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BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 401k Plan overview

Plan NameBUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN
Plan identification number 001

BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN Benefits

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

401k Sponsoring company profile

BUFFALO PEAK OUTFITTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:BUFFALO PEAK OUTFITTERS, INC.
Employer identification number (EIN):640870303
NAIC Classification:448190
NAIC Description:Other Clothing Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01TIFFANY CHENARD2023-09-26
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01JESSICA MARSON
0012017-01-01JESSICA MARSON
0012016-01-01JESSICA MARSON
0012015-01-01ROBERT H. MCCAIN
0012014-01-01ROBERT H. MCCAIN
0012013-01-01ROBERT H. MCCAIN2014-07-28
0012012-01-01ROBERT H. MCCAIN2013-04-29
0012011-01-01ROBERT H. MCCAIN2012-04-12
0012010-01-01ROBERT H. MCCAIN2011-06-29

Plan Statistics for BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN

Measure Date Value
2021: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0110
Total number of active participants reported on line 7a of the Form 55002021-01-016
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-013
Total of all active and inactive participants2021-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-019
Number of participants with account balances2021-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0110
Total number of active participants reported on line 7a of the Form 55002020-01-016
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0110
Number of participants with account balances2020-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0114
Total number of active participants reported on line 7a of the Form 55002019-01-017
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0110
Number of participants with account balances2019-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0116
Total number of active participants reported on line 7a of the Form 55002018-01-019
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-015
Total of all active and inactive participants2018-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0114
Number of participants with account balances2018-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0116
Total number of active participants reported on line 7a of the Form 55002017-01-0112
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0114
Number of participants with account balances2017-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0116
Total number of active participants reported on line 7a of the Form 55002016-01-0110
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-015
Total of all active and inactive participants2016-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0115
Number of participants with account balances2016-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0115
Total number of active participants reported on line 7a of the Form 55002015-01-0110
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0116
Number of participants with account balances2015-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0117
Total number of active participants reported on line 7a of the Form 55002014-01-0110
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0114
Number of participants with account balances2014-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010

