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CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameCEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN
Plan identification number 001

CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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

CEMBELL INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:CEMBELL INDUSTRIES, INC.
Employer identification number (EIN):720890936
NAIC Classification:332300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01ELLEN ADDISON ELLEN ADDISON2018-10-12
0012016-01-01ELLEN ADDISON ELLEN ADDISON2017-10-16
0012015-01-01ELLEN ADDISON ELLEN ADDISON2016-10-10
0012014-01-01ELLEN ADDISON ELLEN ADDISON2015-07-28
0012013-01-01ELLEN ADDISON ELLEN ADDISON2014-10-13
0012012-01-01ELLEN ADDISON ELLEN ADDISON2013-10-14
0012011-01-01ELLEN ADDISON ELLEN ADDISON2013-01-10
0012010-01-01ELLEN B. ADDISON ELLEN B. ADDISON2011-10-13

Plan Statistics for CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN

Measure Date Value
2022: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01177
Total number of active participants reported on line 7a of the Form 55002022-01-01145
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0121
Total of all active and inactive participants2022-01-01166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01166
Number of participants with account balances2022-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01193
Total number of active participants reported on line 7a of the Form 55002021-01-01155
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0124
Total of all active and inactive participants2021-01-01179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01179
Number of participants with account balances2021-01-01124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01197
Total number of active participants reported on line 7a of the Form 55002020-01-01150
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0137
Total of all active and inactive participants2020-01-01187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01187
Number of participants with account balances2020-01-01136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014
2019: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01193
Total number of active participants reported on line 7a of the Form 55002019-01-01163
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0124
Total of all active and inactive participants2019-01-01187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01187
Number of participants with account balances2019-01-01140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012
2018: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01184
Total number of active participants reported on line 7a of the Form 55002018-01-01163
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0122
Total of all active and inactive participants2018-01-01185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01185
Number of participants with account balances2018-01-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01194
Total number of active participants reported on line 7a of the Form 55002017-01-01160
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0121
Total of all active and inactive participants2017-01-01181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01181
Number of participants with account balances2017-01-01101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01195
Total number of active participants reported on line 7a of the Form 55002016-01-01169
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0122
Total of all active and inactive participants2016-01-01191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01191
Number of participants with account balances2016-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01178
Total number of active participants reported on line 7a of the Form 55002015-01-01155
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0124
Total of all active and inactive participants2015-01-01179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01179
Number of participants with account balances2015-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01168
Total number of active participants reported on line 7a of the Form 55002014-01-01134
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0128
Total of all active and inactive participants2014-01-01162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01162
Number of participants with account balances2014-01-0189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01155
Total number of active participants reported on line 7a of the Form 55002013-01-01131
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0126
Total of all active and inactive participants2013-01-01157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01157
Number of participants with account balances2013-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01150
Total number of active participants reported on line 7a of the Form 55002012-01-01111
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0125
Total of all active and inactive participants2012-01-01136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01136
Number of participants with account balances2012-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01150
Total number of active participants reported on line 7a of the Form 55002011-01-01116
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0126
Total of all active and inactive participants2011-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01142
Number of participants with account balances2011-01-0192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01153
Total number of active participants reported on line 7a of the Form 55002010-01-01115
Number of retired or separated participants receiving benefits2010-01-011
Number of other retired or separated participants entitled to future benefits2010-01-0124
Total of all active and inactive participants2010-01-01140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01140
Number of participants with account balances2010-01-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010

