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SISKIN MEMORIAL FOUNDATION 403(B) PLAN 401k Plan overview

Plan NameSISKIN MEMORIAL FOUNDATION 403(B) PLAN
Plan identification number 001

SISKIN MEMORIAL FOUNDATION 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.

401k Sponsoring company profile

SISKIN MEMORIAL FOUNDATION has sponsored the creation of one or more 401k plans.

Company Name:SISKIN MEMORIAL FOUNDATION
Employer identification number (EIN):591781637
NAIC Classification:624410
NAIC Description:Child Day Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SISKIN MEMORIAL FOUNDATION 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01
0012017-07-01JEANINNE HOUCK
0012016-07-01JEANINNE HOUCK
0012015-07-01JEANINNE HOUCK
0012014-07-01JEANINNE HOUCK JEANINNE HOUCK2016-04-14
0012013-07-01JEANINNE HOUCK
0012012-07-01REBEKAH MCNAIR
0012011-07-01REBEKAH MCNAIR
0012010-07-01REBEKAH MCNAIR
0012009-07-01TOMMY HORST

Plan Statistics for SISKIN MEMORIAL FOUNDATION 403(B) PLAN

401k plan membership statisitcs for SISKIN MEMORIAL FOUNDATION 403(B) PLAN

Measure Date Value
2021: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01254
Total number of active participants reported on line 7a of the Form 55002021-07-01216
Number of retired or separated participants receiving benefits2021-07-016
Number of other retired or separated participants entitled to future benefits2021-07-0197
Total of all active and inactive participants2021-07-01319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-01319
Number of participants with account balances2021-07-01303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-0119
2020: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01212
Total number of active participants reported on line 7a of the Form 55002020-07-01166
Number of retired or separated participants receiving benefits2020-07-013
Number of other retired or separated participants entitled to future benefits2020-07-0181
Total of all active and inactive participants2020-07-01250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-01250
Number of participants with account balances2020-07-01229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-010
2019: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01173
Total number of active participants reported on line 7a of the Form 55002019-07-01152
Number of retired or separated participants receiving benefits2019-07-013
Number of other retired or separated participants entitled to future benefits2019-07-0149
Total of all active and inactive participants2019-07-01204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01204
Number of participants with account balances2019-07-01178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-015
2018: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01164
Total number of active participants reported on line 7a of the Form 55002018-07-01124
Number of retired or separated participants receiving benefits2018-07-013
Number of other retired or separated participants entitled to future benefits2018-07-0146
Total of all active and inactive participants2018-07-01173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-01173
Number of participants with account balances2018-07-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-016
2017: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01176
Total number of active participants reported on line 7a of the Form 55002017-07-01124
Number of retired or separated participants receiving benefits2017-07-013
Number of other retired or separated participants entitled to future benefits2017-07-0136
Total of all active and inactive participants2017-07-01163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-01163
Number of participants with account balances2017-07-01135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-017
2016: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01194
Total number of active participants reported on line 7a of the Form 55002016-07-01112
Number of retired or separated participants receiving benefits2016-07-014
Number of other retired or separated participants entitled to future benefits2016-07-0159
Total of all active and inactive participants2016-07-01175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-01175
Number of participants with account balances2016-07-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-015
2015: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01236
Total number of active participants reported on line 7a of the Form 55002015-07-01119
Number of retired or separated participants receiving benefits2015-07-0110
Number of other retired or separated participants entitled to future benefits2015-07-0170
Total of all active and inactive participants2015-07-01199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-01199
Number of participants with account balances2015-07-01172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-012
2014: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01245
Total number of active participants reported on line 7a of the Form 55002014-07-01106
Number of retired or separated participants receiving benefits2014-07-0118
Number of other retired or separated participants entitled to future benefits2014-07-01110
Total of all active and inactive participants2014-07-01234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01234
Number of participants with account balances2014-07-01209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-011
2013: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01249
Total number of active participants reported on line 7a of the Form 55002013-07-01112
Number of retired or separated participants receiving benefits2013-07-0116
Number of other retired or separated participants entitled to future benefits2013-07-01122
Total of all active and inactive participants2013-07-01250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01250
Number of participants with account balances2013-07-01205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01227
Total number of active participants reported on line 7a of the Form 55002012-07-01166
Number of retired or separated participants receiving benefits2012-07-0112
Number of other retired or separated participants entitled to future benefits2012-07-0184
Total of all active and inactive participants2012-07-01262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01262
Number of participants with account balances2012-07-01207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01207
Total number of active participants reported on line 7a of the Form 55002011-07-01127
Number of retired or separated participants receiving benefits2011-07-0110
Number of other retired or separated participants entitled to future benefits2011-07-0178
Total of all active and inactive participants2011-07-01215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01215
Number of participants with account balances2011-07-01195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01187
Total number of active participants reported on line 7a of the Form 55002010-07-01176
Number of retired or separated participants receiving benefits2010-07-013
Number of other retired or separated participants entitled to future benefits2010-07-0129
Total of all active and inactive participants2010-07-01208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-01208
Number of participants with account balances2010-07-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
2009: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01125
Total number of active participants reported on line 7a of the Form 55002009-07-01136
Number of retired or separated participants receiving benefits2009-07-011
Number of other retired or separated participants entitled to future benefits2009-07-0143
Total of all active and inactive participants2009-07-01180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01180
Number of participants with account balances2009-07-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on SISKIN MEMORIAL FOUNDATION 403(B) PLAN

