MARTINEZ ODELL & CALABRIA has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MARTINEZ, ODELL & CALABRIA 1165(E) PLAN
| Measure | Date | Value |
|---|
| 2015: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-08-01 | 42 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
| Total of all active and inactive participants | 2015-08-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-08-01 | 0 |
| Total participants | 2015-08-01 | 0 |
| Number of participants with account balances | 2015-08-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-08-01 | 0 |
| 2014: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-08-01 | 53 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 37 |
| Number of retired or separated participants receiving benefits | 2014-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-08-01 | 4 |
| Total of all active and inactive participants | 2014-08-01 | 41 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-08-01 | 1 |
| Total participants | 2014-08-01 | 42 |
| Number of participants with account balances | 2014-08-01 | 42 |
| 2013: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-08-01 | 67 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-08-01 | 48 |
| Number of retired or separated participants receiving benefits | 2013-08-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2013-08-01 | 3 |
| Total of all active and inactive participants | 2013-08-01 | 52 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-08-01 | 1 |
| Total participants | 2013-08-01 | 53 |
| Number of participants with account balances | 2013-08-01 | 50 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-08-01 | 1 |
| 2012: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-08-01 | 64 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 57 |
| Number of retired or separated participants receiving benefits | 2012-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-08-01 | 10 |
| Total of all active and inactive participants | 2012-08-01 | 67 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-08-01 | 0 |
| Total participants | 2012-08-01 | 67 |
| Number of participants with account balances | 2012-08-01 | 67 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-08-01 | 2 |
| 2011: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-08-01 | 59 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 49 |
| Number of retired or separated participants receiving benefits | 2011-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-08-01 | 7 |
| Total of all active and inactive participants | 2011-08-01 | 56 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-08-01 | 0 |
| Total participants | 2011-08-01 | 56 |
| Number of participants with account balances | 2011-08-01 | 56 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-08-01 | 0 |
| 2009: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-08-01 | 92 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-08-01 | 51 |
| Number of retired or separated participants receiving benefits | 2009-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-08-01 | 18 |
| Total of all active and inactive participants | 2009-08-01 | 69 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-08-01 | 0 |
| Total participants | 2009-08-01 | 69 |
| Number of participants with account balances | 2009-08-01 | 69 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-08-01 | 1 |
| Measure | Date | Value |
|---|
| 2016 : MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2016 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2016-07-31 | $20,268 |
| Total income from all sources | 2016-07-31 | $23,812 |
| Expenses. Total of all expenses incurred | 2016-07-31 | $2,370,532 |
| Benefits paid (including direct rollovers) | 2016-07-31 | $2,362,090 |
| Total plan assets at end of year | 2016-07-31 | $0 |
| Total plan assets at beginning of year | 2016-07-31 | $2,366,988 |
| Value of fidelity bond covering the plan | 2016-07-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2016-07-31 | $8,442 |
| Other income received | 2016-07-31 | $23,812 |
| Net income (gross income less expenses) | 2016-07-31 | $-2,346,720 |
| Net plan assets at end of year (total assets less liabilities) | 2016-07-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-07-31 | $2,346,720 |
| Assets. Value of assets in partnership/joint-venture interests | 2016-07-31 | $0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-07-31 | $19,079 |
| Funding deficiency by the employer to the plan for this plan year | 2016-07-31 | $0 |
| Minimum employer required contribution for this plan year | 2016-07-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2016-07-31 | $0 |
| 2015 : MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-07-31 | $20,268 |
| Total plan liabilities at beginning of year | 2015-07-31 | $84,058 |
| Total income from all sources | 2015-07-31 | $104,573 |
| Expenses. Total of all expenses incurred | 2015-07-31 | $690,834 |
| Benefits paid (including direct rollovers) | 2015-07-31 | $640,470 |
| Total plan assets at end of year | 2015-07-31 | $2,366,988 |
| Total plan assets at beginning of year | 2015-07-31 | $3,017,039 |
| Value of fidelity bond covering the plan | 2015-07-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2015-07-31 | $36,909 |
| Other income received | 2015-07-31 | $63,314 |
| Net income (gross income less expenses) | 2015-07-31 | $-586,261 |
| Net plan assets at end of year (total assets less liabilities) | 2015-07-31 | $2,346,720 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-07-31 | $2,932,981 |
| Assets. Value of assets in partnership/joint-venture interests | 2015-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 2015-07-31 | $41,259 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-07-31 | $13,455 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-07-31 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2015-07-31 | $0 |
| Minimum employer required contribution for this plan year | 2015-07-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2015-07-31 | $0 |
| 2014 : MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-07-31 | $84,058 |
| Total plan liabilities at beginning of year | 2014-07-31 | $5,387 |
| Total income from all sources | 2014-07-31 | $116,861 |
| Expenses. Total of all expenses incurred | 2014-07-31 | $1,921,575 |
| Benefits paid (including direct rollovers) | 2014-07-31 | $1,834,092 |
| Total plan assets at end of year | 2014-07-31 | $3,017,039 |
| Total plan assets at beginning of year | 2014-07-31 | $4,743,082 |
| Value of fidelity bond covering the plan | 2014-07-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2014-07-31 | $53,177 |
| Other income received | 2014-07-31 | $116,861 |
| Net income (gross income less expenses) | 2014-07-31 | $-1,804,714 |