Financial Data on CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN

Measure Date Value
2022 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,124,004
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$703,001
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$672,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$601,481
Value of total assets at end of year2022-12-31$6,165,590
Value of total assets at beginning of year2022-12-31$7,992,595
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$30,679
Total interest from all sources2022-12-31$381
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$1,275
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$601,481
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$78
Other income not declared elsewhere2022-12-31$2,675
Total non interest bearing cash at end of year2022-12-31$7,135
Total non interest bearing cash at beginning of year2022-12-31$6,180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,827,005
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,165,590
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$7,992,595
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$6,119,399
Value of interest in pooled separate accounts at beginning of year2022-12-31$7,947,806
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$381
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$39,056
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$38,531
Net investment gain/loss from pooled separate accounts2022-12-31$-1,728,541
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$672,322
Contract administrator fees2022-12-31$29,404
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2022-12-31720600718
2021 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,569,417
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$792,760
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$755,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$580,266
Value of total assets at end of year2021-12-31$7,992,595
Value of total assets at beginning of year2021-12-31$7,215,938
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$37,264
Total interest from all sources2021-12-31$390
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$2,725
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$580,266
Participant contributions at end of year2021-12-31$78
Participant contributions at beginning of year2021-12-31$232
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$0
Other income not declared elsewhere2021-12-31$3,143
Administrative expenses (other) incurred2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$6,180
Total non interest bearing cash at beginning of year2021-12-31$4,325
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$776,657
Value of net assets at end of year (total assets less liabilities)2021-12-31$7,992,595
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$7,215,938
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$7,947,806
Value of interest in pooled separate accounts at beginning of year2021-12-31$7,177,873
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$390
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$38,531
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$33,508
Net investment gain/loss from pooled separate accounts2021-12-31$985,618
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$755,496
Contract administrator fees2021-12-31$34,539
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2021-12-31720600718
2020 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,046,376
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,198,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,168,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$661,435
Value of total assets at end of year2020-12-31$7,215,938
Value of total assets at beginning of year2020-12-31$6,367,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$29,758
Total interest from all sources2020-12-31$384
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$609,399
Participant contributions at end of year2020-12-31$232
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Other income not declared elsewhere2020-12-31$2,474
Administrative expenses (other) incurred2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$4,325
Total non interest bearing cash at beginning of year2020-12-31$3,723
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$848,009
Value of net assets at end of year (total assets less liabilities)2020-12-31$7,215,938
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,367,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$7,177,873
Value of interest in pooled separate accounts at beginning of year2020-12-31$6,336,242
Interest earned on other investments2020-12-31$384
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$33,508
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$27,964
Net investment gain/loss from pooled separate accounts2020-12-31$1,382,083
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$52,036
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,168,609
Contract administrator fees2020-12-31$29,758
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2020-12-31720600718
2019 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$2,147,078
Total income from all sources (including contributions)2019-12-31$2,147,078
Total of all expenses incurred2019-12-31$420,060
Total of all expenses incurred2019-12-31$420,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$395,213
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$395,213
Value of total corrective distributions2019-12-31$2,501
Value of total corrective distributions2019-12-31$2,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$871,994
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$871,994
Value of total assets at end of year2019-12-31$6,367,929
Value of total assets at end of year2019-12-31$6,367,929
Value of total assets at beginning of year2019-12-31$4,640,911
Value of total assets at beginning of year2019-12-31$4,640,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$22,346
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$22,346
Total interest from all sources2019-12-31$320
Total interest from all sources2019-12-31$320
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$650,917
Contributions received from participants2019-12-31$650,917
Total non interest bearing cash at end of year2019-12-31$3,723
Total non interest bearing cash at end of year2019-12-31$3,723
Total non interest bearing cash at beginning of year2019-12-31$3,714
Total non interest bearing cash at beginning of year2019-12-31$3,714
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,727,018
Value of net income/loss2019-12-31$1,727,018
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,367,929
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,367,929
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,640,911
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,640,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$6,336,242
Value of interest in pooled separate accounts at end of year2019-12-31$6,336,242
Value of interest in pooled separate accounts at beginning of year2019-12-31$4,617,084
Value of interest in pooled separate accounts at beginning of year2019-12-31$4,617,084
Interest earned on other investments2019-12-31$320
Interest earned on other investments2019-12-31$320
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$27,964
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$27,964
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$20,113
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$20,113
Net investment gain/loss from pooled separate accounts2019-12-31$1,274,764
Net investment gain/loss from pooled separate accounts2019-12-31$1,274,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$221,077
Contributions received in cash from employer2019-12-31$221,077
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$395,213
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$395,213
Contract administrator fees2019-12-31$22,346
Contract administrator fees2019-12-31$22,346
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm name2019-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2019-12-31720600718
Accountancy firm EIN2019-12-31720600718
2018 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$43,107
Total of all expenses incurred2018-12-31$42,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$22,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$433,226