Measure Date Value
2022 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-563,770
Total unrealized appreciation/depreciation of assets2022-06-30$-563,770
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$79,445
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$170,521
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$148,645
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$620,274
Value of total assets at end of year2022-06-30$2,653,236
Value of total assets at beginning of year2022-06-30$2,744,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$21,876
Total interest from all sources2022-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$22,941
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$22,941
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$506,597
Participant contributions at end of year2022-06-30$1,377
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$25,633
Administrative expenses (other) incurred2022-06-30$21,876
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-91,076
Value of net assets at end of year (total assets less liabilities)2022-06-30$2,653,236
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$2,744,312
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$168,109
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$237,711
Value of interest in pooled separate accounts at end of year2022-06-30$2,468,818
Value of interest in pooled separate accounts at beginning of year2022-06-30$2,496,782
Value of interest in common/collective trusts at end of year2022-06-30$7,781
Value of interest in common/collective trusts at beginning of year2022-06-30$3,217
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$6,561
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$6,602
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$6,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30Yes
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$88,044
Employer contributions (assets) at end of year2022-06-30$590
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$148,645
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30MAULDIN & JENKINS
Accountancy firm EIN2022-06-30580692043
2021 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$597,627
Total unrealized appreciation/depreciation of assets2021-06-30$597,627
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$1,180,234
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$366,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$350,688
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$501,563
Value of total assets at end of year2021-06-30$2,744,312
Value of total assets at beginning of year2021-06-30$1,930,389
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$15,623
Total interest from all sources2021-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$81,044
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$81,044
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$359,422
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$77,273
Administrative expenses (other) incurred2021-06-30$15,623
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$813,923
Value of net assets at end of year (total assets less liabilities)2021-06-30$2,744,312
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,930,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$237,711
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$157,254
Value of interest in pooled separate accounts at end of year2021-06-30$2,496,782
Value of interest in pooled separate accounts at beginning of year2021-06-30$1,762,981
Value of interest in common/collective trusts at end of year2021-06-30$3,217
Value of interest in common/collective trusts at beginning of year2021-06-30$3,504
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$6,602
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$6,650
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$6,650
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$64,868
Employer contributions (assets) at beginning of year2021-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$350,688
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30MAULDIN & JENKINS
Accountancy firm EIN2021-06-30580692043
2020 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$68,158
Total unrealized appreciation/depreciation of assets2020-06-30$68,158
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$441,330
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$447,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$434,157
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$342,166
Value of total assets at end of year2020-06-30$1,930,389
Value of total assets at beginning of year2020-06-30$1,936,863
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$13,647
Total interest from all sources2020-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$31,006
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$31,006
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$273,615
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$25,125
Administrative expenses (other) incurred2020-06-30$13,647
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-6,474
Value of net assets at end of year (total assets less liabilities)2020-06-30$1,930,389
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$1,936,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$157,254
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$126,703
Value of interest in pooled separate accounts at end of year2020-06-30$1,762,981
Value of interest in pooled separate accounts at beginning of year2020-06-30$1,800,317
Value of interest in common/collective trusts at end of year2020-06-30$3,504
Value of interest in common/collective trusts at beginning of year2020-06-30$3,216
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$6,650
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$6,627
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$6,627
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$43,426
Employer contributions (assets) at end of year2020-06-30$0
Employer contributions (assets) at beginning of year2020-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$434,157
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30MAULDIN & JENKINS
Accountancy firm EIN2020-06-30580692043
2019 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$98,855
Total unrealized appreciation/depreciation of assets2019-06-30$98,855
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$374,080
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$111,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$99,291
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$268,325
Value of total assets at end of year2019-06-30$1,936,863
Value of total assets at beginning of year2019-06-30$1,674,586
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$12,512
Total interest from all sources2019-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$6,900
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$6,900
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$211,797
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$11,270
Administrative expenses (other) incurred2019-06-30$12,512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$262,277
Value of net assets at end of year (total assets less liabilities)2019-06-30$1,936,863
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$1,674,586
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$126,703
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$120,388
Value of interest in pooled separate accounts at end of year2019-06-30$1,800,317
Value of interest in pooled separate accounts at beginning of year2019-06-30$1,537,123
Value of interest in common/collective trusts at end of year2019-06-30$3,216
Value of interest in common/collective trusts at beginning of year2019-06-30$3,228
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$6,627
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$13,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$13,847
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$45,258
Employer contributions (assets) at end of year2019-06-30$0
