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MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 401k Plan overview

Plan NameMCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN
Plan identification number 001

MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CALHOUN ASPHALT COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:CALHOUN ASPHALT COMPANY, INC.
Employer identification number (EIN):630254773
NAIC Classification:324120

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01CHALES LOCKHART
0012017-01-01CHARLES D. LOCKHART
0012016-01-01J. T. MCCARTNEY
0012015-01-01J. T. MCCARTNEY
0012014-01-01J. T. MCCARTNEY
0012013-01-01J. T. MCCARTNEY
0012012-01-01J. T. MCCARTNEY
0012011-01-01J. T. MCCARTNEY
0012010-01-01J. T. MCCARTNEY
0012009-01-01J. T. MCCARTNEY J. T. MCCARTNEY2010-07-27

Plan Statistics for MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN

401k plan membership statisitcs for MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN

Measure Date Value
2018: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01207
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-010
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01197
Total number of active participants reported on line 7a of the Form 55002017-01-01117
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0182
Total of all active and inactive participants2017-01-01199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01199
Number of participants with account balances2017-01-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01209
Total number of active participants reported on line 7a of the Form 55002016-01-01113
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0183
Total of all active and inactive participants2016-01-01196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01196
Number of participants with account balances2016-01-01134
2015: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01196
Total number of active participants reported on line 7a of the Form 55002015-01-01131
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0173
Total of all active and inactive participants2015-01-01204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-01205
Number of participants with account balances2015-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01193
Total number of active participants reported on line 7a of the Form 55002014-01-01116
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0173
Total of all active and inactive participants2014-01-01189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01189
Number of participants with account balances2014-01-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01203
Total number of active participants reported on line 7a of the Form 55002013-01-01117
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0169
Total of all active and inactive participants2013-01-01186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01186
Number of participants with account balances2013-01-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01218
Total number of active participants reported on line 7a of the Form 55002012-01-01107
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0195
Total of all active and inactive participants2012-01-01202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01202
Number of participants with account balances2012-01-01158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01221
Total number of active participants reported on line 7a of the Form 55002011-01-01114
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01100
Total of all active and inactive participants2011-01-01214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01214
Number of participants with account balances2011-01-01173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-015
2010: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01223
Total number of active participants reported on line 7a of the Form 55002010-01-01130
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0189
Total of all active and inactive participants2010-01-01219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01219
Number of participants with account balances2010-01-01182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-015
2009: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01219
Total number of active participants reported on line 7a of the Form 55002009-01-01133
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0187
Total of all active and inactive participants2009-01-01220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01220
Number of participants with account balances2009-01-01192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-019