| Net plan assets at end of year (total assets less liabilities) | 2014-07-31 | $2,932,981 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-07-31 | $4,737,695 |
| Assets. Value of assets in partnership/joint-venture interests | 2014-07-31 | $3,965 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-07-31 | $34,306 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-07-31 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2014-07-31 | $0 |
| Minimum employer required contribution for this plan year | 2014-07-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2014-07-31 | $0 |
| 2013 : MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-07-31 | $5,387 |
| Total plan liabilities at beginning of year | 2013-07-31 | $4,793 |
| Total income from all sources | 2013-07-31 | $337,466 |
| Expenses. Total of all expenses incurred | 2013-07-31 | $164,332 |
| Benefits paid (including direct rollovers) | 2013-07-31 | $67,326 |
| Total plan assets at end of year | 2013-07-31 | $4,743,082 |
| Total plan assets at beginning of year | 2013-07-31 | $4,569,354 |
| Value of fidelity bond covering the plan | 2013-07-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2013-07-31 | $55,160 |
| Other income received | 2013-07-31 | $174,372 |
| Net income (gross income less expenses) | 2013-07-31 | $173,134 |
| Net plan assets at end of year (total assets less liabilities) | 2013-07-31 | $4,737,695 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-07-31 | $4,564,561 |
| Assets. Value of assets in partnership/joint-venture interests | 2013-07-31 | $3,965 |
| Total contributions received or receivable from employer(s) | 2013-07-31 | $163,094 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-07-31 | $41,846 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-07-31 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2013-07-31 | $0 |
| Minimum employer required contribution for this plan year | 2013-07-31 | $163,095 |
| Amount contributed by the employer to the plan for this plan year | 2013-07-31 | $163,095 |
| 2012 : MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-07-31 | $4,793 |
| Total plan liabilities at beginning of year | 2012-07-31 | $21,259 |
| Total income from all sources | 2012-07-31 | $261,937 |
| Expenses. Total of all expenses incurred | 2012-07-31 | $163,923 |
| Benefits paid (including direct rollovers) | 2012-07-31 | $68,875 |
| Total plan assets at end of year | 2012-07-31 | $4,569,354 |
| Total plan assets at beginning of year | 2012-07-31 | $4,487,806 |
| Value of fidelity bond covering the plan | 2012-07-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2012-07-31 | $55,587 |
| Other income received | 2012-07-31 | $113,742 |
| Net income (gross income less expenses) | 2012-07-31 | $98,014 |
| Net plan assets at end of year (total assets less liabilities) | 2012-07-31 | $4,564,561 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-07-31 | $4,466,547 |
| Assets. Value of assets in partnership/joint-venture interests | 2012-07-31 | $5,543 |
| Total contributions received or receivable from employer(s) | 2012-07-31 | $148,195 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-07-31 | $39,461 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-07-31 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2012-07-31 | $0 |
| Minimum employer required contribution for this plan year | 2012-07-31 | $148,195 |
| Amount contributed by the employer to the plan for this plan year | 2012-07-31 | $148,195 |
| 2011 : MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-07-31 | $21,259 |
| Total plan liabilities at beginning of year | 2011-07-31 | $2,045 |
| Total income from all sources | 2011-07-31 | $653,968 |
| Expenses. Total of all expenses incurred | 2011-07-31 | $422,496 |
| Benefits paid (including direct rollovers) | 2011-07-31 | $332,637 |
| Total plan assets at end of year | 2011-07-31 | $4,971,413 |
| Total plan assets at beginning of year | 2011-07-31 | $4,720,727 |
| Value of fidelity bond covering the plan | 2011-07-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2011-07-31 | $58,787 |
| Other income received | 2011-07-31 | $504,567 |
| Net income (gross income less expenses) | 2011-07-31 | $231,472 |
| Net plan assets at end of year (total assets less liabilities) | 2011-07-31 | $4,950,154 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-07-31 | $4,718,682 |
| Assets. Value of assets in partnership/joint-venture interests | 2011-07-31 | $5,543 |
| Total contributions received or receivable from employer(s) | 2011-07-31 | $149,401 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-07-31 | $31,072 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-07-31 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2011-07-31 | $483,607 |
| Minimum employer required contribution for this plan year | 2011-07-31 | $554,807 |
| Amount contributed by the employer to the plan for this plan year | 2011-07-31 | $71,200 |
| 2010 : MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2010 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-07-31 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2010-07-31 | $427,205 |
| Minimum employer required contribution for this plan year | 2010-07-31 | $555,605 |
| Amount contributed by the employer to the plan for this plan year | 2010-07-31 | $128,400 |
| 2015: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2015 form 5500 responses |
|---|
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Submission has been amended | No |
| 2015-08-01 | This submission is the final filing | Yes |
| 2015-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-08-01 | Plan is a collectively bargained plan | No |
| 2015-08-01 | Plan funding arrangement – Trust | Yes |
| 2015-08-01 | Plan benefit arrangement - Trust | Yes |
| 2014: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2014 form 5500 responses |
|---|
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Submission has been amended | No |
| 2014-08-01 | This submission is the final filing | No |
| 2014-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-08-01 | Plan is a collectively bargained plan | No |
| 2014-08-01 | Plan funding arrangement – Insurance | Yes |
| 2014-08-01 | Plan funding arrangement – Trust | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-08-01 | Plan benefit arrangement - Trust | Yes |
| 2013: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2013 form 5500 responses |
|---|
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | Plan funding arrangement – Insurance | Yes |
| 2013-08-01 | Plan funding arrangement – Trust | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-08-01 | Plan benefit arrangement - Trust | Yes |
| 2012: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2012 form 5500 responses |
|---|