Employer contributions (assets) at beginning of year2019-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$99,291
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30MAULDIN & JENKINS
Accountancy firm EIN2019-06-30580692043
2018 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$125,712
Total unrealized appreciation/depreciation of assets2018-06-30$125,712
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$379,639
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$237,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$224,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$244,227
Value of total assets at end of year2018-06-30$1,674,586
Value of total assets at beginning of year2018-06-30$1,532,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$13,348
Total interest from all sources2018-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$9,700
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$9,700
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$201,497
Administrative expenses (other) incurred2018-06-30$13,348
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$142,011
Value of net assets at end of year (total assets less liabilities)2018-06-30$1,674,586
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$1,532,575
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$120,388
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$151,112
Value of interest in pooled separate accounts at end of year2018-06-30$1,537,123
Value of interest in pooled separate accounts at beginning of year2018-06-30$1,354,255
Value of interest in common/collective trusts at end of year2018-06-30$3,228
Value of interest in common/collective trusts at beginning of year2018-06-30$13,414
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$13,847
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$13,786
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$13,786
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$42,730
Employer contributions (assets) at end of year2018-06-30$0
Employer contributions (assets) at beginning of year2018-06-30$8
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$224,280
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30MAULDIN & JENKINS
Accountancy firm EIN2018-06-30580692043
2017 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$178,997
Total unrealized appreciation/depreciation of assets2017-06-30$178,997
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$446,564
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$118,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$106,395
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$261,342
Value of total assets at end of year2017-06-30$1,532,575
Value of total assets at beginning of year2017-06-30$1,204,326
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$11,920
Total interest from all sources2017-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$6,225
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$6,225
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$203,306
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$14,685
Administrative expenses (other) incurred2017-06-30$11,920
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$328,249
Value of net assets at end of year (total assets less liabilities)2017-06-30$1,532,575
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$1,204,326
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$151,112
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$168,153
Value of interest in pooled separate accounts at end of year2017-06-30$1,354,255
Value of interest in pooled separate accounts at beginning of year2017-06-30$1,010,510
Value of interest in common/collective trusts at end of year2017-06-30$13,414
Value of interest in common/collective trusts at beginning of year2017-06-30$888
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$13,786
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$24,775
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$24,775
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$43,351
Employer contributions (assets) at end of year2017-06-30$8
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$106,395
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30MAULDIN & JENKINS
Accountancy firm EIN2017-06-30580692043
2016 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$-20,473
Total unrealized appreciation/depreciation of assets2016-06-30$-20,473
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$233,104
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$203,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$191,850
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$242,504
Value of total assets at end of year2016-06-30$1,204,326
Value of total assets at beginning of year2016-06-30$1,174,282
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$11,210
Total interest from all sources2016-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$11,073
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$11,073
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30Yes
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$193,784
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$3,167
Administrative expenses (other) incurred2016-06-30$11,210
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$30,044
Value of net assets at end of year (total assets less liabilities)2016-06-30$1,204,326
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,174,282
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$168,153
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$233,413
Value of interest in pooled separate accounts at end of year2016-06-30$1,010,510
Value of interest in pooled separate accounts at beginning of year2016-06-30$876,051
Value of interest in common/collective trusts at end of year2016-06-30$888
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$24,775
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$55,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$55,816
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$45,553
Employer contributions (assets) at beginning of year2016-06-30$9,002
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$191,850
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30Yes
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30MAULDIN & JENKINS
Accountancy firm EIN2016-06-30580692043
2015 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$7,693
Total unrealized appreciation/depreciation of assets2015-06-30$7,693
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$251,544
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$337,070
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$330,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$226,323
Value of total assets at end of year2015-06-30$1,174,282
Value of total assets at beginning of year2015-06-30$1,259,808
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$6,312
Total interest from all sources2015-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$17,528
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$17,528
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$180,164
Participant contributions at beginning of year2015-06-30$2,706
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$2,319
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$0
Administrative expenses (other) incurred2015-06-30$6,312
Liabilities. Value of operating payables at beginning of year2015-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-85,526
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,174,282
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$1,259,808
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$233,413
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$273,539
Value of interest in pooled separate accounts at end of year2015-06-30$876,051
Value of interest in pooled separate accounts at beginning of year2015-06-30$902,120
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$55,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$48,207
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$48,207
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$43,840
Employer contributions (assets) at end of year2015-06-30$9,002