Financial Data on BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN

Measure Date Value
2021 : BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$217,772
Expenses. Total of all expenses incurred2021-12-31$42,293
Benefits paid (including direct rollovers)2021-12-31$39,654
Total plan assets at end of year2021-12-31$1,296,207
Total plan assets at beginning of year2021-12-31$1,120,728
Value of fidelity bond covering the plan2021-12-31$100,000
Total contributions received or receivable from participants2021-12-31$17,118
Contributions received from other sources (not participants or employers)2021-12-31$43,011
Other income received2021-12-31$145,862
Net income (gross income less expenses)2021-12-31$175,479
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,296,207
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,120,728
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$11,781
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$2,639
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$150,666
Expenses. Total of all expenses incurred2020-12-31$2,045
Total plan assets at end of year2020-12-31$1,120,728
Total plan assets at beginning of year2020-12-31$972,107
Value of fidelity bond covering the plan2020-12-31$100,000
Total contributions received or receivable from participants2020-12-31$15,988
Other income received2020-12-31$123,712
Net income (gross income less expenses)2020-12-31$148,621
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,120,728
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$972,107
Assets. Value of assets in partnership/joint-venture interests2020-12-31$26,826
Total contributions received or receivable from employer(s)2020-12-31$10,966
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$2,045
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$191,619
Expenses. Total of all expenses incurred2019-12-31$11,385
Benefits paid (including direct rollovers)2019-12-31$9,380
Total plan assets at end of year2019-12-31$972,107
Total plan assets at beginning of year2019-12-31$791,873
Value of fidelity bond covering the plan2019-12-31$100,000
Total contributions received or receivable from participants2019-12-31$13,872
Other income received2019-12-31$157,333
Net income (gross income less expenses)2019-12-31$180,234
Net plan assets at end of year (total assets less liabilities)2019-12-31$972,107
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$791,873
Assets. Value of assets in partnership/joint-venture interests2019-12-31$27,184
Total contributions received or receivable from employer(s)2019-12-31$20,414
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$2,005
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-16,625
Expenses. Total of all expenses incurred2018-12-31$4,899
Benefits paid (including direct rollovers)2018-12-31$2,892
Total plan assets at end of year2018-12-31$791,873
Total plan assets at beginning of year2018-12-31$813,397
Value of fidelity bond covering the plan2018-12-31$100,000
Total contributions received or receivable from participants2018-12-31$15,656
Other income received2018-12-31$-61,535
Net income (gross income less expenses)2018-12-31$-21,524
Net plan assets at end of year (total assets less liabilities)2018-12-31$791,873
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$813,397
Assets. Value of assets in partnership/joint-venture interests2018-12-31$27,324
Total contributions received or receivable from employer(s)2018-12-31$29,254
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$2,007
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$153,161
Expenses. Total of all expenses incurred2017-12-31$10,027
Benefits paid (including direct rollovers)2017-12-31$8,478
Total plan assets at end of year2017-12-31$813,397
Total plan assets at beginning of year2017-12-31$670,263
Value of fidelity bond covering the plan2017-12-31$100,000
Total contributions received or receivable from participants2017-12-31$27,238
Other income received2017-12-31$106,654
Net income (gross income less expenses)2017-12-31$143,134
Net plan assets at end of year (total assets less liabilities)2017-12-31$813,397
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$670,263
Assets. Value of assets in partnership/joint-venture interests2017-12-31$27,455
Total contributions received or receivable from employer(s)2017-12-31$19,269
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,549
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$68,996
Expenses. Total of all expenses incurred2016-12-31$4,592
Benefits paid (including direct rollovers)2016-12-31$4,583
Total plan assets at end of year2016-12-31$670,263
Total plan assets at beginning of year2016-12-31$605,859
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$25,749
Other income received2016-12-31$24,337
Net income (gross income less expenses)2016-12-31$64,404
Net plan assets at end of year (total assets less liabilities)2016-12-31$670,263
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$605,859
Assets. Value of assets in partnership/joint-venture interests2016-12-31$27,575
Total contributions received or receivable from employer(s)2016-12-31$18,910
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$9
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$21,009
Expenses. Total of all expenses incurred2015-12-31$172,509
Benefits paid (including direct rollovers)2015-12-31$172,509
Total plan assets at end of year2015-12-31$605,859
Total plan assets at beginning of year2015-12-31$757,359
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$23,235
Other income received2015-12-31$-20,579
Net income (gross income less expenses)2015-12-31$-151,500
Net plan assets at end of year (total assets less liabilities)2015-12-31$605,859
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$757,359
Assets. Value of assets in partnership/joint-venture interests2015-12-31$26,888
Total contributions received or receivable from employer(s)2015-12-31$18,353
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$95,063
Expenses. Total of all expenses incurred2014-12-31$30
Total plan assets at end of year2014-12-31$757,359
Total plan assets at beginning of year2014-12-31$662,326
Value of fidelity bond covering the plan2014-12-31$100,000
Total contributions received or receivable from participants2014-12-31$35,016
Expenses. Other expenses not covered elsewhere2014-12-31$30
Other income received2014-12-31$40,394
Net income (gross income less expenses)2014-12-31$95,033
Net plan assets at end of year (total assets less liabilities)2014-12-31$757,359
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$662,326
Assets. Value of assets in partnership/joint-venture interests2014-12-31$49,660
Total contributions received or receivable from employer(s)2014-12-31$19,653

Form 5500 Responses for BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN

2021: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING 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 filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
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: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING 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: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BUFFALO PEAK OUTFITTERS, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814905
Policy instance 1
Insurance contract or identification number814905
Number of Individuals Covered8
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,382
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,382
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814905
Policy instance 1
Insurance contract or identification number814905
Number of Individuals Covered9
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,219
Total amount of fees paid to insurance companyUSD $460
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,219
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814905
Policy instance 1
Insurance contract or identification number814905
Number of Individuals Covered9
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,860
Total amount of fees paid to insurance companyUSD $419
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,860
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814905
Policy instance 1
Insurance contract or identification number814905
Number of Individuals Covered10
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,648
Total amount of fees paid to insurance companyUSD $403
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,648
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814905
Policy instance 1
Insurance contract or identification number814905
Number of Individuals Covered10
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,207
Total amount of fees paid to insurance companyUSD $423
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,207
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameUNIVERSAL RETIREMENT SOLUTIONS INC

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