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GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 401k Plan overview

Plan NameGEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST
Plan identification number 001

GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

GEORGETOWN INSURANCE SERVICES INC. has sponsored the creation of one or more 401k plans.

Company Name:GEORGETOWN INSURANCE SERVICES INC.
Employer identification number (EIN):521139896
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01LAURI SCHLOZ2021-03-09
0012019-01-01LAURI SCHLOZ2020-06-03
0012018-01-01LAURI SCHLOZ2019-07-23
0012017-01-01LAURI SCHLOZ2018-07-30
0012016-01-01LAURI SCHLOZ2017-07-18
0012015-01-01MR. RAYMOND J. BUTCHKO2016-06-16
0012014-01-01RAYMOND BUTCHKO
0012013-01-01RAYMOND BUTCHKO RAYMOND BUTCHKO2014-06-18
0012012-01-01LESLIE O. MOSELEY LESLIE O. MOSELEY2013-07-23
0012011-01-01RAYMOND BUTCHKO
0012010-01-01REMMIE BUTCHKO2011-04-19

Plan Statistics for GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST

401k plan membership statisitcs for GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST

Measure Date Value
2014: GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-0128
Total number of active participants reported on line 7a of the Form 55002014-01-0129
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0129
Number of participants with account balances2014-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0125
Total number of active participants reported on line 7a of the Form 55002013-01-0126
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-0127
Number of participants with account balances2013-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0127
Total number of active participants reported on line 7a of the Form 55002012-01-0124
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-013
Total of all active and inactive participants2012-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0127
Number of participants with account balances2012-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-015
2011: GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0132
Total number of active participants reported on line 7a of the Form 55002011-01-0129
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0129
Number of participants with account balances2011-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST

Measure Date Value
2014 : GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2014 401k financial data
Transfers to/from the plan2014-12-31$511
Total income from all sources2014-12-31$545,674
Expenses. Total of all expenses incurred2014-12-31$61,951
Benefits paid (including direct rollovers)2014-12-31$61,667
Total plan assets at end of year2014-12-31$4,071,524
Total plan assets at beginning of year2014-12-31$3,587,290
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$180,567
Expenses. Other expenses not covered elsewhere2014-12-31$284
Contributions received from other sources (not participants or employers)2014-12-31$68,394
Other income received2014-12-31$246,935
Net income (gross income less expenses)2014-12-31$483,723
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,071,524
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,587,290
Assets. Value of participant loans2014-12-31$17,934
Total contributions received or receivable from employer(s)2014-12-31$49,778
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total income from all sources2013-12-31$849,985
Expenses. Total of all expenses incurred2013-12-31$68,849
Benefits paid (including direct rollovers)2013-12-31$68,757
Total plan assets at end of year2013-12-31$3,587,290
Total plan assets at beginning of year2013-12-31$2,806,154
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$168,946
Expenses. Other expenses not covered elsewhere2013-12-31$92
Contributions received from other sources (not participants or employers)2013-12-31$14,246
Other income received2013-12-31$617,036
Net income (gross income less expenses)2013-12-31$781,136
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,587,290
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,806,154
Assets. Value of participant loans2013-12-31$13,009
Total contributions received or receivable from employer(s)2013-12-31$49,757
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$490,234
Expenses. Total of all expenses incurred2012-12-31$95,208
Benefits paid (including direct rollovers)2012-12-31$88,159
Total plan assets at end of year2012-12-31$2,806,154
Total plan assets at beginning of year2012-12-31$2,411,128
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$147,927
Expenses. Other expenses not covered elsewhere2012-12-31$155
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$291,404
Net income (gross income less expenses)2012-12-31$395,026
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,806,154
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,411,128
Assets. Value of participant loans2012-12-31$28,744
Total contributions received or receivable from employer(s)2012-12-31$50,903
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$6,894
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2011 401k financial data
Total income from all sources2011-12-31$172,088
Expenses. Total of all expenses incurred2011-12-31$55,300
Benefits paid (including direct rollovers)2011-12-31$32,923
Total plan assets at end of year2011-12-31$2,411,128
Total plan assets at beginning of year2011-12-31$2,294,340
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$127,151
Expenses. Other expenses not covered elsewhere2011-12-31$37
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-6,792
Net income (gross income less expenses)2011-12-31$116,788
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,411,128
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,294,340
Assets. Value of participant loans2011-12-31$41,664
Total contributions received or receivable from employer(s)2011-12-31$51,729
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$22,340
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0

Form 5500 Responses for GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST

2014: GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GEORGETOWN INSURANCE SERVICE, INC. PROFIT SHARING 401(K) PLAN AND TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825987
Policy instance 1
Insurance contract or identification numberGA-825987
Number of Individuals Covered22
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $14,145
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 $14,145
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGENCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825987
Policy instance 1
Insurance contract or identification numberGA-825987
Number of Individuals Covered22
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,454
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 $11,454
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825987
Policy instance 1
Insurance contract or identification numberGA-825987
Number of Individuals Covered24
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $10,048
Total amount of fees paid to insurance companyUSD $107
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 $10,048
Insurance broker organization code?3
Amount paid for insurance broker fees82
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMORGANSTANLEY SMITHBARNEY LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825987
Policy instance 1
Insurance contract or identification numberGA-825987
Number of Individuals Covered24
Insurance policy start date2011-04-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,746
Total amount of fees paid to insurance companyUSD $51
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

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