Value of total assets at end of year2018-12-31$4,640,911
Value of total assets at beginning of year2018-12-31$4,640,470
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$19,690
Total interest from all sources2018-12-31$204
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$433,226
Participant contributions at beginning of year2018-12-31$56,619
Total non interest bearing cash at end of year2018-12-31$3,714
Total non interest bearing cash at beginning of year2018-12-31$3,714
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$441
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,640,911
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,640,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$4,617,084
Value of interest in pooled separate accounts at beginning of year2018-12-31$4,566,130
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$204
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$20,113
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$14,007
Net investment gain/loss from pooled separate accounts2018-12-31$-390,323
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$22,976
Contract administrator fees2018-12-31$19,690
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2018-12-31720600718
2017 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$1,164,598
Total of all expenses incurred2017-12-31$260,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$243,915
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$382,454
Value of total assets at end of year2017-12-31$4,640,470
Value of total assets at beginning of year2017-12-31$3,736,613
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$16,826
Total interest from all sources2017-12-31$686
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$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$382,454
Participant contributions at end of year2017-12-31$56,619
Participant contributions at beginning of year2017-12-31$26,342
Total non interest bearing cash at end of year2017-12-31$3,714
Total non interest bearing cash at beginning of year2017-12-31$3,714
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$903,857
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,640,470
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,736,613
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
Value of interest in pooled separate accounts at end of year2017-12-31$4,566,130
Value of interest in pooled separate accounts at beginning of year2017-12-31$3,695,760
Interest earned on other investments2017-12-31$559
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$127
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$14,007
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$10,797
Net investment gain/loss from pooled separate accounts2017-12-31$781,458
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$243,915
Contract administrator fees2017-12-31$16,826
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 name2017-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2017-12-31720600718
2016 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$638,411
Total of all expenses incurred2016-12-31$182,051
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$168,348
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$364,635
Value of total assets at end of year2016-12-31$3,736,613
Value of total assets at beginning of year2016-12-31$3,280,253
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$13,703
Total interest from all sources2016-12-31$113
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$325,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$364,635
Participant contributions at end of year2016-12-31$26,342
Participant contributions at beginning of year2016-12-31$-3,581
Total non interest bearing cash at end of year2016-12-31$3,714
Total non interest bearing cash at beginning of year2016-12-31$3,714
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$456,360
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,736,613
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,280,253
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$3,695,760
Value of interest in pooled separate accounts at beginning of year2016-12-31$3,268,184
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$113
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$10,797
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$11,936
Net investment gain/loss from pooled separate accounts2016-12-31$273,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$168,348
Contract administrator fees2016-12-31$13,703
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 name2016-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2016-12-31720600718
2015 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$286,024
Total of all expenses incurred2015-12-31$309,898
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$287,656
Value of total corrective distributions2015-12-31$5,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$308,788
Value of total assets at end of year2015-12-31$3,280,253
Value of total assets at beginning of year2015-12-31$3,304,127
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$17,134
Total interest from all sources2015-12-31$201
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$325,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$308,788
Participant contributions at end of year2015-12-31$-3,581
Participant contributions at beginning of year2015-12-31$-3,581
Total non interest bearing cash at end of year2015-12-31$3,714
Total non interest bearing cash at beginning of year2015-12-31$3,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-23,874
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,280,253
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,304,127
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$3,268,184
Value of interest in pooled separate accounts at beginning of year2015-12-31$3,281,551
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$201
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$11,936
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$22,473
Net investment gain/loss from pooled separate accounts2015-12-31$-22,965
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$287,656
Contract administrator fees2015-12-31$17,134
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 name2015-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2015-12-31720600718
2014 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$452,219
Total of all expenses incurred2014-12-31$142,110
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$122,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$246,612
Value of total assets at end of year2014-12-31$3,304,127
Value of total assets at beginning of year2014-12-31$2,994,018
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$19,240
Total interest from all sources2014-12-31$294
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$325,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$246,612
Participant contributions at end of year2014-12-31$-3,581
Participant contributions at beginning of year2014-12-31$11,849
Total non interest bearing cash at end of year2014-12-31$3,684
Total non interest bearing cash at beginning of year2014-12-31$3,684
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$310,109
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,304,127
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,994,018
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 pooled separate accounts at end of year2014-12-31$3,281,551
Value of interest in pooled separate accounts at beginning of year2014-12-31$2,956,169
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$294
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$22,473
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$22,316
Net investment gain/loss from pooled separate accounts2014-12-31$205,313
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$122,870
Contract administrator fees2014-12-31$19,240
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 name2014-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2014-12-31720600718
2013 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2013 401k financial data
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$785,956
Total of all expenses incurred2013-12-31$57,279
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$40,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$210,619