Employer contributions (assets) at beginning of year2015-06-30$33,236
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$330,758
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30MAULDIN & JENKINS
Accountancy firm EIN2015-06-30580692043
2014 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$149,608
Total unrealized appreciation/depreciation of assets2014-06-30$149,608
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$255,669
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$171,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$168,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$88,674
Value of total assets at end of year2014-06-30$1,259,808
Value of total assets at beginning of year2014-06-30$1,176,060
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$3,817
Total interest from all sources2014-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$17,387
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$17,387
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$86,234
Participant contributions at end of year2014-06-30$2,706
Participant contributions at beginning of year2014-06-30$4,340
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$862
Administrative expenses (other) incurred2014-06-30$3,817
Liabilities. Value of operating payables at end of year2014-06-30$0
Liabilities. Value of operating payables at beginning of year2014-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$83,748
Value of net assets at end of year (total assets less liabilities)2014-06-30$1,259,808
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,176,060
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$273,539
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$290,937
Value of interest in pooled separate accounts at end of year2014-06-30$902,120
Value of interest in pooled separate accounts at beginning of year2014-06-30$795,267
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$48,207
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$45,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$45,258
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$1,578
Employer contributions (assets) at end of year2014-06-30$33,236
Employer contributions (assets) at beginning of year2014-06-30$40,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$168,104
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30MAULDIN & JENKINS
Accountancy firm EIN2014-06-30580692043
2013 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$101,830
Total unrealized appreciation/depreciation of assets2013-06-30$101,830
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$305,050
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$140,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$136,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$203,220
Value of total assets at end of year2013-06-30$1,176,060
Value of total assets at beginning of year2013-06-30$1,011,713
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$3,854
Total interest from all sources2013-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$83,530
Participant contributions at end of year2013-06-30$4,340
Participant contributions at beginning of year2013-06-30$4,831
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$18,028
Administrative expenses (other) incurred2013-06-30$3,854
Liabilities. Value of operating payables at end of year2013-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$164,347
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,176,060
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,011,713
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$290,937
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$903,349
Value of interest in pooled separate accounts at end of year2013-06-30$795,267
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$45,258
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$42,364
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$42,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30Yes
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$101,662
Employer contributions (assets) at end of year2013-06-30$40,258
Employer contributions (assets) at beginning of year2013-06-30$61,169
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$136,849
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30JOSEPH DECOSIMO & CO.
Accountancy firm EIN2013-06-30620852719
2012 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$-323
Total unrealized appreciation/depreciation of assets2012-06-30$-323
Total transfer of assets to this plan2012-06-30$0
Total transfer of assets from this plan2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total income from all sources (including contributions)2012-06-30$171,256
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$35,583
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$32,238
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$171,579
Value of total assets at end of year2012-06-30$1,025,107
Value of total assets at beginning of year2012-06-30$889,434
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$3,345
Total interest from all sources2012-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$8,241
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$54,825
Participant contributions at end of year2012-06-30$4,846
Administrative expenses (other) incurred2012-06-30$3,345
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$135,673
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,025,107
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$889,434
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$945,715
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$846,307
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$42,364
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$465,845
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$465,845
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$3
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$-8,559
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$116,754
Employer contributions (assets) at end of year2012-06-30$74,546
Employer contributions (assets) at beginning of year2012-06-30$43,127
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$32,238
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30JOSEPH DECOSIMO & CO.
Accountancy firm EIN2012-06-30620852719
2011 : SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$185,442
Total unrealized appreciation/depreciation of assets2011-06-30$185,442
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total income from all sources (including contributions)2011-06-30$299,844
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$162,040
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$159,645
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$114,402
Value of total assets at end of year2011-06-30$879,381
Value of total assets at beginning of year2011-06-30$741,577
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$2,395
Total interest from all sources2011-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$11,024
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$25,817
Administrative expenses (other) incurred2011-06-30$2,395
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$137,804
Value of net assets at end of year (total assets less liabilities)2011-06-30$879,381
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$741,577
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$846,307
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$732,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$465,845
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$64,333
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$64,333
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$15
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$166,631
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$88,585
Employer contributions (assets) at end of year2011-06-30$33,074
Employer contributions (assets) at beginning of year2011-06-30$9,119
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$159,645
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30JOSEPH DECOSIMO & CO.
Accountancy firm EIN2011-06-30620852719