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Submission has been amended | No |
| 2012-08-01 | This submission is the final filing | No |
| 2012-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-08-01 | Plan is a collectively bargained plan | No |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan funding arrangement – Trust | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement - Trust | Yes |
| 2011: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Submission has been amended | No |
| 2011-08-01 | This submission is the final filing | No |
| 2011-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-08-01 | Plan is a collectively bargained plan | No |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan funding arrangement – Trust | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement - Trust | Yes |
| 2009: MARTINEZ, ODELL & CALABRIA 1165(E) PLAN 2009 form 5500 responses |
|---|
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Submission has been amended | No |
| 2009-08-01 | This submission is the final filing | No |
| 2009-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-08-01 | Plan is a collectively bargained plan | No |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan funding arrangement – Trust | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement - Trust | Yes |
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 21093018, ETC. |
| Policy instance | 3 |
| Insurance contract or identification number | 21093018, ETC. | | Number of Individuals Covered | 8 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $485 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $351 | | Insurance broker organization code? | 3 | | Insurance broker name | FIGUEROA SOTO CARLOS F SR |
|
| PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 ) |
| Policy contract number | G479N |
| Policy instance | 2 |
| Insurance contract or identification number | G479N | | Number of Individuals Covered | 34 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $307 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $307 | | Insurance broker organization code? | 3 | | Insurance broker name | JACK H ODELL |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 ) |
| Policy contract number | 038523 |
| Policy instance | 1 |
| Insurance contract or identification number | 038523 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 ) |
| Policy contract number | 038523 |
| Policy instance | 1 |
| Insurance contract or identification number | 038523 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 ) |
| Policy contract number | G479N |
| Policy instance | 2 |
| Insurance contract or identification number | G479N | | Number of Individuals Covered | 36 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $207 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $207 | | Insurance broker organization code? | 3 | | Insurance broker name | JACK H ODELL |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 21093018, ETC. |
| Policy instance | 3 |
| Insurance contract or identification number | 21093018, ETC. | | Number of Individuals Covered | 7 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 | | Insurance broker name | MULHOLLAND D ROY |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 ) |
| Policy contract number | 038523 |
| Policy instance | 1 |
| Insurance contract or identification number | 038523 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 21093018, ETC. |
| Policy instance | 3 |
| Insurance contract or identification number | 21093018, ETC. | | Number of Individuals Covered | 8 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $4,526 | | Total amount of fees paid to insurance company | USD $5,032 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $371 | | Amount paid for insurance broker fees | 5032 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 | | Insurance broker name | MULHOLLAND D ROY |
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| PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 ) |
| Policy contract number | G479N |
| Policy instance | 2 |
| Insurance contract or identification number | G479N | | Number of Individuals Covered | 28 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $480 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $480 | | Insurance broker organization code? | 3 | | Insurance broker name | JACK H ODELL |
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| JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 ) |
| Policy contract number | 038523 |
| Policy instance | 1 |
| Insurance contract or identification number | 038523 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
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| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 86276 |
| Policy instance | 2 |
| Insurance contract or identification number | 86276 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $356 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
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| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | 80627 |
| Policy instance | 3 |
| Insurance contract or identification number | 80627 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $184 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
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| PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 ) |
| Policy contract number | G479N |
| Policy instance | 4 |
| Insurance contract or identification number | G479N | | Number of Individuals Covered | 26 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $368 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
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| JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 ) |
| Policy contract number | 038523 |
| Policy instance | 1 |
| Insurance contract or identification number | 038523 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
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| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) |
| Policy contract number | APM-241572 |
| Policy instance | 2 |
| Insurance contract or identification number | APM-241572 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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? | Yes |
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| PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 ) |
| Policy contract number | G479N |
| Policy instance | 3 |
| Insurance contract or identification number | G479N | | Number of Individuals Covered | 28 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $503 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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? | Yes |
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