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401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 401k Plan overview

Plan Name401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC.
Plan identification number 002

401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. Benefits

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

401k Sponsoring company profile

SOUTHEAST CANCER NETWORK, INC. has sponsored the creation of one or more 401k plans.

Company Name:SOUTHEAST CANCER NETWORK, INC.
Employer identification number (EIN):631171068
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about SOUTHEAST CANCER NETWORK, INC.

Jurisdiction of Incorporation: Alabama Secretary of State
Incorporation Date: 1996-05-01
Company Identification Number: 179-448
Legal Registered Office Address: 1400 AFFLINK PLACE STE 100 TUSCALOOSA,


United States of America (USA)
35406

More information about SOUTHEAST CANCER NETWORK, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022019-01-01MITZI COOGLER2020-09-16
0022018-01-01MITZI COOGLER2019-09-25
0022018-01-01MITZI COOGLER2019-08-19
0022017-01-01MITZI COOGLER
0022016-01-01STEVE L MITCHELL
0022015-01-01STEVE L MITCHELL
0022014-01-01STEVE L MITCHELL
0022013-01-01STEVE L MITCHELL
0022012-01-01STEVE L MITCHELL
0022011-01-01STEVE L MITCHELL
0022009-01-01STEVE L MITCHELL

Plan Statistics for 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC.

401k plan membership statisitcs for 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC.

Measure Date Value
2017: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2017 401k membership
Total participants, beginning-of-year2017-01-01105
Total number of active participants reported on line 7a of the Form 55002017-01-0163
Number of retired or separated participants receiving benefits2017-01-0110
Number of other retired or separated participants entitled to future benefits2017-01-0137
Total of all active and inactive participants2017-01-01110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01110
Number of participants with account balances2017-01-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-01172
Total number of active participants reported on line 7a of the Form 55002016-01-0180
Number of retired or separated participants receiving benefits2016-01-018
Number of other retired or separated participants entitled to future benefits2016-01-0142
Total of all active and inactive participants2016-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01130
Number of participants with account balances2016-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-01201
Total number of active participants reported on line 7a of the Form 55002015-01-01100
Number of retired or separated participants receiving benefits2015-01-0110
Number of other retired or separated participants entitled to future benefits2015-01-0162
Total of all active and inactive participants2015-01-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01172
Number of participants with account balances2015-01-01113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-01236
Total number of active participants reported on line 7a of the Form 55002014-01-01147
Number of retired or separated participants receiving benefits2014-01-015
Number of other retired or separated participants entitled to future benefits2014-01-0149
Total of all active and inactive participants2014-01-01201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01201
Number of participants with account balances2014-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-015
2013: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-01260
Total number of active participants reported on line 7a of the Form 55002013-01-01179
Number of retired or separated participants receiving benefits2013-01-014
Number of other retired or separated participants entitled to future benefits2013-01-0153
Total of all active and inactive participants2013-01-01236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01236
Number of participants with account balances2013-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0112
2012: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-01252
Total number of active participants reported on line 7a of the Form 55002012-01-01218
Number of retired or separated participants receiving benefits2012-01-015
Number of other retired or separated participants entitled to future benefits2012-01-0151
Total of all active and inactive participants2012-01-01274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01274
Number of participants with account balances2012-01-01155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0113
2011: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2011 401k membership
Total participants, beginning-of-year2011-01-01275
Total number of active participants reported on line 7a of the Form 55002011-01-01249
Number of retired or separated participants receiving benefits2011-01-017
Number of other retired or separated participants entitled to future benefits2011-01-0154
Total of all active and inactive participants2011-01-01310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01310
Number of participants with account balances2011-01-01181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0117
2009: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2009 401k membership
Total participants, beginning-of-year2009-01-01322
Total number of active participants reported on line 7a of the Form 55002009-01-01260
Number of retired or separated participants receiving benefits2009-01-0119
Number of other retired or separated participants entitled to future benefits2009-01-01111
Total of all active and inactive participants2009-01-01390
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01390
Number of participants with account balances2009-01-01288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0148

Financial Data on 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC.

