401k Plan data: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN plan

COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 401k Plan overview

Plan Name	COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN
Plan identification number	001

COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

COLLEGE HILL OBGYN, PA has sponsored the creation of one or more 401k plans.

Company Name: COLLEGE HILL OBGYN, PA

Employer identification number (EIN): 481160169

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01
001 2022-01-01
001 2021-01-01 ANNA STORK-FURY, D.O. 2022-07-27
001 2020-01-01 ANNA STORK-FURY, D.O. 2021-07-07
001 2019-01-01 ANNA STORK-FURY, D.O. 2020-10-02
001 2018-01-01 ANNA STORK-FURY, D.O.
001 2017-01-01 ANNA STORK-FURY
001 2016-01-01 MICHAEL P. BROWN, M.D.
001 2015-01-01 MICHAEL P. BROWN, M.D.
001 2014-01-01 MICHAEL P. BROWN, M.D.
001 2013-01-01 MICHAEL P. BROWN, M.D.
001 2012-01-01 MICHAEL P. BROWN, M.D.
001 2011-01-01 MICHAEL P. BROWN, M.D.
001 2009-01-01 MICHAEL P. BROWN, M.D. MICHAEL P. BROWN, M.D. 2010-09-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01
001	2022-01-01
001	2021-01-01	ANNA STORK-FURY, D.O.	2022-07-27
001	2020-01-01	ANNA STORK-FURY, D.O.	2021-07-07
001	2019-01-01	ANNA STORK-FURY, D.O.	2020-10-02
001	2018-01-01	ANNA STORK-FURY, D.O.
001	2017-01-01	ANNA STORK-FURY
001	2016-01-01	MICHAEL P. BROWN, M.D.
001	2015-01-01	MICHAEL P. BROWN, M.D.
001	2014-01-01	MICHAEL P. BROWN, M.D.
001	2013-01-01	MICHAEL P. BROWN, M.D.
001	2012-01-01	MICHAEL P. BROWN, M.D.
001	2011-01-01	MICHAEL P. BROWN, M.D.
001	2009-01-01	MICHAEL P. BROWN, M.D.		MICHAEL P. BROWN, M.D.	2010-09-13