Value of total assets at end of year2013-12-31$2,994,018
Value of total assets at beginning of year2013-12-31$2,265,341
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$16,741
Total interest from all sources2013-12-31$374
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$325,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$210,619
Participant contributions at end of year2013-12-31$11,849
Participant contributions at beginning of year2013-12-31$29,297
Total non interest bearing cash at end of year2013-12-31$3,684
Total non interest bearing cash at beginning of year2013-12-31$2,905
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$728,677
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,994,018
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,265,341
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$2,956,169
Value of interest in pooled separate accounts at beginning of year2013-12-31$2,211,055
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$374
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$22,316
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$22,084
Net investment gain/loss from pooled separate accounts2013-12-31$574,963
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$40,538
Contract administrator fees2013-12-31$16,741
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 name2013-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2013-12-31720600718
2012 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2012 401k financial data
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$297
Total income from all sources (including contributions)2012-12-31$542,891
Total of all expenses incurred2012-12-31$217,542
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$203,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$276,801
Value of total assets at end of year2012-12-31$2,265,341
Value of total assets at beginning of year2012-12-31$1,940,289
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$14,220
Total interest from all sources2012-12-31$459
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$250,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$228,735
Participant contributions at end of year2012-12-31$29,297
Participant contributions at beginning of year2012-12-31$17,993
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$48,066
Liabilities. Value of operating payables at beginning of year2012-12-31$297
Total non interest bearing cash at end of year2012-12-31$2,905
Total non interest bearing cash at beginning of year2012-12-31$1,653
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$325,349
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,265,341
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,939,992
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$2,211,055
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,898,872
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$22,084
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$21,771
Net investment gain/loss from pooled separate accounts2012-12-31$265,631
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 contributions2012-12-31Yes
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$203,322
Contract administrator fees2012-12-31$14,220
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 name2012-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2012-12-31720600718
2011 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$0
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$297
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Expenses. Interest paid2011-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022011-12-31$0
Total income from all sources (including contributions)2011-12-31$135,894
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$169,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$155,621
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$216,300
Value of total assets at end of year2011-12-31$1,940,289
Value of total assets at beginning of year2011-12-31$1,974,022
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$14,303
Total income from rents2011-12-31$0
Total interest from all sources2011-12-31$596
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
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$250,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$216,300
Participant contributions at end of year2011-12-31$17,993
Participant contributions at beginning of year2011-12-31$16,011
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Other income not declared elsewhere2011-12-31$0
Administrative expenses (other) incurred2011-12-31$0
Liabilities. Value of operating payables at end of year2011-12-31$297
Total non interest bearing cash at end of year2011-12-31$1,653
Total non interest bearing cash at beginning of year2011-12-31$1,573
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
Income. Non cash contributions2011-12-31$0
Value of net income/loss2011-12-31$-34,030
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,939,992
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,974,022
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
Investment advisory and management fees2011-12-31$0
Value of interest in pooled separate accounts at end of year2011-12-31$1,898,872
Value of interest in pooled separate accounts at beginning of year2011-12-31$1,935,117
Interest on participant loans2011-12-31$0
Income. Interest from loans (other than to participants)2011-12-31$0
Interest earned on other investments2011-12-31$0
Income. Interest from US Government securities2011-12-31$0
Income. Interest from corporate debt instruments2011-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$596
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$21,771
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$21,321
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$-81,002
Net investment gain or loss from common/collective trusts2011-12-31$0
Net gain/loss from 103.12 investment entities2011-12-31$0
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
Contributions received in cash from employer2011-12-31$0
Income. Dividends from preferred stock2011-12-31$0
Income. Dividends from common stock2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$155,621
Contract administrator fees2011-12-31$14,303
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$0
Aggregate carrying amount (costs) on sale of assets2011-12-31$0
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 name2011-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2011-12-31720600718
2010 : CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 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$5,440
Total income from all sources (including contributions)2010-12-31$461,191
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$50,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$37,954
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$214,472
Value of total assets at end of year2010-12-31$1,974,022
Value of total assets at beginning of year2010-12-31$1,568,326
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$12,101
Total interest from all sources2010-12-31$608
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$250,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$214,472
Participant contributions at end of year2010-12-31$16,011
Participant contributions at beginning of year2010-12-31$17,876
Liabilities. Value of operating payables at beginning of year2010-12-31$5,440
Total non interest bearing cash at end of year2010-12-31$1,573
Total non interest bearing cash at beginning of year2010-12-31$4,822
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$411,136
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,974,022
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,562,886
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$1,935,117
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,524,766
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$608
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$21,321
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$20,862
Net investment gain/loss from pooled separate accounts2010-12-31$246,111
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$37,954
Contract administrator fees2010-12-31$12,101
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 name2010-12-31PACIERA, GAUTREAU & PRIEST, LLC
Accountancy firm EIN2010-12-31720600718

