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DODGE CITY, INC. 401 (K) PLAN 401k Plan overview

Plan NameDODGE CITY, INC. 401 (K) PLAN
Plan identification number 002

DODGE CITY, INC. 401 (K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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)).

401k Sponsoring company profile

DODGE CITY, INC. has sponsored the creation of one or more 401k plans.

Company Name:DODGE CITY, INC.
Employer identification number (EIN):510290308
NAIC Classification:441110
NAIC Description:New Car Dealers

Additional information about DODGE CITY, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2012-04-25
Company Identification Number: 2102728
Legal Registered Office Address: 8871 WEST BERRYSVILLE ROAD
-
HILLSBORO
United States of America (USA)
45133

More information about DODGE CITY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DODGE CITY, INC. 401 (K) 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
0022017-01-01VINCENT PETRUZZIELLO
0022016-01-01VINCENT PETRUZZIELLO
0022015-01-01
0022014-01-01VINCENT P. PETRUZZIELLO
0022013-01-01VINCENT P. PETRUZZIELLO
0022012-01-01VINCENT P. PETRUZZIELLO
0022011-01-01VINCENT P. PETRUZZIELLO

Plan Statistics for DODGE CITY, INC. 401 (K) PLAN

401k plan membership statisitcs for DODGE CITY, INC. 401 (K) PLAN

Measure Date Value
2022: DODGE CITY, INC. 401 (K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01336
Total number of active participants reported on line 7a of the Form 55002022-01-01121
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01140
Total of all active and inactive participants2022-01-01261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01261
Number of participants with account balances2022-01-01211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0119
2021: DODGE CITY, INC. 401 (K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01354
Total number of active participants reported on line 7a of the Form 55002021-01-01247
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0182
Total of all active and inactive participants2021-01-01329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01329
Number of participants with account balances2021-01-01236
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0133
2020: DODGE CITY, INC. 401 (K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01312
Total number of active participants reported on line 7a of the Form 55002020-01-01254
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0144
Total of all active and inactive participants2020-01-01298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01298
Number of participants with account balances2020-01-01196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0125
2019: DODGE CITY, INC. 401 (K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01302
Total number of active participants reported on line 7a of the Form 55002019-01-01272
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0138
Total of all active and inactive participants2019-01-01310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01310
Number of participants with account balances2019-01-01187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0120
2018: DODGE CITY, INC. 401 (K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01240
Total number of active participants reported on line 7a of the Form 55002018-01-01260
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0134
Total of all active and inactive participants2018-01-01294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01294
Number of participants with account balances2018-01-01167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0121
2017: DODGE CITY, INC. 401 (K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01255
Total number of active participants reported on line 7a of the Form 55002017-01-01212
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0128
Total of all active and inactive participants2017-01-01240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01240
Number of participants with account balances2017-01-01146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0124
2016: DODGE CITY, INC. 401 (K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01244
Total number of active participants reported on line 7a of the Form 55002016-01-01236
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0112
Total of all active and inactive participants2016-01-01248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01248
Number of participants with account balances2016-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-016
2015: DODGE CITY, INC. 401 (K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01232
Total number of active participants reported on line 7a of the Form 55002015-01-01204
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0133
Total of all active and inactive participants2015-01-01237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01237
Number of participants with account balances2015-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-019
2014: DODGE CITY, INC. 401 (K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01226
Total number of active participants reported on line 7a of the Form 55002014-01-01210
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0122
Total of all active and inactive participants2014-01-01232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01232
Number of participants with account balances2014-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-019
2013: DODGE CITY, INC. 401 (K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01236
Total number of active participants reported on line 7a of the Form 55002013-01-01193
Number of retired or separated participants receiving benefits2013-01-0112
Number of other retired or separated participants entitled to future benefits2013-01-0121
Total of all active and inactive participants2013-01-01226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01226
Number of participants with account balances2013-01-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0110
2012: DODGE CITY, INC. 401 (K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01241
Total number of active participants reported on line 7a of the Form 55002012-01-01208
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0128
Total of all active and inactive participants2012-01-01236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01236
Number of participants with account balances2012-01-01109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-015
2011: DODGE CITY, INC. 401 (K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01192
Total number of active participants reported on line 7a of the Form 55002011-01-01201
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0140
Total of all active and inactive participants2011-01-01241
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01241
Number of participants with account balances2011-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-015