Financial Data on MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN

Measure Date Value
2018 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
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$0
Total income from all sources (including contributions)2018-06-30$-214,024
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$12,204,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$12,180,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$42,826
Value of total assets at end of year2018-06-30$0
Value of total assets at beginning of year2018-06-30$12,418,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$24,084
Total interest from all sources2018-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$12,391
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-06-30$0
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$0
Administrative expenses professional fees incurred2018-06-30$10,000
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$26,142
Participant contributions at end of year2018-06-30$0
Participant contributions at beginning of year2018-06-30$2,924
Assets. Other investments not covered elsewhere at end of year2018-06-30$0
Assets. Other investments not covered elsewhere at beginning of year2018-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$0
Other income not declared elsewhere2018-06-30$30
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-12,418,225
Value of net assets at end of year (total assets less liabilities)2018-06-30$0
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$12,418,225
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
Assets. partnership/joint venture interests at end of year2018-06-30$0
Assets. partnership/joint venture interests at beginning of year2018-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$4,711,222
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$7,702,073
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$7,702,073
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$0
Asset value of US Government securities at end of year2018-06-30$0
Asset value of US Government securities at beginning of year2018-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$-269,271
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$16,684
Employer contributions (assets) at end of year2018-06-30$0
Employer contributions (assets) at beginning of year2018-06-30$2,006
Income. Dividends from common stock2018-06-30$12,391
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$12,180,117
Asset. Corporate debt instrument debt (other) at end of year2018-06-30$0
Asset. Corporate debt instrument debt (other) at beginning of year2018-06-30$0
Contract administrator fees2018-06-30$14,084
Assets. Corporate common stocks other than exployer securities at end of year2018-06-30$0
Assets. Corporate common stocks other than exployer securities at beginning of year2018-06-30$0
Did the plan have assets held for investment2018-06-30No
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 PBGC2018-06-30Yes
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 name2018-06-30HENDERSON HUTCHERSON & MCCULLOUGH,
Accountancy firm EIN2018-06-30621114363
2017 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,511,817
Total loss/gain on sale of assets2017-12-31$219,144
Total of all expenses incurred2017-12-31$218,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$190,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$222,229
Value of total assets at end of year2017-12-31$12,418,225
Value of total assets at beginning of year2017-12-31$11,125,401
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$28,432
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$357,444
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$85,540
Administrative expenses professional fees incurred2017-12-31$10,000
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$134,096
Participant contributions at end of year2017-12-31$2,924
Participant contributions at beginning of year2017-12-31$2,293
Assets. Other investments not covered elsewhere at end of year2017-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$49,858
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$4,652
Other income not declared elsewhere2017-12-31$-338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,292,824
Value of net assets at end of year (total assets less liabilities)2017-12-31$12,418,225
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$11,125,401
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$0
Assets. partnership/joint venture interests at beginning of year2017-12-31$287,702
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,711,222
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$6,323,335
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$7,702,073
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$866,263
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$866,263
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,173,513
Asset value of US Government securities at end of year2017-12-31$0
Asset value of US Government securities at beginning of year2017-12-31$306
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$713,338
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$88,133
Employer contributions (assets) at end of year2017-12-31$2,006
Employer contributions (assets) at beginning of year2017-12-31$2,017
Income. Dividends from common stock2017-12-31$271,904
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$190,561
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$280,140
Contract administrator fees2017-12-31$18,432
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$2,135,322
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$219,144
2016 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$250,354
Total unrealized appreciation/depreciation of assets2016-12-31$250,354
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$1,246,103
Total loss/gain on sale of assets2016-12-31$37,644
Total of all expenses incurred2016-12-31$1,693,756
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,665,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$238,526
Value of total assets at end of year2016-12-31$11,125,401
Value of total assets at beginning of year2016-12-31$11,573,054
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$28,715
Total interest from all sources2016-12-31$13,346
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$128,304
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$60,191
Administrative expenses professional fees incurred2016-12-31$28,050
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$144,934
Participant contributions at end of year2016-12-31$2,293
Participant contributions at beginning of year2016-12-31$2,114
Assets. Other investments not covered elsewhere at end of year2016-12-31$49,858
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$92,323
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$4,652
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,757
Other income not declared elsewhere2016-12-31$41,934
Administrative expenses (other) incurred2016-12-31$515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-447,653
Value of net assets at end of year (total assets less liabilities)2016-12-31$11,125,401
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,573,054
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
Assets. partnership/joint venture interests at end of year2016-12-31$287,702
Assets. partnership/joint venture interests at beginning of year2016-12-31$431,900
Investment advisory and management fees2016-12-31$150
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$6,323,335
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$6,751,672
Income. Interest from US Government securities2016-12-31$110
Income. Interest from corporate debt instruments2016-12-31$12,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$866,263
