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THE WOMACK LAW FIRM 401(K) PLAN 401k Plan overview

Plan NameTHE WOMACK LAW FIRM 401(K) PLAN
Plan identification number 001

THE WOMACK LAW FIRM 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.

401k Sponsoring company profile

WOMACK, RODHAM & RAY, P.C. has sponsored the creation of one or more 401k plans.

Company Name:WOMACK, RODHAM & RAY, P.C.
Employer identification number (EIN):753091750
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE WOMACK LAW FIRM 401(K) 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
0012017-01-01RONALD R. WOMACK, TRUSTEE RONALD R. WOMACK, PRESIDENT2018-07-26
0012016-01-01RONALD R. WOMACK, TRUSTEE RONALD R. WOMACK, PRESIDENT2017-07-28
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01RONALD R. WOMACK
0012011-01-01RONALD R. WOMACK
0012009-01-01RONALD R. WOMACK
0012009-01-01RONALD R. WOMACK

Plan Statistics for THE WOMACK LAW FIRM 401(K) PLAN

401k plan membership statisitcs for THE WOMACK LAW FIRM 401(K) PLAN

Measure Date Value
2020: THE WOMACK LAW FIRM 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-018
Total number of active participants reported on line 7a of the Form 55002020-01-015
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-012
Total of all active and inactive participants2020-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-018
Number of participants with account balances2020-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: THE WOMACK LAW FIRM 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-017
Total number of active participants reported on line 7a of the Form 55002019-01-016
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-018
Number of participants with account balances2019-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: THE WOMACK LAW FIRM 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-017
Total number of active participants reported on line 7a of the Form 55002018-01-017
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-017
Number of participants with account balances2018-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: THE WOMACK LAW FIRM 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-018
Total number of active participants reported on line 7a of the Form 55002017-01-017
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-017
Number of participants with account balances2017-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: THE WOMACK LAW FIRM 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-018
Total number of active participants reported on line 7a of the Form 55002016-01-017
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-018
Number of participants with account balances2016-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: THE WOMACK LAW FIRM 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014
Total number of active participants reported on line 7a of the Form 55002015-01-014
Total of all active and inactive participants2015-01-014
Total participants2015-01-014
Number of participants with account balances2015-01-014
2014: THE WOMACK LAW FIRM 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-014
Total of all active and inactive participants2014-01-014
Total participants2014-01-014
Number of participants with account balances2014-01-014
2013: THE WOMACK LAW FIRM 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-014
Total number of active participants reported on line 7a of the Form 55002013-01-014
Total of all active and inactive participants2013-01-014
Total participants2013-01-014
Number of participants with account balances2013-01-014
2012: THE WOMACK LAW FIRM 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-014
Total of all active and inactive participants2012-01-014
Total participants2012-01-014
2011: THE WOMACK LAW FIRM 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-014
Total number of active participants reported on line 7a of the Form 55002011-01-014
Total of all active and inactive participants2011-01-014
Total participants2011-01-014
2009: THE WOMACK LAW FIRM 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-015
Total number of active participants reported on line 7a of the Form 55002009-01-015
Total of all active and inactive participants2009-01-015
Total participants2009-01-015

