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AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameAMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN
Plan identification number 001

AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

AMERICAN MEDICAL DEPOT has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN MEDICAL DEPOT
Employer identification number (EIN):592337158
NAIC Classification:424210
NAIC Description:Drugs and Druggists' Sundries Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-01-01SUKRIT AGRAWAL SUKRIT AGRAWAL2017-10-12
0012015-01-01SUKRIT AGRAWAL SUKRIT AGRAWAL2016-10-17
0012014-01-01MARIA CARABALLO MARIA CARABALLO2016-05-16
0012013-01-01MARIA CARABALLO MARIA CARABALLO2015-01-26
0012012-01-01MARIA CARABALLO2013-10-15 MARIA CARABALLO2013-10-15
0012011-01-01MARIA CARABALLO2012-10-10 MARIA CARABALLO2012-10-10
0012010-01-01MARIA CARABALLO2011-10-17 MARIA CARABALLO2011-10-17

Plan Statistics for AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN

Measure Date Value
2016: AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01143
Total number of active participants reported on line 7a of the Form 55002016-01-01105
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0139
Total of all active and inactive participants2016-01-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01144
Number of participants with account balances2016-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01141
Total number of active participants reported on line 7a of the Form 55002015-01-01107
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0130
Total of all active and inactive participants2015-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01137
Number of participants with account balances2015-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01120
Total number of active participants reported on line 7a of the Form 55002014-01-01119
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0121
Total of all active and inactive participants2014-01-01140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01140
Number of participants with account balances2014-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01124
Total number of active participants reported on line 7a of the Form 55002013-01-0196
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0124
Total of all active and inactive participants2013-01-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01120
Number of participants with account balances2013-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN

Measure Date Value
2016 : AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$605,207
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$293,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$287,702
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$355,136
Value of total assets at end of year2016-12-31$3,083,280
Value of total assets at beginning of year2016-12-31$2,771,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$5,486
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$200,594
Participant contributions at end of year2016-12-31$8,580
Participant contributions at beginning of year2016-12-31$15,302
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$0
Other income not declared elsewhere2016-12-31$4,224
Administrative expenses (other) incurred2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$312,019
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,083,280
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,771,261
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$3,006,245
Value of interest in pooled separate accounts at beginning of year2016-12-31$2,699,334
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$63,381
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$45,303
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$245,847
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$154,542
Employer contributions (assets) at end of year2016-12-31$5,074
Employer contributions (assets) at beginning of year2016-12-31$11,322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$287,702
Contract administrator fees2016-12-31$5,486
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31STELMACK DOBRANSKY & EANNACE, LLC
Accountancy firm EIN2016-12-31251900686
2015 : AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$345,600
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$455,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$450,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$347,985
Value of total assets at end of year2015-12-31$2,771,261
Value of total assets at beginning of year2015-12-31$2,881,145
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$5,407
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$50,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$216,552
Participant contributions at end of year2015-12-31$15,302
Participant contributions at beginning of year2015-12-31$7,721
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$0
Administrative expenses (other) incurred2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-109,884
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,771,261
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,881,145
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$2,699,334
Value of interest in pooled separate accounts at beginning of year2015-12-31$2,832,711
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$45,303
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$33,520
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-2,385
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$131,433
Employer contributions (assets) at end of year2015-12-31$11,322
Employer contributions (assets) at beginning of year2015-12-31$7,193
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$450,077
Contract administrator fees2015-12-31$5,407
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31STELMACK DOBRANSKY & EANNACE, LLC
Accountancy firm EIN2015-12-31251900686
2014 : AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$493,726
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$212,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$206,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$319,828
Value of total assets at end of year2014-12-31$2,881,145
Value of total assets at beginning of year2014-12-31$2,599,444
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$5,060
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$50,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$204,299
Participant contributions at end of year2014-12-31$7,721
Participant contributions at beginning of year2014-12-31$19,430
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$0
Administrative expenses (other) incurred2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$281,701
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,881,145
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,599,444
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$0
Value of interest in pooled separate accounts at end of year2014-12-31$2,832,711
Value of interest in pooled separate accounts at beginning of year2014-12-31$2,520,411
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$33,520
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$45,710
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$173,898
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$115,529
Employer contributions (assets) at end of year2014-12-31$7,193
Employer contributions (assets) at beginning of year2014-12-31$13,893
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$206,965
Contract administrator fees2014-12-31$5,060
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31STELMACK DOBRANSKY & EANNACE, LLC
Accountancy firm EIN2014-12-31251900686
2013 : AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$879,122
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$160,545
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$156,009
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$369,809
Value of total assets at end of year2013-12-31$2,599,444
Value of total assets at beginning of year2013-12-31$1,880,867
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$4,536
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$50,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$241,377
Participant contributions at end of year2013-12-31$19,430
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Administrative expenses (other) incurred2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$718,577
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,599,444
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,880,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$0
Value of interest in pooled separate accounts at end of year2013-12-31$2,520,411
Value of interest in pooled separate accounts at beginning of year2013-12-31$1,842,153
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$45,710
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$38,714
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$509,313
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$128,432
Employer contributions (assets) at end of year2013-12-31$13,893
Employer contributions (assets) at beginning of year2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$156,009
Contract administrator fees2013-12-31$4,536
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31STELMACK DOBRANSKY & EANNACE, LLC
Accountancy firm EIN2013-12-31251900686

Form 5500 Responses for AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN

2016: AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: AMERICAN MEDICAL DEPOT 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600904-000
Policy instance 1
Insurance contract or identification number600904-000
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,087
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $4,344
Insurance broker organization code?3
Insurance broker nameSIEGEL ACTUARIAL CONSULTING, INC.
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600904-000
Policy instance 1
Insurance contract or identification number600904-000
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,619
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $4,152
Insurance broker organization code?3
Amount paid for insurance broker fees0
Insurance broker nameSIEGEL ACTUARIAL CONSULTING, INC.
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600904-000
Policy instance 1
Insurance contract or identification number600904-000
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,415
Total amount of fees paid to insurance companyUSD $1,397
Commission paid to Insurance BrokerUSD $3,707
Insurance broker organization code?3
Insurance broker nameSIEGEL ACTUARIAL CONSULTING, INC.

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