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,030,162
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,030,162
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$294
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,173,513
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,139,240
Asset value of US Government securities at end of year2016-12-31$306
Asset value of US Government securities at beginning of year2016-12-31$419
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$535,995
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$93,592
Employer contributions (assets) at end of year2016-12-31$2,017
Employer contributions (assets) at beginning of year2016-12-31$2,232
Income. Dividends from common stock2016-12-31$68,113
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,665,041
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$280,140
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$286,824
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$2,135,322
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$1,834,411
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$188,230
Aggregate carrying amount (costs) on sale of assets2016-12-31$150,586
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31HENDERSON HUTCHERSON & MCCULLOUGH
Accountancy firm EIN2016-12-31621114363
2015 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-151,845
Total unrealized appreciation/depreciation of assets2015-12-31$-151,845
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$1,834
Total income from all sources (including contributions)2015-12-31$259,600
Total loss/gain on sale of assets2015-12-31$148,773
Total of all expenses incurred2015-12-31$608,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$578,867
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$233,292
Value of total assets at end of year2015-12-31$11,573,054
Value of total assets at beginning of year2015-12-31$11,924,274
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$30,119
Total interest from all sources2015-12-31$28,498
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$134,995
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$69,682
Administrative expenses professional fees incurred2015-12-31$29,683
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$143,721
Participant contributions at end of year2015-12-31$2,114
Participant contributions at beginning of year2015-12-31$8
Assets. Other investments not covered elsewhere at end of year2015-12-31$92,323
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$92,837
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$1,757
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1,719
Other income not declared elsewhere2015-12-31$61,771
Administrative expenses (other) incurred2015-12-31$286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-349,386
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,573,054
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,922,440
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
Assets. partnership/joint venture interests at end of year2015-12-31$431,900
Assets. partnership/joint venture interests at beginning of year2015-12-31$761,593
Investment advisory and management fees2015-12-31$150
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$6,751,672
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$6,665,126
Income. Interest from US Government securities2015-12-31$121
Income. Interest from corporate debt instruments2015-12-31$15,225
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,030,162
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$996,575
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$996,575
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$13,152
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,139,240
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,106,059
Asset value of US Government securities at end of year2015-12-31$419
Asset value of US Government securities at beginning of year2015-12-31$535
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-195,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$89,571
Employer contributions (assets) at end of year2015-12-31$2,232
Employer contributions (assets) at beginning of year2015-12-31$8
Income. Dividends from common stock2015-12-31$65,313
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$578,867
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$286,824
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$343,883
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$1,834,411
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$1,955,931
Liabilities. Value of benefit claims payable at end of year2015-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,834
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$715,401
Aggregate carrying amount (costs) on sale of assets2015-12-31$566,628
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 name2015-12-31HENDERSON HUTCHERSON & MCCULLOUGH
Accountancy firm EIN2015-12-31621114363
2014 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$139,943
Total unrealized appreciation/depreciation of assets2014-12-31$139,943
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$5,112
Total income from all sources (including contributions)2014-12-31$909,325
Total loss/gain on sale of assets2014-12-31$28,321
Total of all expenses incurred2014-12-31$260,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$228,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$222,930
Value of total assets at end of year2014-12-31$11,924,274
Value of total assets at beginning of year2014-12-31$11,278,695
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$31,694
Total interest from all sources2014-12-31$31,249
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$126,526
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$63,971
Administrative expenses professional fees incurred2014-12-31$31,045
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$142,211
Participant contributions at end of year2014-12-31$8
Participant contributions at beginning of year2014-12-31$2
Assets. Other investments not covered elsewhere at end of year2014-12-31$92,837
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$74,179
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1,719
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$5,255
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$4,347
Other income not declared elsewhere2014-12-31$60,791
Administrative expenses (other) incurred2014-12-31$319
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$648,857
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,922,440
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$11,273,583
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
Assets. partnership/joint venture interests at end of year2014-12-31$761,593
Assets. partnership/joint venture interests at beginning of year2014-12-31$721,981
Investment advisory and management fees2014-12-31$330
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$6,665,126
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$5,767,823
Income. Interest from US Government securities2014-12-31$144
Income. Interest from corporate debt instruments2014-12-31$18,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$996,575
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,237,093
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,237,093
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$12,132
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,106,059
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,073,843
Asset value of US Government securities at end of year2014-12-31$535
Asset value of US Government securities at beginning of year2014-12-31$691
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$299,565
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$80,719
Employer contributions (assets) at end of year2014-12-31$8