Measure Date Value
2017 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2017 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$17,996
Total income from all sources (including contributions)2017-12-31$470,706
Total of all expenses incurred2017-12-31$287,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$269,851
Expenses. Certain deemed distributions of participant loans2017-12-31$7,176
Value of total corrective distributions2017-12-31$8,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$68,204
Value of total assets at end of year2017-12-31$2,854,380
Value of total assets at beginning of year2017-12-31$2,689,146
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,523
Total interest from all sources2017-12-31$3,823
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$400,000
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$59,270
Participant contributions at end of year2017-12-31$10,374
Participant contributions at beginning of year2017-12-31$29,327
Participant contributions at end of year2017-12-31$799
Participant contributions at beginning of year2017-12-31$1,601
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$8,934
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$17,996
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$183,230
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,854,380
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,671,150
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
Interest on participant loans2017-12-31$1,021
Value of interest in common/collective trusts at end of year2017-12-31$2,582,362
Value of interest in common/collective trusts at beginning of year2017-12-31$2,461,567
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$2,802
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$260,845
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$196,651
Net investment gain or loss from common/collective trusts2017-12-31$398,679
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 contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$269,851
Contract administrator fees2017-12-31$1,523
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2017-12-31260079381
2016 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$17,996
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$53,421
Total income from all sources (including contributions)2016-12-31$229,740
Total of all expenses incurred2016-12-31$1,454,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,444,032
Expenses. Certain deemed distributions of participant loans2016-12-31$7,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$73,258
Value of total assets at end of year2016-12-31$2,689,146
Value of total assets at beginning of year2016-12-31$3,949,182
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,393
Total interest from all sources2016-12-31$5,769
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$400,000
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$73,258
Participant contributions at end of year2016-12-31$29,327
Participant contributions at beginning of year2016-12-31$31,650
Participant contributions at end of year2016-12-31$1,601
Participant contributions at beginning of year2016-12-31$1,659
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$17,996
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$53,421
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$14,111
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-1,224,611
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,671,150
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,895,761
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,444,466
Interest on participant loans2016-12-31$1,409
Value of interest in common/collective trusts at end of year2016-12-31$2,461,567
Value of interest in common/collective trusts at beginning of year2016-12-31$166,354
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$4,360
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$196,651
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$290,942
Net investment gain or loss from common/collective trusts2016-12-31$150,713
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 contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,444,032
Contract administrator fees2016-12-31$2,393
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2016-12-31260079381
2015 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$53,421
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$40,540
Total income from all sources (including contributions)2015-12-31$196,452
Total of all expenses incurred2015-12-31$131,522
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$129,522
Expenses. Certain deemed distributions of participant loans2015-12-31$1,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$183,479
Value of total assets at end of year2015-12-31$3,949,182
Value of total assets at beginning of year2015-12-31$3,871,371
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$724
Total interest from all sources2015-12-31$5,793
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$400,000
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$179,659
Participant contributions at end of year2015-12-31$31,650
Participant contributions at beginning of year2015-12-31$45,083
Participant contributions at end of year2015-12-31$1,659
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$3,820
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$53,421
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$40,540
Other income not declared elsewhere2015-12-31$-3,860
Total non interest bearing cash at end of year2015-12-31$14,111
Total non interest bearing cash at beginning of year2015-12-31$18,020
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$64,930
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,895,761
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,830,831
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,444,466
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,390,982
Value of interest in pooled separate accounts at beginning of year2015-12-31$0
Income. Interest from loans (other than to participants)2015-12-31$1,434
Value of interest in common/collective trusts at end of year2015-12-31$166,354
Value of interest in common/collective trusts at beginning of year2015-12-31$175,216
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$4,359
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$290,942
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$242,070
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$12,753
Net investment gain or loss from common/collective trusts2015-12-31$-1,713
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$129,522
Contract administrator fees2015-12-31$724
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2015-12-31260079381
2014 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$40,540
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$57,214
Total income from all sources (including contributions)2014-12-31$526,270
Total of all expenses incurred2014-12-31$805,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$762,301
Expenses. Certain deemed distributions of participant loans2014-12-31$15,152
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$216,323
Value of total assets at end of year2014-12-31$3,871,371
Value of total assets at beginning of year2014-12-31$4,167,767
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$28,539
Total interest from all sources2014-12-31$1,578
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$400,000
If this is an individual account plan, was there a blackout period2014-12-31Yes
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$203,722
Participant contributions at end of year2014-12-31$45,083
Participant contributions at beginning of year2014-12-31$48,698
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$12,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$40,540
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$57,214
Other income not declared elsewhere2014-12-31$1,237
Administrative expenses (other) incurred2014-12-31$10,000
Total non interest bearing cash at end of year2014-12-31$18,020
Total non interest bearing cash at beginning of year2014-12-31$9,141
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-279,722
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,830,831
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,110,553
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,390,982
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$0
Value of interest in pooled separate accounts at end of year2014-12-31$0
Value of interest in pooled separate accounts at beginning of year2014-12-31$4,106,556
Interest on participant loans2014-12-31$1,454
Value of interest in common/collective trusts at end of year2014-12-31$175,216
Value of interest in common/collective trusts at beginning of year2014-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$124
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$242,070
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$3,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$4,802
