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MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 401k Plan overview

Plan NameMULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN
Plan identification number 002

MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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.
  • Life insurance

401k Sponsoring company profile

MULTIFLORA GREENHOUSES, INC. has sponsored the creation of one or more 401k plans.

Company Name:MULTIFLORA GREENHOUSES, INC.
Employer identification number (EIN):561381360
NAIC Classification:111400
NAIC Description:Greenhouse, Nursery, and Floriculture Production

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022019-04-01EVERETT SASLOW2020-02-27
0022018-04-01EVERETT SASLOW2019-12-03
0022017-04-01RICHARD MASON2018-10-23
0022017-04-01RICHARD MASON2018-09-27
0022016-04-01RICHARD MASON
0022015-04-01
0022014-04-01
0022013-04-01JACOB W. RIJDES
0022012-04-01KIM T. CARPENTER
0022011-04-01KIM T. CARPENTER
0022009-04-01JACOB RIJDES

Plan Statistics for MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN

401k plan membership statisitcs for MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN

Measure Date Value
2016: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-0153
Total number of active participants reported on line 7a of the Form 55002016-04-0145
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-0145
Number of participants with account balances2016-04-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-0119
Total number of active participants reported on line 7a of the Form 55002015-04-0129
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-012
Total of all active and inactive participants2015-04-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-0131
Number of participants with account balances2015-04-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010
2014: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-0125
Total number of active participants reported on line 7a of the Form 55002014-04-0117
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-012
Total of all active and inactive participants2014-04-0119
Total participants2014-04-0119
Number of participants with account balances2014-04-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-010
2013: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-0122
Total number of active participants reported on line 7a of the Form 55002013-04-0123
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-012
Total of all active and inactive participants2013-04-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-0125
Number of participants with account balances2013-04-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-010
2012: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-0124
Total number of active participants reported on line 7a of the Form 55002012-04-0119
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-013
Total of all active and inactive participants2012-04-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-0122
Number of participants with account balances2012-04-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-010
2011: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-0121
Total number of active participants reported on line 7a of the Form 55002011-04-0121
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-013
Total of all active and inactive participants2011-04-0124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-0124
Number of participants with account balances2011-04-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
2009: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-0133
Total number of active participants reported on line 7a of the Form 55002009-04-0121
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-011
Total of all active and inactive participants2009-04-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-0122
Number of participants with account balances2009-04-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Financial Data on MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN

Measure Date Value
2017 : MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2017 401k financial data
Total income from all sources2017-03-31$93,824
Expenses. Total of all expenses incurred2017-03-31$1,540
Benefits paid (including direct rollovers)2017-03-31$989
Total plan assets at end of year2017-03-31$368,080
Total plan assets at beginning of year2017-03-31$275,796
Value of fidelity bond covering the plan2017-03-31$100,000
Total contributions received or receivable from participants2017-03-31$62,430
Other income received2017-03-31$14,128
Net income (gross income less expenses)2017-03-31$92,284
Net plan assets at end of year (total assets less liabilities)2017-03-31$368,080
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$275,796
Total contributions received or receivable from employer(s)2017-03-31$17,266
Expenses. Administrative service providers (salaries,fees and commissions)2017-03-31$551
2016 : MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2016 401k financial data
Total income from all sources2016-03-31$96,596
Expenses. Total of all expenses incurred2016-03-31$17,617
Benefits paid (including direct rollovers)2016-03-31$15,761
Total plan assets at end of year2016-03-31$275,796
Total plan assets at beginning of year2016-03-31$196,817
Value of fidelity bond covering the plan2016-03-31$100,000
Total contributions received or receivable from participants2016-03-31$62,725
Other income received2016-03-31$14,963
Net income (gross income less expenses)2016-03-31$78,979
Net plan assets at end of year (total assets less liabilities)2016-03-31$275,796
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$196,817
Total contributions received or receivable from employer(s)2016-03-31$18,908
Expenses. Administrative service providers (salaries,fees and commissions)2016-03-31$1,856
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-31$0
2015 : MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-03-31$0
Total income from all sources2015-03-31$112,324
Expenses. Total of all expenses incurred2015-03-31$620,230
Benefits paid (including direct rollovers)2015-03-31$612,371
Total plan assets at end of year2015-03-31$196,817
Total plan assets at beginning of year2015-03-31$704,723
Value of fidelity bond covering the plan2015-03-31$100,000
Total contributions received or receivable from participants2015-03-31$80,044
Other income received2015-03-31$21,153
Net income (gross income less expenses)2015-03-31$-507,906
Net plan assets at end of year (total assets less liabilities)2015-03-31$196,817
Net plan assets at beginning of year (total assets less liabilities)2015-03-31$704,723
Total contributions received or receivable from employer(s)2015-03-31$11,127
Expenses. Administrative service providers (salaries,fees and commissions)2015-03-31$7,859
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
2014 : MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2014 401k financial data
Total plan liabilities at end of year2014-03-31$0
Total plan liabilities at beginning of year2014-03-31$0
Total income from all sources2014-03-31$108,502
Expenses. Total of all expenses incurred2014-03-31$17,645
Benefits paid (including direct rollovers)2014-03-31$10,045
Total plan assets at end of year2014-03-31$704,723
Total plan assets at beginning of year2014-03-31$613,866
Value of fidelity bond covering the plan2014-03-31$100,000
Total contributions received or receivable from participants2014-03-31$34,252
Expenses. Other expenses not covered elsewhere2014-03-31$0
Contributions received from other sources (not participants or employers)2014-03-31$0
Other income received2014-03-31$58,633
Noncash contributions received2014-03-31$0
Net income (gross income less expenses)2014-03-31$90,857
Net plan assets at end of year (total assets less liabilities)2014-03-31$704,723
Net plan assets at beginning of year (total assets less liabilities)2014-03-31$613,866
Total contributions received or receivable from employer(s)2014-03-31$15,617
Value of certain deemed distributions of participant loans2014-03-31$0
Value of corrective distributions2014-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-03-31$7,600
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
2013 : MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2013 401k financial data
Transfers to/from the plan2013-03-31$0
Total plan liabilities at end of year2013-03-31$0
Total plan liabilities at beginning of year2013-03-31$0
Total income from all sources2013-03-31$100,138
Expenses. Total of all expenses incurred2013-03-31$14,667
Benefits paid (including direct rollovers)2013-03-31$5,669
Total plan assets at end of year2013-03-31$613,866
Total plan assets at beginning of year2013-03-31$528,395
Value of fidelity bond covering the plan2013-03-31$100,000
Total contributions received or receivable from participants2013-03-31$37,677
Expenses. Other expenses not covered elsewhere2013-03-31$195
Contributions received from other sources (not participants or employers)2013-03-31$0
Other income received2013-03-31$46,082
Noncash contributions received2013-03-31$0
Net income (gross income less expenses)2013-03-31$85,471
Net plan assets at end of year (total assets less liabilities)2013-03-31$613,866
Net plan assets at beginning of year (total assets less liabilities)2013-03-31$528,395
Total contributions received or receivable from employer(s)2013-03-31$16,379
Value of certain deemed distributions of participant loans2013-03-31$0
Value of corrective distributions2013-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-03-31$8,803
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
2012 : MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2012 401k financial data
Total plan liabilities at end of year2012-03-31$0
Total plan liabilities at beginning of year2012-03-31$0
Total income from all sources2012-03-31$101,176
Expenses. Total of all expenses incurred2012-03-31$25,200
Benefits paid (including direct rollovers)2012-03-31$18,839
Total plan assets at end of year2012-03-31$528,395
Total plan assets at beginning of year2012-03-31$452,419
Value of fidelity bond covering the plan2012-03-31$100,000
Total contributions received or receivable from participants2012-03-31$35,760
Expenses. Other expenses not covered elsewhere2012-03-31$0
Contributions received from other sources (not participants or employers)2012-03-31$0
Other income received2012-03-31$47,775
Noncash contributions received2012-03-31$0
Net income (gross income less expenses)2012-03-31$75,976
Net plan assets at end of year (total assets less liabilities)2012-03-31$528,395
Net plan assets at beginning of year (total assets less liabilities)2012-03-31$452,419
Total contributions received or receivable from employer(s)2012-03-31$17,641
Value of certain deemed distributions of participant loans2012-03-31$0
Value of corrective distributions2012-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-03-31$6,361
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0
2011 : MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2011 401k financial data
Total plan liabilities at end of year2011-03-31$0
Total plan liabilities at beginning of year2011-03-31$0
Total income from all sources2011-03-31$107,350
Expenses. Total of all expenses incurred2011-03-31$35,932
Benefits paid (including direct rollovers)2011-03-31$30,136
Total plan assets at end of year2011-03-31$452,419
Total plan assets at beginning of year2011-03-31$381,001
Value of fidelity bond covering the plan2011-03-31$100,000
Total contributions received or receivable from participants2011-03-31$45,824
Expenses. Other expenses not covered elsewhere2011-03-31$0
Contributions received from other sources (not participants or employers)2011-03-31$755
Other income received2011-03-31$44,250
Noncash contributions received2011-03-31$0
Net income (gross income less expenses)2011-03-31$71,418
Net plan assets at end of year (total assets less liabilities)2011-03-31$452,419
Net plan assets at beginning of year (total assets less liabilities)2011-03-31$381,001
Total contributions received or receivable from employer(s)2011-03-31$16,521
Value of certain deemed distributions of participant loans2011-03-31$0
Value of corrective distributions2011-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-03-31$5,796
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-03-31$0
2010 : MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-03-31$0
Funding deficiency by the employer to the plan for this plan year2010-03-31$0
Minimum employer required contribution for this plan year2010-03-31$0
Amount contributed by the employer to the plan for this plan year2010-03-31$0

Form 5500 Responses for MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN

2016: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2009: MULTIFLORA GREENHOUSES, INC. SAFE HARBOR 401K PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LAFAYETTE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberC4235
Policy instance 1
Insurance contract or identification numberC4235
Number of Individuals Covered1
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Insurance broker organization code?3
Insurance broker nameCLARK L. WARD CLU CHFC
THE LAFAYETTE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberC4235
Policy instance 1
Insurance contract or identification numberC4235
Number of Individuals Covered4
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $0
Insurance broker organization code?3
Insurance broker nameCLARK L. WARD CLU CHFC
THE LAFAYETTE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberC4235
Policy instance 1
Insurance contract or identification numberC4235
Number of Individuals Covered4
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $411
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 BenefitYes
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 $411
Insurance broker organization code?3
Insurance broker nameCLARK L. WARD CLU CHFC
THE LAFAYETTE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberC4235
Policy instance 1
Insurance contract or identification numberC4235
Number of Individuals Covered4
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $411
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $10,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LAFAYETTE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65242 )
Policy contract numberC4235
Policy instance 1
Insurance contract or identification numberC4235
Number of Individuals Covered4
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $10,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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