Employer contributions (assets) at beginning of year2014-12-31$0
Income. Dividends from common stock2014-12-31$62,555
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$228,774
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$343,883
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$541,863
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$1,955,931
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$1,855,965
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,834
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$765
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
Aggregate proceeds on sale of assets2014-12-31$338,363
Aggregate carrying amount (costs) on sale of assets2014-12-31$310,042
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 name2014-12-31DAVIDSON GOLDEN LUNDY&FOREHAND PC
Accountancy firm EIN2014-12-31621397304
2013 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$486,511
Total unrealized appreciation/depreciation of assets2013-12-31$486,511
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,112
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$2,085,487
Total loss/gain on sale of assets2013-12-31$198,866
Total of all expenses incurred2013-12-31$376,353
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$343,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$198,481
Value of total assets at end of year2013-12-31$11,278,695
Value of total assets at beginning of year2013-12-31$9,564,449
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$32,668
Total interest from all sources2013-12-31$61,610
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$104,019
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$46,183
Administrative expenses professional fees incurred2013-12-31$32,221
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
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$127,721
Participant contributions at end of year2013-12-31$2
Participant contributions at beginning of year2013-12-31$0
Assets. Other investments not covered elsewhere at end of year2013-12-31$74,179
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$109,873
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$5,255
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$1,096
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$4,347
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$73,210
Administrative expenses (other) incurred2013-12-31$297
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$1,709,134
Value of net assets at end of year (total assets less liabilities)2013-12-31$11,273,583
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$9,564,449
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
Assets. partnership/joint venture interests at end of year2013-12-31$721,981
Assets. partnership/joint venture interests at beginning of year2013-12-31$752,305
Investment advisory and management fees2013-12-31$150
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$5,767,823
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$4,436,181
Income. Interest from US Government securities2013-12-31$178
Income. Interest from corporate debt instruments2013-12-31$49,270
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,237,093
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$944,176
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$944,176
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$12,162
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,073,843
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,042,566
Asset value of US Government securities at end of year2013-12-31$691
Asset value of US Government securities at beginning of year2013-12-31$848
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$962,790
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$70,760
Income. Dividends from common stock2013-12-31$57,836
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$343,685
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$541,863
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$785,667
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$1,855,965
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,491,737
Liabilities. Value of benefit claims payable at end of year2013-12-31$765
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$650,821
Aggregate carrying amount (costs) on sale of assets2013-12-31$451,955
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 name2013-12-31DAVIDSON GOLDEN LUNDY&FOREHAND PC
Accountancy firm EIN2013-12-31621397304
2012 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$218,409
Total unrealized appreciation/depreciation of assets2012-12-31$218,409
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,000
Total income from all sources (including contributions)2012-12-31$916,926
Total loss/gain on sale of assets2012-12-31$-43,667
Total of all expenses incurred2012-12-31$719,124
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$694,663
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$102,592
Value of total assets at end of year2012-12-31$9,564,449
Value of total assets at beginning of year2012-12-31$9,367,647
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$24,461
Total interest from all sources2012-12-31$73,937
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$85,523
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$29,318
Administrative expenses professional fees incurred2012-12-31$24,071
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$102,592
Assets. Other investments not covered elsewhere at end of year2012-12-31$109,873
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$47,685
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$1,096
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$11,319
Other income not declared elsewhere2012-12-31$74,261
Administrative expenses (other) incurred2012-12-31$240
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$197,802
Value of net assets at end of year (total assets less liabilities)2012-12-31$9,564,449
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$9,366,647
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$752,305
Assets. partnership/joint venture interests at beginning of year2012-12-31$975,542
Investment advisory and management fees2012-12-31$150
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$4,436,181
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$3,161,870
Income. Interest from US Government securities2012-12-31$56
Income. Interest from corporate debt instruments2012-12-31$62,378
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest in common/collective trusts at beginning of year2012-12-31$205,984
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$944,176
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,408,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,408,235
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$11,503
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,042,566
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$1,012,101
Asset value of US Government securities at end of year2012-12-31$848
Asset value of US Government securities at beginning of year2012-12-31$1,048
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$405,871
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Income. Dividends from common stock2012-12-31$56,205
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$694,663
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$785,667
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$1,161,061
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,491,737
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,382,802
Liabilities. Value of benefit claims payable at end of year2012-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,000
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$715,282
Aggregate carrying amount (costs) on sale of assets2012-12-31$758,949