Net investment gain/loss from pooled separate accounts2014-12-31$304,631
Net investment gain or loss from common/collective trusts2014-12-31$-2,301
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 contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$762,301
Contract administrator fees2014-12-31$18,539
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31Yes
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2014-12-31260079381
2013 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$57,214
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$1,090,023
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,204,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,147,250
Expenses. Certain deemed distributions of participant loans2013-12-31$6,458
Value of total corrective distributions2013-12-31$20,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$267,950
Value of total assets at end of year2013-12-31$4,167,767
Value of total assets at beginning of year2013-12-31$4,224,684
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$30,420
Total interest from all sources2013-12-31$2,274
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$400,000
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$262,934
Participant contributions at end of year2013-12-31$48,698
Participant contributions at beginning of year2013-12-31$59,317
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$6,064
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$5,016
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$57,214
Administrative expenses (other) incurred2013-12-31$244
Total non interest bearing cash at end of year2013-12-31$9,141
Total non interest bearing cash at beginning of year2013-12-31$5,959
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-114,131
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,110,553
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,224,684
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$4,106,556
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,151,762
Income. Interest from loans (other than to participants)2013-12-31$2,239
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$35
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$3,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,582
Net investment gain/loss from pooled separate accounts2013-12-31$819,799
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,147,250
Contract administrator fees2013-12-31$30,176
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2013-12-31260079381
2012 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
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$0
Total income from all sources (including contributions)2012-12-31$911,154
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$754,261
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$689,840
Expenses. Certain deemed distributions of participant loans2012-12-31$25,285
Value of total corrective distributions2012-12-31$7,494
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$390,900
Value of total assets at end of year2012-12-31$4,224,684
Value of total assets at beginning of year2012-12-31$4,067,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$31,642
Total interest from all sources2012-12-31$2,467
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$31,642
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$400,000
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$390,900
Participant contributions at end of year2012-12-31$59,317
Participant contributions at beginning of year2012-12-31$64,231
Participant contributions at end of year2012-12-31$6,064
Participant contributions at beginning of year2012-12-31$5,964
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$10,099
Total non interest bearing cash at end of year2012-12-31$5,959
Total non interest bearing cash at beginning of year2012-12-31$12,890
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$156,893
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,224,684
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,067,791
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
Value of interest in pooled separate accounts at end of year2012-12-31$4,151,762
Value of interest in pooled separate accounts at beginning of year2012-12-31$3,983,219
Interest on participant loans2012-12-31$2,361
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$106
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,582
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$1,487
Net investment gain/loss from pooled separate accounts2012-12-31$517,787
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$679,741
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2012-12-31260079381
2011 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$298,690
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$655,889
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$572,070
Expenses. Certain deemed distributions of participant loans2011-12-31$18,987
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$428,696
Value of total assets at end of year2011-12-31$4,067,791
Value of total assets at beginning of year2011-12-31$4,424,990
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$64,832
Total interest from all sources2011-12-31$3,145
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$32,447
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$400,000
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$397,694
Participant contributions at end of year2011-12-31$64,231
Participant contributions at beginning of year2011-12-31$61,331
Participant contributions at end of year2011-12-31$5,964
Participant contributions at beginning of year2011-12-31$11,084
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$31,002
Total non interest bearing cash at end of year2011-12-31$12,890
Total non interest bearing cash at beginning of year2011-12-31$29,521
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-357,199
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,067,791
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,424,990
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
Value of interest in pooled separate accounts at end of year2011-12-31$3,983,219
Value of interest in pooled separate accounts at beginning of year2011-12-31$4,321,578
Interest on participant loans2011-12-31$3,124
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$21
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$1,487
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$1,476
Net investment gain/loss from pooled separate accounts2011-12-31$-133,151
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$572,070
Contract administrator fees2011-12-31$32,385
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2011-12-31260079381
2010 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,099,658
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,402,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,350,898
Expenses. Certain deemed distributions of participant loans2010-12-31$12,533
Value of total corrective distributions2010-12-31$7,536
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$524,963
Value of total assets at end of year2010-12-31$4,424,990
Value of total assets at beginning of year2010-12-31$4,727,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$31,276
Total interest from all sources2010-12-31$3,665
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$400,000
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$484,463
Participant contributions at end of year2010-12-31$61,331
Participant contributions at beginning of year2010-12-31$90,954
Participant contributions at end of year2010-12-31$11,084
Participant contributions at beginning of year2010-12-31$3,936
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$40,500
Other income not declared elsewhere2010-12-31$108
Total non interest bearing cash at end of year2010-12-31$29,521
Total non interest bearing cash at beginning of year2010-12-31$19,510
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-302,585
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,424,990
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,727,575
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
Value of interest in pooled separate accounts at end of year2010-12-31$4,321,578
Value of interest in pooled separate accounts at beginning of year2010-12-31$4,500,822
Interest on participant loans2010-12-31$3,617
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$48
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$1,476
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$17,227
Net investment gain/loss from pooled separate accounts2010-12-31$570,922
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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
Employer contributions (assets) at beginning of year2010-12-31$95,126
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,350,898
Contract administrator fees2010-12-31$31,276
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2010-12-31260079381
2009 : 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC.