Financial Data on DODGE CITY, INC. 401 (K) PLAN

Measure Date Value
2022 : DODGE CITY, INC. 401 (K) 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$25,748
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$4,515
Total income from all sources (including contributions)2022-12-31$-760,999
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$3,600,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,507,465
Expenses. Certain deemed distributions of participant loans2022-12-31$66,131
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,010,288
Value of total assets at end of year2022-12-31$6,479,598
Value of total assets at beginning of year2022-12-31$10,819,727
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$26,767
Total interest from all sources2022-12-31$7,413
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$153,528
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$153,528
Administrative expenses professional fees incurred2022-12-31$7,550
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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$897,077
Participant contributions at end of year2022-12-31$10,116
Participant contributions at beginning of year2022-12-31$151,108
Participant contributions at end of year2022-12-31$1,664
Participant contributions at beginning of year2022-12-31$1,440
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$1,869
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$663
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-4,361,362
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,453,850
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,815,212
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$6,256,488
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$10,371,451
Interest on participant loans2022-12-31$5,213
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$2,200
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$202,021
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$289,626
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,932,228
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 contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$111,342
Employer contributions (assets) at end of year2022-12-31$9,309
Employer contributions (assets) at beginning of year2022-12-31$5,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,507,465
Contract administrator fees2022-12-31$19,217
Liabilities. Value of benefit claims payable at end of year2022-12-31$25,748
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$4,515
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 name2022-12-31ARPIO LLP
Accountancy firm EIN2022-12-31571157523
2021 : DODGE CITY, INC. 401 (K) 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$4,515
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$31,646
Total income from all sources (including contributions)2021-12-31$2,856,065
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,087,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,070,652
Value of total corrective distributions2021-12-31$9,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,468,207
Value of total assets at end of year2021-12-31$10,819,727
Value of total assets at beginning of year2021-12-31$9,078,239
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$7,003
Total interest from all sources2021-12-31$11,668
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$982,830
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$982,830
Administrative expenses professional fees incurred2021-12-31$1,650
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
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$1,086,261
Participant contributions at end of year2021-12-31$151,108
Participant contributions at beginning of year2021-12-31$193,196
Participant contributions at end of year2021-12-31$1,440
Participant contributions at beginning of year2021-12-31$2,751
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$242,273
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$663
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$663
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$1,768,619
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,815,212
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,046,593
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$10,371,451
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$8,594,607
Interest on participant loans2021-12-31$8,871
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$2,797
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$289,626
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$285,599
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$393,360
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 contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$139,673
Employer contributions (assets) at end of year2021-12-31$5,439
Employer contributions (assets) at beginning of year2021-12-31$1,423
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,070,652
Contract administrator fees2021-12-31$5,353
Liabilities. Value of benefit claims payable at end of year2021-12-31$4,515
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$31,646
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
Aggregate proceeds on sale of assets2021-12-31$0
Aggregate carrying amount (costs) on sale of assets2021-12-31$0
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ARPIO LLP
Accountancy firm EIN2021-12-31571157523
2020 : DODGE CITY, INC. 401 (K) 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$31,646
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$36,332
Total income from all sources (including contributions)2020-12-31$1,977,198
Total loss/gain on sale of assets2020-12-31$-17,756
Total of all expenses incurred2020-12-31$478,245
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$432,838
Expenses. Certain deemed distributions of participant loans2020-12-31$6,911
Value of total corrective distributions2020-12-31$31,646
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$888,643
Value of total assets at end of year2020-12-31$9,078,239
Value of total assets at beginning of year2020-12-31$7,583,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$6,850
Total interest from all sources2020-12-31$12,028
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$536,881
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$536,881
Administrative expenses professional fees incurred2020-12-31$2,650
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
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$786,701
Participant contributions at end of year2020-12-31$193,196
Participant contributions at beginning of year2020-12-31$239,070
Participant contributions at end of year2020-12-31$2,751