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31DAVIDSON GOLDEN LUNDY&FOREHAND PC
Accountancy firm EIN2012-12-31621397304
2011 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$82,100
Total unrealized appreciation/depreciation of assets2011-12-31$82,100
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,264
Total income from all sources (including contributions)2011-12-31$238,484
Total loss/gain on sale of assets2011-12-31$-28,193
Total of all expenses incurred2011-12-31$382,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$381,063
Value of total corrective distributions2011-12-31$576
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$96,414
Value of total assets at end of year2011-12-31$9,367,647
Value of total assets at beginning of year2011-12-31$9,511,459
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$393
Total interest from all sources2011-12-31$86,650
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$79,266
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$21,768
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$122,500
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$96,414
Assets. Other investments not covered elsewhere at end of year2011-12-31$47,685
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$114,661
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$11,319
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$11,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$8
Other income not declared elsewhere2011-12-31$70,974
Administrative expenses (other) incurred2011-12-31$243
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-143,548
Value of net assets at end of year (total assets less liabilities)2011-12-31$9,366,647
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$9,510,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$975,542
Assets. partnership/joint venture interests at beginning of year2011-12-31$922,184
Investment advisory and management fees2011-12-31$150
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,161,870
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,527,960
Income. Interest from US Government securities2011-12-31$258
Income. Interest from corporate debt instruments2011-12-31$76,820
Value of interest in common/collective trusts at end of year2011-12-31$205,984
Value of interest in common/collective trusts at beginning of year2011-12-31$295,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,408,235
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$2,230,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$2,230,388
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$9,572
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$1,012,101
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$926,085
Asset value of US Government securities at end of year2011-12-31$1,048
Asset value of US Government securities at beginning of year2011-12-31$1,330
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-147,575
Net investment gain or loss from common/collective trusts2011-12-31$-1,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Income. Dividends from preferred stock2011-12-31$6,825
Income. Dividends from common stock2011-12-31$50,673
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$381,063
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$1,161,061
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$1,185,183
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,382,802
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,174,705
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,000
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,256
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$433,464
Aggregate carrying amount (costs) on sale of assets2011-12-31$461,657
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31DAVIDSON GOLDEN LUNDY&FOREHAND PC
Accountancy firm EIN2011-12-31621397304
2010 : MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-48,399
Total unrealized appreciation/depreciation of assets2010-12-31$-48,399
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,264
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,256
Total income from all sources (including contributions)2010-12-31$466,889
Total loss/gain on sale of assets2010-12-31$4,356
Total of all expenses incurred2010-12-31$790,800
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$777,133
Value of total corrective distributions2010-12-31$13,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$101,720
Value of total assets at end of year2010-12-31$9,511,459
Value of total assets at beginning of year2010-12-31$9,835,362
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$509
Total interest from all sources2010-12-31$70,245
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$49,714
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$6,617
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$122,500
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$106,800
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$101,720
Assets. Other investments not covered elsewhere at end of year2010-12-31$114,661
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$110,576
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$11,140
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$8,477
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$8
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$0
Other income not declared elsewhere2010-12-31$65,686
Administrative expenses (other) incurred2010-12-31$359
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-323,911
Value of net assets at end of year (total assets less liabilities)2010-12-31$9,510,195
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$9,834,106
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Assets. partnership/joint venture interests at end of year2010-12-31$922,184
Assets. partnership/joint venture interests at beginning of year2010-12-31$1,070,386
Investment advisory and management fees2010-12-31$150
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$2,527,960
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,053,704
Income. Interest from US Government securities2010-12-31$277
Income. Interest from corporate debt instruments2010-12-31$61,469
Value of interest in common/collective trusts at end of year2010-12-31$295,323
Value of interest in common/collective trusts at beginning of year2010-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,230,388
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$3,683,719
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$3,683,719
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$8,499
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$926,085
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$894,754
Asset value of US Government securities at end of year2010-12-31$1,330
Asset value of US Government securities at beginning of year2010-12-31$1,531
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$224,223
Net investment gain or loss from common/collective trusts2010-12-31$-656
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Income. Dividends from preferred stock2010-12-31$9,100
Income. Dividends from common stock2010-12-31$33,997
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$777,133
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$1,185,183
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$817,517
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,174,705
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$1,087,898
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,256
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,256
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$891,895
Aggregate carrying amount (costs) on sale of assets2010-12-31$887,539
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31DAVDISON GOLDEN LUNDY&FOREHAND PC
Accountancy firm EIN2010-12-31621397304