Financial Data on COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN

Measure	Date	Value
2025 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2025 401k financial data
Total expenses incurred by plan in this plan year	2025-07-12	61466
Net assets as of the end of the plan year	2025-07-12	5262988
Total assets as of the beginning of the plan year	2025-07-12	4107110
Value of plan covered by a fidelity bond	2025-07-12	500000
Participant contributions to plan in this plan year	2025-07-12	211536
Other income to plan in this plan year	2025-07-12	630156
Plan net income in this plan year	2025-07-12	1155878
Net assets as of the end of the plan year	2025-07-12	5262988
Net assets as of the beginning of the plan year	2025-07-12	4107110
Employer contributions to plan in this plan year	2025-07-12	375652
Expensese paid to adminstrative service provicers from plan in this plan year	2025-07-12	41138
2024 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2024 401k financial data
Total expenses incurred by plan in this plan year	2024-07-25	56334
Net assets as of the end of the plan year	2024-07-25	4107110
Total assets as of the beginning of the plan year	2024-07-25	3152607
Value of plan covered by a fidelity bond	2024-07-25	500000
Participant contributions to plan in this plan year	2024-07-25	187264
Other income to plan in this plan year	2024-07-25	481414
Plan net income in this plan year	2024-07-25	954503
Net assets as of the end of the plan year	2024-07-25	4107110
Net assets as of the beginning of the plan year	2024-07-25	3152607
Employer contributions to plan in this plan year	2024-07-25	342159
Expensese paid to adminstrative service provicers from plan in this plan year	2024-07-25	33545
2021 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$685,983
Expenses. Total of all expenses incurred	2021-12-31	$1,815,589
Benefits paid (including direct rollovers)	2021-12-31	$1,786,474
Total plan assets at end of year	2021-12-31	$3,213,400
Total plan assets at beginning of year	2021-12-31	$4,343,006
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$147,046
Other income received	2021-12-31	$304,117
Net income (gross income less expenses)	2021-12-31	$-1,129,606
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$3,213,400
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$4,343,006
Total contributions received or receivable from employer(s)	2021-12-31	$234,820
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$29,115
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$771,789
Expenses. Total of all expenses incurred	2020-12-31	$117,015
Benefits paid (including direct rollovers)	2020-12-31	$96,410
Total plan assets at end of year	2020-12-31	$4,343,006
Total plan assets at beginning of year	2020-12-31	$3,688,232
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$136,889
Contributions received from other sources (not participants or employers)	2020-12-31	$95,312
Other income received	2020-12-31	$325,331
Net income (gross income less expenses)	2020-12-31	$654,774
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$4,343,006
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$3,688,232
Total contributions received or receivable from employer(s)	2020-12-31	$214,257
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$20,605
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$827,434
Expenses. Total of all expenses incurred	2019-12-31	$98,892
Benefits paid (including direct rollovers)	2019-12-31	$82,968
Total plan assets at end of year	2019-12-31	$3,688,232
Total plan assets at beginning of year	2019-12-31	$2,959,690
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$99,129
Contributions received from other sources (not participants or employers)	2019-12-31	$174,311
Other income received	2019-12-31	$553,994
Net income (gross income less expenses)	2019-12-31	$728,542
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$3,688,232
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,959,690
Total contributions received or receivable from employer(s)	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$15,924
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$62,734
Expenses. Total of all expenses incurred	2018-12-31	$130,932
Benefits paid (including direct rollovers)	2018-12-31	$112,941
Total plan assets at end of year	2018-12-31	$2,959,690
Total plan assets at beginning of year	2018-12-31	$3,027,888
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$70,940
Expenses. Other expenses not covered elsewhere	2018-12-31	$17,991
Other income received	2018-12-31	$-188,842
Net income (gross income less expenses)	2018-12-31	$-68,198
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,959,690
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,027,888
Total contributions received or receivable from employer(s)	2018-12-31	$180,636
2017 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$497,314
Expenses. Total of all expenses incurred	2017-12-31	$1,273,967
Benefits paid (including direct rollovers)	2017-12-31	$1,257,996
Total plan assets at end of year	2017-12-31	$3,027,888
Total plan assets at beginning of year	2017-12-31	$3,804,541
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$80,829
Other income received	2017-12-31	$179,980
Net income (gross income less expenses)	2017-12-31	$-776,653
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,027,888
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$3,804,541
Total contributions received or receivable from employer(s)	2017-12-31	$236,505
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$15,971
2016 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$517,742
Expenses. Total of all expenses incurred	2016-12-31	$45,136
Benefits paid (including direct rollovers)	2016-12-31	$45,136
Total plan assets at end of year	2016-12-31	$3,804,541
Total plan assets at beginning of year	2016-12-31	$3,331,935
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$77,371
Contributions received from other sources (not participants or employers)	2016-12-31	$40,292
Other income received	2016-12-31	$170,805
Net income (gross income less expenses)	2016-12-31	$472,606
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$3,804,541
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$3,331,935
Total contributions received or receivable from employer(s)	2016-12-31	$229,274
2015 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$138,186
Expenses. Total of all expenses incurred	2015-12-31	$665,744
Benefits paid (including direct rollovers)	2015-12-31	$665,744
Total plan assets at end of year	2015-12-31	$3,331,935
Total plan assets at beginning of year	2015-12-31	$3,859,493
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$68,290
Other income received	2015-12-31	$-155,603
Net income (gross income less expenses)	2015-12-31	$-527,558
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$3,331,935
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$3,859,493
Total contributions received or receivable from employer(s)	2015-12-31	$225,499
2014 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$456,766
Expenses. Total of all expenses incurred	2014-12-31	$29,158
Benefits paid (including direct rollovers)	2014-12-31	$29,158
Total plan assets at end of year	2014-12-31	$3,859,493
Total plan assets at beginning of year	2014-12-31	$3,431,885
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$60,725
Other income received	2014-12-31	$161,881
Net income (gross income less expenses)	2014-12-31	$427,608
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$3,859,493
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,431,885
Total contributions received or receivable from employer(s)	2014-12-31	$234,160
2013 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$609,927
Expenses. Total of all expenses incurred	2013-12-31	$86,542
Benefits paid (including direct rollovers)	2013-12-31	$86,542
Total plan assets at end of year	2013-12-31	$3,431,885
Total plan assets at beginning of year	2013-12-31	$2,908,500
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$54,620
Other income received	2013-12-31	$330,810
Net income (gross income less expenses)	2013-12-31	$523,385
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,431,885
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,908,500
Total contributions received or receivable from employer(s)	2013-12-31	$224,497
2012 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$471,645
Expenses. Total of all expenses incurred	2012-12-31	$25,681
Benefits paid (including direct rollovers)	2012-12-31	$25,681
Total plan assets at end of year	2012-12-31	$2,908,500
Total plan assets at beginning of year	2012-12-31	$2,462,536
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$54,420
Other income received	2012-12-31	$212,772
Net income (gross income less expenses)	2012-12-31	$445,964
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,908,500
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,462,536
Total contributions received or receivable from employer(s)	2012-12-31	$204,453
2011 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$163,155
Expenses. Total of all expenses incurred	2011-12-31	$172
Benefits paid (including direct rollovers)	2011-12-31	$172
Total plan assets at end of year	2011-12-31	$2,462,536
Total plan assets at beginning of year	2011-12-31	$2,299,553
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$70,220
Other income received	2011-12-31	$-87,693
Net income (gross income less expenses)	2011-12-31	$162,983
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,462,536
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,299,553
Total contributions received or receivable from employer(s)	2011-12-31	$180,628
2010 : COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$401,667
Expenses. Total of all expenses incurred	2010-12-31	$4,754
Benefits paid (including direct rollovers)	2010-12-31	$4,754
Total plan assets at end of year	2010-12-31	$2,299,553
Total plan assets at beginning of year	2010-12-31	$1,902,640
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$58,130
Other income received	2010-12-31	$151,468
Net income (gross income less expenses)	2010-12-31	$396,913
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,299,553
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,902,640
Total contributions received or receivable from employer(s)	2010-12-31	$192,069

Form 5500 Responses for COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN

2021: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: COLLEGE HILL OBGYN, PA PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract number	E1865612
Policy instance	1
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract number	E1865612
Policy instance	1
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract number	E1865612
Policy instance	2
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0930042
Policy instance	2
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0930042
Policy instance	2
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	87754
Policy instance	1

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Company Name:	COLLEGE HILL OBGYN, PA
Employer identification number (EIN):	481160169
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)