Financial Data on THE WOMACK LAW FIRM 401(K) PLAN

Measure Date Value
2020 : THE WOMACK LAW FIRM 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$210,503
Expenses. Total of all expenses incurred2020-12-31$15,698
Benefits paid (including direct rollovers)2020-12-31$15,483
Total plan assets at end of year2020-12-31$2,267,595
Total plan assets at beginning of year2020-12-31$2,072,790
Value of fidelity bond covering the plan2020-12-31$190,000
Total contributions received or receivable from participants2020-12-31$27,249
Expenses. Other expenses not covered elsewhere2020-12-31$215
Other income received2020-12-31$136,879
Net income (gross income less expenses)2020-12-31$194,805
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,267,595
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$2,072,790
Total contributions received or receivable from employer(s)2020-12-31$46,375
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : THE WOMACK LAW FIRM 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$199,083
Expenses. Total of all expenses incurred2019-12-31$2,767
Benefits paid (including direct rollovers)2019-12-31$2,647
Total plan assets at end of year2019-12-31$2,072,790
Total plan assets at beginning of year2019-12-31$1,876,474
Value of fidelity bond covering the plan2019-12-31$190,000
Total contributions received or receivable from participants2019-12-31$27,767
Expenses. Other expenses not covered elsewhere2019-12-31$120
Other income received2019-12-31$125,101
Net income (gross income less expenses)2019-12-31$196,316
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,072,790
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,876,474
Total contributions received or receivable from employer(s)2019-12-31$46,215
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : THE WOMACK LAW FIRM 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$70,436
Expenses. Total of all expenses incurred2018-12-31$0
Total plan assets at end of year2018-12-31$1,876,474
Total plan assets at beginning of year2018-12-31$1,806,038
Value of fidelity bond covering the plan2018-12-31$190,000
Total contributions received or receivable from participants2018-12-31$26,379
Other income received2018-12-31$-1,109
Net income (gross income less expenses)2018-12-31$70,436
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,876,474
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,806,038
Total contributions received or receivable from employer(s)2018-12-31$45,166
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : THE WOMACK LAW FIRM 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$117,834
Expenses. Total of all expenses incurred2017-12-31$364
Benefits paid (including direct rollovers)2017-12-31$309
Total plan assets at end of year2017-12-31$1,806,038
Total plan assets at beginning of year2017-12-31$1,688,568
Value of fidelity bond covering the plan2017-12-31$165,000
Total contributions received or receivable from participants2017-12-31$25,854
Other income received2017-12-31$47,406
Net income (gross income less expenses)2017-12-31$117,470
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,806,038
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,688,568
Total contributions received or receivable from employer(s)2017-12-31$44,574
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$55
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : THE WOMACK LAW FIRM 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$302,311
Expenses. Total of all expenses incurred2016-12-31$0
Total plan assets at end of year2016-12-31$1,688,568
Total plan assets at beginning of year2016-12-31$1,386,257
Value of fidelity bond covering the plan2016-12-31$165,000
Total contributions received or receivable from participants2016-12-31$27,018
Other income received2016-12-31$227,096
Net income (gross income less expenses)2016-12-31$302,311
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,688,568
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,386,257
Total contributions received or receivable from employer(s)2016-12-31$48,197
2015 : THE WOMACK LAW FIRM 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$30,740
Total plan assets at end of year2015-12-31$1,386,257
Total plan assets at beginning of year2015-12-31$1,355,517
Value of fidelity bond covering the plan2015-12-31$60,000
Total contributions received or receivable from participants2015-12-31$24,000
Other income received2015-12-31$-37,959
Net income (gross income less expenses)2015-12-31$30,740
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,386,257
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,355,517
Total contributions received or receivable from employer(s)2015-12-31$44,699
2014 : THE WOMACK LAW FIRM 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$137,488
Total plan assets at end of year2014-12-31$1,355,517
Total plan assets at beginning of year2014-12-31$1,218,029
Value of fidelity bond covering the plan2014-12-31$60,000
Total contributions received or receivable from participants2014-12-31$23,000
Other income received2014-12-31$69,407
Net income (gross income less expenses)2014-12-31$137,488
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,355,517
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,218,029
Total contributions received or receivable from employer(s)2014-12-31$45,081
2013 : THE WOMACK LAW FIRM 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$225,905
Total plan assets at end of year2013-12-31$1,218,029
Total plan assets at beginning of year2013-12-31$992,124
Value of fidelity bond covering the plan2013-12-31$60,000
Total contributions received or receivable from participants2013-12-31$23,000
Other income received2013-12-31$159,996
Net income (gross income less expenses)2013-12-31$225,905
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,218,029
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$992,124
Total contributions received or receivable from employer(s)2013-12-31$42,909
2012 : THE WOMACK LAW FIRM 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$165,616
Total plan assets at end of year2012-12-31$992,124
Total plan assets at beginning of year2012-12-31$826,508
Value of fidelity bond covering the plan2012-12-31$60,000
Total contributions received or receivable from participants2012-12-31$22,500
Other income received2012-12-31$103,023
Net income (gross income less expenses)2012-12-31$165,616
Net plan assets at end of year (total assets less liabilities)2012-12-31$992,124
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$826,508
Total contributions received or receivable from employer(s)2012-12-31$40,093
2011 : THE WOMACK LAW FIRM 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$73,828
Total plan assets at end of year2011-12-31$826,509
Total plan assets at beginning of year2011-12-31$752,681
Value of fidelity bond covering the plan2011-12-31$60,000
Total contributions received or receivable from participants2011-12-31$22,000
Other income received2011-12-31$12,647
Net income (gross income less expenses)2011-12-31$73,828
Net plan assets at end of year (total assets less liabilities)2011-12-31$826,509
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$752,681
Total contributions received or receivable from employer(s)2011-12-31$39,181
2010 : THE WOMACK LAW FIRM 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$124,873
Expenses. Total of all expenses incurred2010-12-31$8,706
Benefits paid (including direct rollovers)2010-12-31$8,706
Total plan assets at end of year2010-12-31$752,681
Total plan assets at beginning of year2010-12-31$636,514
Value of fidelity bond covering the plan2010-12-31$60,000
Total contributions received or receivable from participants2010-12-31$22,000
Other income received2010-12-31$59,358
Net income (gross income less expenses)2010-12-31$116,167
Net plan assets at end of year (total assets less liabilities)2010-12-31$752,681
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$636,514
Total contributions received or receivable from employer(s)2010-12-31$43,515

Form 5500 Responses for THE WOMACK LAW FIRM 401(K) PLAN

2020: THE WOMACK LAW FIRM 401(K) 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: THE WOMACK LAW FIRM 401(K) 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: THE WOMACK LAW FIRM 401(K) 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: THE WOMACK LAW FIRM 401(K) 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: THE WOMACK LAW FIRM 401(K) 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: THE WOMACK LAW FIRM 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: THE WOMACK LAW FIRM 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: THE WOMACK LAW FIRM 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: THE WOMACK LAW FIRM 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THE WOMACK LAW FIRM 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: THE WOMACK LAW FIRM 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $95
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $95
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $95
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $95
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $95
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $95
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $95
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $95
Insurance broker organization code?3
Insurance broker nameJOHN RAY RICHARDSON
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $95
Total amount of fees paid to insurance companyUSD $0
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 BrokerUSD $95
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameJOHN RAY RICHARDSON
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $100
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100
Insurance broker organization code?3
Insurance broker nameJOHN RAY RICHARDSON
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $100
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100
Insurance broker organization code?3
Insurance broker nameJOHN RAY RICHARDSON
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $100
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100
Insurance broker organization code?3
Insurance broker nameJOHN RAY RICHARDSON
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $100
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number006279181, ETC
Policy instance 1
Insurance contract or identification number006279181, ETC
Number of Individuals Covered4
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $100
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100
Insurance broker organization code?3
Insurance broker nameJOHN RAY RICHARDSON

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