Form 5500 Responses for MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN

2018: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K 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: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K 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: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K 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: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K 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
2012: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MCCARTNEY CONSTRUCTION COMPANY INC. AND CALHOUN ASPHALT COMPANY INC. 401K PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberODY15293256
Policy instance 2
Insurance contract or identification numberODY15293256
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?1
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-807873
Policy instance 1
Insurance contract or identification numberGA-807873
Number of Individuals Covered91
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $21,940
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
Commission paid to Insurance BrokerUSD $21,940
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?4
Insurance broker namePNC INSURANCE SERVICES, INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-807873
Policy instance 3
Insurance contract or identification numberGA-807873
Number of Individuals Covered92
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $15,204
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,204
Insurance broker organization code?4
Insurance broker namePNC INSURANCE SERVICES, LLC
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberODY15293256
Policy instance 2
Insurance contract or identification numberODY15293256
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL POLICIES
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number162472;190249
Policy instance 1
Insurance contract or identification number162472;190249
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number162472;190249
Policy instance 1
Insurance contract or identification number162472;190249
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberODY15293256
Policy instance 2
Insurance contract or identification numberODY15293256
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL POLICIES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-807873
Policy instance 3
Insurance contract or identification numberGA-807873
Number of Individuals Covered89
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $13,679
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,679
Insurance broker organization code?4
Insurance broker namePNC INSURANCE SERVICES, LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-807873
Policy instance 3
Insurance contract or identification numberGA-807873
Number of Individuals Covered83
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,128
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,128
Insurance broker organization code?4
Insurance broker namePNC INSURANCE SERVICES, LLC
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberODY15293256
Policy instance 2
Insurance contract or identification numberODY15293256
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL POLICIES
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number162472;190249
Policy instance 1
Insurance contract or identification number162472;190249
Number of Individuals Covered2
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberODY15293256
Policy instance 2
Insurance contract or identification numberODY15293256
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL POLICIES
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number162472;190249
Policy instance 1
Insurance contract or identification number162472;190249
Number of Individuals Covered3
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-807873
Policy instance 3
Insurance contract or identification numberGA-807873
Number of Individuals Covered85
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,624
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,070
Insurance broker organization code?4
Insurance broker nameNBC SECURITIES, INC.
JEFFERSON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64017 )
Policy contract number0041662800
Policy instance 1
Insurance contract or identification number0041662800
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL ANNUITY CONTRACT
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number162472;190249
Policy instance 2
Insurance contract or identification number162472;190249
Number of Individuals Covered3
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberODY15293256
Policy instance 3
Insurance contract or identification numberODY15293256
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,547
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?Yes
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
Other information about contractINDIVIDUAL POLICIES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-807873
Policy instance 4
Insurance contract or identification numberGA-807873
Number of Individuals Covered89
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $9,676
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
JEFFERSON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64017 )
Policy contract number0041662800
Policy instance 1
Insurance contract or identification number0041662800
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL ANNUITY CONTRACT
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberODY15293256
Policy instance 3
Insurance contract or identification numberODY15293256
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL POLICIES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-807873
Policy instance 4
Insurance contract or identification numberGA-807873
Number of Individuals Covered92
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,637
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,637
Insurance broker organization code?4
Insurance broker nameNBC SECURITIES, INC.
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number162472;190249
Policy instance 2
Insurance contract or identification number162472;190249
Number of Individuals Covered3
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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
Other information about contractINDIVIDUAL ANNUITY CONTRACTS

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