Form 5500 Responses for SISKIN MEMORIAL FOUNDATION 403(B) PLAN

2021: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement - TrustYes
2018: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement - TrustYes
2017: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement - TrustYes
2016: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement - TrustYes
2015: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement - TrustYes
2014: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement - TrustYes
2013: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement - TrustYes
2012: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement - TrustYes
2011: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedYes
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement - TrustYes
2010: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedYes
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement - TrustYes
2009: SISKIN MEMORIAL FOUNDATION 403(B) PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG76427
Policy instance 1
Insurance contract or identification numberG76427
Number of Individuals Covered290
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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?0
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
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG76427
Policy instance 1
Insurance contract or identification numberG76427
Number of Individuals Covered215
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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?0
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
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG76427
Policy instance 1
Insurance contract or identification numberG76427
Number of Individuals Covered162
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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?0
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
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG76427
Policy instance 1
Insurance contract or identification numberG76427
Number of Individuals Covered133
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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?0
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
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG76427
Policy instance 1
Insurance contract or identification numberG76427
Number of Individuals Covered116
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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?0
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA752852
Policy instance 2
Insurance contract or identification numberGA752852
Number of Individuals Covered172
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $1,812
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
Commission paid to Insurance BrokerUSD $1,812
Insurance broker organization code?3
Insurance broker nameBENJAMIN F. EDWARDS & CO INC.
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG76427
Policy instance 1
Insurance contract or identification numberG76427
Number of Individuals Covered138
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA752852
Policy instance 1
Insurance contract or identification numberGA752852
Number of Individuals Covered209
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $4,124
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 $4,124
Insurance broker organization code?3
Insurance broker nameBENJAMIN F. EDWARDS & CO INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA752852
Policy instance 1
Insurance contract or identification numberGA752852
Number of Individuals Covered205
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $3,030
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 $3,030
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBENJAMIN F. EDWARDS & CO INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-752852
Policy instance 1
Insurance contract or identification numberGA-752852
Number of Individuals Covered113
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $3,605
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 $3,605
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBENJAMIN F. EDWARDS & CO. INC.

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