83,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-666,641
Value of net assets at end of year (total assets less liabilities)2011-12-31$34,601,160
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$35,267,801
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$26,921,940
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$28,178,790
Interest on participant loans2011-12-31$801
Income. Interest from loans (other than to participants)2011-12-31$0
Interest earned on other investments2011-12-31$700
Income. Interest from US Government securities2011-12-31$6,332
Income. Interest from corporate debt instruments2011-12-31$1,355
Value of interest in common/collective trusts at end of year2011-12-31$3,861,232
Value of interest in common/collective trusts at beginning of year2011-12-31$3,372,144
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$88,729
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$374,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$374,980
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$1,443
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$7,470
Asset value of US Government securities at end of year2011-12-31$284,845
Asset value of US Government securities at beginning of year2011-12-31$209,221
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,209,908
Net investment gain or loss from common/collective trusts2011-12-31$91,075
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,963,682
Employer contributions (assets) at end of year2011-12-31$1,958,152
Employer contributions (assets) at beginning of year2011-12-31$2,087,168
Income. Dividends from preferred stock2011-12-31$7,890
Income. Dividends from common stock2011-12-31$14,702
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,641,961
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$175,669
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$131,871
Contract administrator fees2011-12-31$38,380
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$768,854
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$852,780
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31LURIE BESIKOF LAPIDUS & CO., LLP
Accountancy firm EIN2011-12-31410721734
2010 : SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$130,547
Total unrealized appreciation/depreciation of assets2010-12-31$130,547
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$67,213
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$14,361,864
Total loss/gain on sale of assets2010-12-31$8,933
Total of all expenses incurred2010-12-31$1,651,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,627,625
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$11,568,220
Value of total assets at end of year2010-12-31$35,335,014
Value of total assets at beginning of year2010-12-31$22,557,685
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$24,123
Total interest from all sources2010-12-31$21,028
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$29,634
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$7,891
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$108,459
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$99,613
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,158,342
Participant contributions at end of year2010-12-31$19,601
Participant contributions at beginning of year2010-12-31$24,116
Participant contributions at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$8,317,182
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$67,213
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$12,710,116
Value of net assets at end of year (total assets less liabilities)2010-12-31$35,267,801
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$22,557,685
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$28,178,790
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$18,857,926
Interest on participant loans2010-12-31$1,014
Interest earned on other investments2010-12-31$9,670
Income. Interest from US Government securities2010-12-31$5,313
Income. Interest from corporate debt instruments2010-12-31$4,991
Value of interest in common/collective trusts at end of year2010-12-31$3,372,144
Value of interest in common/collective trusts at beginning of year2010-12-31$248,678
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$374,980
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$319,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$319,184
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$40
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$16,470
Asset value of US Government securities at end of year2010-12-31$209,221
Asset value of US Government securities at beginning of year2010-12-31$168,102
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$2,516,247
Net investment gain or loss from common/collective trusts2010-12-31$87,255
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$2,092,696
Employer contributions (assets) at end of year2010-12-31$2,087,168
Employer contributions (assets) at beginning of year2010-12-31$1,961,178
Income. Dividends from common stock2010-12-31$21,743
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,611,155
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$131,871
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$145,678
Contract administrator fees2010-12-31$24,123
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$852,780
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$733,210
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$722,315
Aggregate carrying amount (costs) on sale of assets2010-12-31$713,382
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31LURIE BESIKOF LAPIDUS & CO., LLP
Accountancy firm EIN2010-12-31410721734

Form 5500 Responses for SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN

2022: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: SUMMIT ORTHOPEDICS, LTD. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Are there contracts with allocated funds for individual policies?1
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Are there contracts with allocated funds for individual policies?1
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Are there contracts with allocated funds for individual policies?1
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Are there contracts with allocated funds for individual policies?1
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Are there contracts with allocated funds for individual policies?1
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?No
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number10120
Policy instance 2
Insurance contract or identification number10120
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?1
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?No
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number10120
Policy instance 2
Insurance contract or identification number10120
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?1
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Are there contracts with allocated funds for individual policies?1
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Are there contracts with allocated funds for individual policies?Yes
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?No
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number16375690
Policy instance 2
Insurance contract or identification number16375690
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?Yes
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?No
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number10120
Policy instance 3
Insurance contract or identification number10120
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?Yes
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?No
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number16375690
Policy instance 2
Insurance contract or identification number16375690
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?Yes
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Are there contracts with allocated funds for individual policies?Yes
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?No
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number10120
Policy instance 3
Insurance contract or identification number10120
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?Yes
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?No
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number10120
Policy instance 3
Insurance contract or identification number10120
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?Yes
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number42908
Policy instance 1
Insurance contract or identification number42908
Number of Individuals Covered1
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Are there contracts with allocated funds for individual policies?Yes
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?No
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number16375690
Policy instance 2
Insurance contract or identification number16375690
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?Yes
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?No
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number1637569/171127
Policy instance 2
Insurance contract or identification number1637569/171127
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number14128438
Policy instance 1
Insurance contract or identification number14128438
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number0480730
Policy instance 3
Insurance contract or identification number0480730
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number1637569/171127
Policy instance 2
Insurance contract or identification number1637569/171127
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number0480730
Policy instance 1
Insurance contract or identification number0480730
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number14128438
Policy instance 3
Insurance contract or identification number14128438
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number14128438
Policy instance 3
Insurance contract or identification number14128438
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberS1453821
Policy instance 4
Insurance contract or identification numberS1453821
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number4890730
Policy instance 1
Insurance contract or identification number4890730
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number1637569/171127
Policy instance 2
Insurance contract or identification number1637569/171127
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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

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