Participant contributions at beginning of year2020-12-31$3,502
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$11,740
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$663
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,498,953
Value of net assets at end of year (total assets less liabilities)2020-12-31$9,046,593
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,547,640
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$8,594,607
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$7,315,603
Interest on participant loans2020-12-31$9,951
Interest earned on other investments2020-12-31$368
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,709
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$285,599
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$25,236
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$557,402
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 contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$90,202
Employer contributions (assets) at end of year2020-12-31$1,423
Employer contributions (assets) at beginning of year2020-12-31$561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$432,838
Contract administrator fees2020-12-31$4,200
Liabilities. Value of benefit claims payable at end of year2020-12-31$31,646
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$36,332
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
Aggregate proceeds on sale of assets2020-12-31$4,479,558
Aggregate carrying amount (costs) on sale of assets2020-12-31$4,497,314
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31LEAF MIELE MANGANELLI FORTUNATO ENG
Accountancy firm EIN2020-12-31223491267
2019 : DODGE CITY, INC. 401 (K) 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$36,332
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$36,332
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$2,084,125
Total income from all sources (including contributions)2019-12-31$2,084,125
Total loss/gain on sale of assets2019-12-31$37,767
Total loss/gain on sale of assets2019-12-31$37,767
Total of all expenses incurred2019-12-31$202,857
Total of all expenses incurred2019-12-31$202,857
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$160,554
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$160,554
Value of total corrective distributions2019-12-31$37,383
Value of total corrective distributions2019-12-31$37,383
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$863,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$863,683
Value of total assets at end of year2019-12-31$7,583,972
Value of total assets at end of year2019-12-31$7,583,972
Value of total assets at beginning of year2019-12-31$5,666,372
Value of total assets at beginning of year2019-12-31$5,666,372
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$4,920
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$4,920
Total interest from all sources2019-12-31$13,205
Total interest from all sources2019-12-31$13,205
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$480,311
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$480,311
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$480,311
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$480,311
Administrative expenses professional fees incurred2019-12-31$1,050
Administrative expenses professional fees incurred2019-12-31$1,050
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$500,000
Value of fidelity bond cover2019-12-31$500,000
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$716,266
Contributions received from participants2019-12-31$716,266
Participant contributions at end of year2019-12-31$239,070
Participant contributions at end of year2019-12-31$239,070
Participant contributions at beginning of year2019-12-31$195,053
Participant contributions at end of year2019-12-31$3,502
Participant contributions at end of year2019-12-31$3,502
Participant contributions at beginning of year2019-12-31$2,572
Participant contributions at beginning of year2019-12-31$2,572
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$58,257
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$58,257
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$1,881,268
Value of net income/loss2019-12-31$1,881,268
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,547,640
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,547,640
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,666,372
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,666,372
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$7,315,603
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$5,445,246
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$5,445,246
Interest on participant loans2019-12-31$12,879
Interest on participant loans2019-12-31$12,879
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$326
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$326
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$25,236
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$25,236
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$22,802
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$22,802
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$689,159
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$689,159
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 contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
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$89,160
Contributions received in cash from employer2019-12-31$89,160
Employer contributions (assets) at end of year2019-12-31$561
Employer contributions (assets) at beginning of year2019-12-31$699
Employer contributions (assets) at beginning of year2019-12-31$699
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$160,554
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$160,554
Contract administrator fees2019-12-31$3,870
Contract administrator fees2019-12-31$3,870
Liabilities. Value of benefit claims payable at end of year2019-12-31$36,332
Liabilities. Value of benefit claims payable at end of year2019-12-31$36,332
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
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
Aggregate proceeds on sale of assets2019-12-31$488,963
Aggregate proceeds on sale of assets2019-12-31$488,963
Aggregate carrying amount (costs) on sale of assets2019-12-31$451,196
Aggregate carrying amount (costs) on sale of assets2019-12-31$451,196
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 name2019-12-31LEAF MIELE MANGANELLI FORTUNATO ENG
Accountancy firm name2019-12-31LEAF MIELE MANGANELLI FORTUNATO ENG
Accountancy firm EIN2019-12-31223491267
Accountancy firm EIN2019-12-31223491267
2018 : DODGE CITY, INC. 401 (K) 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$718
Total income from all sources (including contributions)2018-12-31$1,129,960