Form 5500 Responses for CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN

2022: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS 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: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS 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: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS 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: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS 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: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS 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: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS 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: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CEMBELL INDUSTRIES, INC. RETIREMENT SAVINGS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered128
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $30,014
Total amount of fees paid to insurance companyUSD $4,709
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 $30,014
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered130
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $34,201
Total amount of fees paid to insurance companyUSD $6,636
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,201
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees6636
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered141
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $26,851
Total amount of fees paid to insurance companyUSD $5,629
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,851
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees5629
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered151
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $23,907
Total amount of fees paid to insurance companyUSD $2,739
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,907
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees2739
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered115
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,604
Total amount of fees paid to insurance companyUSD $2,477
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,604
Insurance broker organization code?3
Amount paid for insurance broker fees2477
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $18,155
Total amount of fees paid to insurance companyUSD $2,083
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $18,155
Insurance broker organization code?3
Amount paid for insurance broker fees2083
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameHUB INTERNATIONAL
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered103
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $14,463
Total amount of fees paid to insurance companyUSD $1,668
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,463
Insurance broker organization code?3
Amount paid for insurance broker fees1668
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameHUB INTERNATIONAL
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered90
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $13,682
Total amount of fees paid to insurance companyUSD $1,821
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $13,682
Insurance broker organization code?3
Amount paid for insurance broker fees1821
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameFOX EVERETT, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered90
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,268
Total amount of fees paid to insurance companyUSD $1,242
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $11,268
Insurance broker organization code?3
Amount paid for insurance broker fees1242
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameFOX EVERETT, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,230
Total amount of fees paid to insurance companyUSD $1,372
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $9,230
Insurance broker organization code?3
Amount paid for insurance broker fees1372
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameFOX EVERETT, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered94
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $8,630
Total amount of fees paid to insurance companyUSD $1,013
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73259
Policy instance 1
Insurance contract or identification number73259
Number of Individuals Covered95
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $7,292
Total amount of fees paid to insurance companyUSD $676
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $7,292
Insurance broker organization code?3
Amount paid for insurance broker fees676
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker nameFOX EVERETT, INC.

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