2017: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 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: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 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: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 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
2009: 401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-834890
Policy instance 1
Insurance contract or identification numberGA-834890
Number of Individuals Covered69
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $13,671
Total amount of fees paid to insurance companyUSD $1,709
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $13,671
Insurance broker organization code?3
Amount paid for insurance broker fees1709
Insurance broker nameMARTIN MARTIN RANDALL & ASSOC. INC.
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-834890
Policy instance 1
Insurance contract or identification numberGA-834890
Number of Individuals Covered112
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,944
Total amount of fees paid to insurance companyUSD $2,060
Commission paid to Insurance BrokerUSD $4,944
Insurance broker organization code?3
Amount paid for insurance broker fees493
Insurance broker nameMERRILL LYNCH PIERCE FENNER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number55521
Policy instance 1
Insurance contract or identification number55521
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $20,063
Total amount of fees paid to insurance companyUSD $1,338
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $20,063
Insurance broker organization code?3
Amount paid for insurance broker fees1188
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameMMR, INC.
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-834890
Policy instance 2
Insurance contract or identification numberGA-834890
Number of Individuals Covered111
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $30,056
Total amount of fees paid to insurance companyUSD $7,597
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $30,056
Insurance broker organization code?3
Amount paid for insurance broker fees7500
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameMERRILL LYNCH PIERCE FENNER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number55521
Policy instance 1
Insurance contract or identification number55521
Number of Individuals Covered148
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $30,392
Total amount of fees paid to insurance companyUSD $2,232
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
Commission paid to Insurance BrokerUSD $30,392
Insurance broker organization code?3
Amount paid for insurance broker fees2032
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameMMR, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number55521
Policy instance 1
Insurance contract or identification number55521
Number of Individuals Covered174
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $31,541
Total amount of fees paid to insurance companyUSD $2,560
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
Commission paid to Insurance BrokerUSD $31,541
Insurance broker organization code?3
Amount paid for insurance broker fees2115
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameVANGUARD GROUP, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number55521
Policy instance 1
Insurance contract or identification number55521
Number of Individuals Covered195
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $32,557
Total amount of fees paid to insurance companyUSD $2,638
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number55521
Policy instance 1
Insurance contract or identification number55521
Number of Individuals Covered239
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $31,314
Total amount of fees paid to insurance companyUSD $2,471
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
Commission paid to Insurance BrokerUSD $31,314
Insurance broker organization code?3
Amount paid for insurance broker fees2114
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameUBS GLOBAL ASSET MANAGEMENT

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