Total loss/gain on sale of assets2018-12-31$-7,557
Total of all expenses incurred2018-12-31$487,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$483,487
Expenses. Certain deemed distributions of participant loans2018-12-31$-1,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,540,568
Value of total assets at end of year2018-12-31$5,666,372
Value of total assets at beginning of year2018-12-31$5,024,884
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$6,061
Total interest from all sources2018-12-31$7,804
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$485,254
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$2,850
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
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$567,855
Participant contributions at end of year2018-12-31$195,053
Participant contributions at beginning of year2018-12-31$150,269
Participant contributions at end of year2018-12-31$2,572
Participant contributions at beginning of year2018-12-31$109
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$905,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$308
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$642,206
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,666,372
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,024,166
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$5,445,246
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,833,962
Interest on participant loans2018-12-31$7,520
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$284
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$22,802
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$40,544
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-896,109
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$67,538
Employer contributions (assets) at end of year2018-12-31$699
Employer contributions (assets) at beginning of year2018-12-31$0
Income. Dividends from common stock2018-12-31$485,254
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$483,487
Contract administrator fees2018-12-31$3,211
Liabilities. Value of benefit claims payable at end of year2018-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$410
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
Aggregate proceeds on sale of assets2018-12-31$758,948
Aggregate carrying amount (costs) on sale of assets2018-12-31$766,505
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 name2018-12-31LEAF MIELE MNGNLLI FORTUN ENGEL LLC
Accountancy firm EIN2018-12-31223491267
2017 : DODGE CITY, INC. 401 (K) 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$718
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$743
Total income from all sources (including contributions)2017-12-31$1,112,428
Total loss/gain on sale of assets2017-12-31$29,922
Total of all expenses incurred2017-12-31$365,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$349,588
Expenses. Certain deemed distributions of participant loans2017-12-31$11,090
Value of total corrective distributions2017-12-31$410
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$468,298
Value of total assets at end of year2017-12-31$5,024,884
Value of total assets at beginning of year2017-12-31$4,277,936
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$4,367
Total interest from all sources2017-12-31$8,218
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$277,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$1,650
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
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$414,942
Participant contributions at end of year2017-12-31$150,269
Participant contributions at beginning of year2017-12-31$174,187
Participant contributions at end of year2017-12-31$109
Participant contributions at beginning of year2017-12-31$294
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$308
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$746,973
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,024,166
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$4,277,193
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,833,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,934,483
Interest on participant loans2017-12-31$6,613
Interest earned on other investments2017-12-31$18
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,587
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$40,544
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$168,972
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$328,455
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$53,356
Income. Dividends from common stock2017-12-31$277,535
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$349,588
Contract administrator fees2017-12-31$2,717
Liabilities. Value of benefit claims payable at end of year2017-12-31$410
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$743
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
Aggregate proceeds on sale of assets2017-12-31$716,974
Aggregate carrying amount (costs) on sale of assets2017-12-31$687,052
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 name2017-12-31LEAF MIELE MNGNLLI FORTUN ENGEL LLC
Accountancy firm EIN2017-12-31223491267
2016 : DODGE CITY, INC. 401 (K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$743
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$717,506
Total loss/gain on sale of assets2016-12-31$21,014
Total of all expenses incurred2016-12-31$415,350
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$404,608
Expenses. Certain deemed distributions of participant loans2016-12-31$3,831
Value of total corrective distributions2016-12-31$506
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$391,205
Value of total assets at end of year2016-12-31$4,277,936
Value of total assets at beginning of year2016-12-31$3,975,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$6,405
Total interest from all sources2016-12-31$6,891
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$229,830
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$229,830
Administrative expenses professional fees incurred2016-12-31$3,780
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
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$338,283
Participant contributions at end of year2016-12-31$174,187
Participant contributions at beginning of year2016-12-31$128,689
Participant contributions at end of year2016-12-31$294
Participant contributions at beginning of year2016-12-31$425
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$2,124
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$302,156
Value of net assets at end of year (total assets less liabilities)2016-12-31$4,277,193
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,975,037
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,934,483
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,796,087
Interest on participant loans2016-12-31$6,088
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$803
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$168,972
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$49,748
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$68,566
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$50,798
Employer contributions (assets) at end of year2016-12-31$0
Employer contributions (assets) at beginning of year2016-12-31$88
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$404,608
Contract administrator fees2016-12-31$2,625
Liabilities. Value of benefit claims payable at end of year2016-12-31$743
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
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
Aggregate proceeds on sale of assets2016-12-31$850,568
Aggregate carrying amount (costs) on sale of assets2016-12-31$829,554
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 name2016-12-31SIMONTACCHI,MILLER,DEANGELIS,PA
Accountancy firm EIN2016-12-31262554284
2015 : DODGE CITY, INC. 401 (K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
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$372,121
Total loss/gain on sale of assets2015-12-31$3,202
Total of all expenses incurred2015-12-31$533,507
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$526,034
Expenses. Certain deemed distributions of participant loans2015-12-31$3,176
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$409,168
Value of total assets at end of year2015-12-31$3,975,037
Value of total assets at beginning of year2015-12-31$4,136,423
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,297
Total interest from all sources2015-12-31$5,698
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$296,511
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$296,511
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
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$359,804
Participant contributions at end of year2015-12-31$128,689
Participant contributions at beginning of year2015-12-31$160,426
Participant contributions at end of year2015-12-31$425
Participant contributions at beginning of year2015-12-31$1,676
Administrative expenses (other) incurred2015-12-31$4,297
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-161,386
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,975,037
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$4,136,423
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,796,087
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,897,627
Interest on participant loans2015-12-31$4,895
Interest earned on other investments2015-12-31$803
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$49,748
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$76,515
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-342,458
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$49,364
Employer contributions (assets) at end of year2015-12-31$88
Employer contributions (assets) at beginning of year2015-12-31$179
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$526,034
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
Aggregate proceeds on sale of assets2015-12-31$718,147
Aggregate carrying amount (costs) on sale of assets2015-12-31$714,945
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 name2015-12-31SIMONTACCHI, MILLER DEANGELIS, PA
Accountancy firm EIN2015-12-31262554284
2014 : DODGE CITY, INC. 401 (K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
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$631,999
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$263,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$261,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$388,381
Value of total assets at end of year2014-12-31$4,136,423
Value of total assets at beginning of year2014-12-31$3,768,004
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,452
Total interest from all sources2014-12-31$7,210
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$273,335
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$273,335
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
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$343,098
Participant contributions at end of year2014-12-31$160,426
Participant contributions at beginning of year2014-12-31$141,784
Participant contributions at end of year2014-12-31$1,676
Participant contributions at beginning of year2014-12-31$4,203
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$415
Administrative expenses (other) incurred2014-12-31$2,452
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$368,419
Value of net assets at end of year (total assets less liabilities)2014-12-31$4,136,423
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,768,004
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,897,627
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,409,477
Interest on participant loans2014-12-31$5,713
Interest earned on other investments2014-12-31$1,497
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$76,515
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$211,953
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-36,927
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$44,868
Employer contributions (assets) at end of year2014-12-31$179
Employer contributions (assets) at beginning of year2014-12-31$587
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$261,128
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 name2014-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2014-12-31560747981
2013 : DODGE CITY, INC. 401 (K) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$334,712
Total unrealized appreciation/depreciation of assets2013-12-31$334,712
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$906,992
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$309,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$308,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$383,168
Value of total assets at end of year2013-12-31$3,768,004
Value of total assets at beginning of year2013-12-31$3,170,544
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,054
Total interest from all sources2013-12-31$189,112
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$400,000
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$320,283
Participant contributions at end of year2013-12-31$141,784
Participant contributions at beginning of year2013-12-31$129,050
Participant contributions at end of year2013-12-31$4,203
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$17,751
Administrative expenses (other) incurred2013-12-31$1,054
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$597,460
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,768,004
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,170,544
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$3,409,477
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$0
Value of interest in pooled separate accounts at end of year2013-12-31$0
Value of interest in pooled separate accounts at beginning of year2013-12-31$3,041,494
Interest on participant loans2013-12-31$5,747
Income. Interest from corporate debt instruments2013-12-31$183,365
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$211,953
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
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 contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$45,134
Employer contributions (assets) at end of year2013-12-31$587
Employer contributions (assets) at beginning of year2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$308,478
Liabilities. Value of benefit claims payable at end of year2013-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
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)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31DIXON HUGES GOODMAN LLP
Accountancy firm EIN2013-12-31560747981
2012 : DODGE CITY, INC. 401 (K) PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$371,697
Total unrealized appreciation/depreciation of assets2012-12-31$371,697
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$292
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$698,349
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$288,582
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$288,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$320,926
Value of total assets at end of year2012-12-31$3,170,768
Value of total assets at beginning of year2012-12-31$2,760,709
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$474
Total interest from all sources2012-12-31$5,726
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$250,000
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$283,753
Participant contributions at end of year2012-12-31$129,050
Participant contributions at beginning of year2012-12-31$169,634
Participant contributions at end of year2012-12-31$224
Participant contributions at beginning of year2012-12-31$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$409,767
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,170,476
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,760,709
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
Value of interest in pooled separate accounts at end of year2012-12-31$3,041,494
Value of interest in pooled separate accounts at beginning of year2012-12-31$2,591,075
Income. Interest from loans (other than to participants)2012-12-31$5,726
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
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$37,173
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$288,108
Contract administrator fees2012-12-31$474
Liabilities. Value of benefit claims payable at end of year2012-12-31$292
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$0
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 name2012-12-31DIXON HUGES GOODMAN LLP
Accountancy firm EIN2012-12-31560747981
2011 : DODGE CITY, INC. 401 (K) 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$0
Total income from all sources (including contributions)2011-12-31$215,830
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$184,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$183,943
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$279,533
Value of total assets at end of year2011-12-31$2,760,709
Value of total assets at beginning of year2011-12-31$2,729,284
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$462
Total interest from all sources2011-12-31$5,754
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$250,000
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$245,728
Participant contributions at end of year2011-12-31$169,634
Participant contributions at beginning of year2011-12-31$110,171
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$269
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$31,425
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,760,709
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,729,284
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 pooled separate accounts at end of year2011-12-31$2,591,075
Value of interest in pooled separate accounts at beginning of year2011-12-31$2,619,113
Interest on participant loans2011-12-31$5,754
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$-69,457
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$33,536
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$183,943
Contract administrator fees2011-12-31$462
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 name2011-12-31DIXON HUGES GOODMAN LLP
Accountancy firm EIN2011-12-31560747981
2010 : DODGE CITY, INC. 401 (K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets to this plan2010-12-31$2,606,587
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
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$405,239
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$282,542
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$282,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$197,004
Value of total assets at end of year2010-12-31$2,729,284
Value of total assets at beginning of year2010-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$309
Total interest from all sources2010-12-31$3,453
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$250,000
If this is an individual account plan, was there a blackout period2010-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$172,034
Participant contributions at end of year2010-12-31$110,171
Participant contributions at beginning of year2010-12-31$0
Total non interest bearing cash at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$122,697
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,729,284
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$0
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 pooled separate accounts at end of year2010-12-31$2,619,113
Value of interest in pooled separate accounts at beginning of year2010-12-31$0
Interest on participant loans2010-12-31$3,453
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Net investment gain/loss from pooled separate accounts2010-12-31$204,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$24,970
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$282,233
Contract administrator fees2010-12-31$309
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31Yes
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
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 name2010-12-31DIXON HUGES GOODMAN LLP
Accountancy firm EIN2010-12-31560747981

Form 5500 Responses for DODGE CITY, INC. 401 (K) PLAN

2022: DODGE CITY, INC. 401 (K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple 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: DODGE CITY, INC. 401 (K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple 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: DODGE CITY, INC. 401 (K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple 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 - TrustYes
2019: DODGE CITY, INC. 401 (K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulitple 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 - TrustYes
2018: DODGE CITY, INC. 401 (K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulitple 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 - TrustYes
2017: DODGE CITY, INC. 401 (K) 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 - TrustYes
2016: DODGE CITY, INC. 401 (K) 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 - TrustYes
2015: DODGE CITY, INC. 401 (K) 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 - TrustYes
2014: DODGE CITY, INC. 401 (K) 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 - TrustYes
2013: DODGE CITY, INC. 401 (K) 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 - TrustYes
2012: DODGE CITY, INC. 401 (K) 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 - TrustYes
2011: DODGE CITY, INC. 401 (K) 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 - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 1
Insurance contract or identification number336117-01
Number of Individuals Covered261
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $643
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $625
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 1
Insurance contract or identification number336117-01
Number of Individuals Covered330
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $968
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $938
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 1
Insurance contract or identification number336117-01
Number of Individuals Covered298
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $830
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $812
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 1
Insurance contract or identification number336117-01
Number of Individuals Covered310
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $78
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 1
Insurance contract or identification number336117-01
Number of Individuals Covered293
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $78
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 1
Insurance contract or identification number336117-01
Number of Individuals Covered240
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $129
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $125
Insurance broker organization code?3
Insurance broker nameWENTON CAMPORIN
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 1
Insurance contract or identification number336117-01
Number of Individuals Covered5
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $177
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?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $159
Insurance broker organization code?3
Insurance broker nameWENTON CAMPORIN
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 1
Insurance contract or identification number336117-01
Number of Individuals Covered4
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $253
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $223
Insurance broker organization code?3
Insurance broker nameWENTON CAMPORIN
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number336117-01
Policy instance 2
Insurance contract or identification number336117-01
Number of Individuals Covered3
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $231
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $231
Insurance broker organization code?3
Insurance broker nameWENTON CAMPORIN/MORGAN STANLEY INS.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number66803
Policy instance 1
Insurance contract or identification number66803
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,385
Total amount of fees paid to insurance companyUSD $2,060
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,385
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
Insurance broker nameFELDMAN BENEFIT SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number66803
Policy instance 1
Insurance contract or identification number66803
Number of Individuals Covered123
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $7,318
Total amount of fees paid to insurance companyUSD $25
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,670
Insurance broker organization code?3
Amount paid for insurance broker fees25
Additional information about fees paid to insurance broker5
Insurance broker nameFELDMAN BENEFIT SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number66803
Policy instance 1
Insurance contract or identification number66803
Number of Individuals Covered132
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $6,945
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number66803
Policy instance 1
Insurance contract or identification number66803
Number of Individuals Covered125
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,633
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
Commission paid to Insurance BrokerUSD $4,633
Insurance broker organization code?3
Insurance broker nameAXA NETWORK LLC

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