401k Plan data: PHONOSCOPE EMPLOYEE RETIREMENT PLAN plan

PHONOSCOPE EMPLOYEE RETIREMENT PLAN 401k Plan overview

Plan Name	PHONOSCOPE EMPLOYEE RETIREMENT PLAN
Plan identification number	001

PHONOSCOPE EMPLOYEE RETIREMENT PLAN Benefits

401k Plan Type

Defined 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PHONOSCOPE has sponsored the creation of one or more 401k plans.

Company Name: PHONOSCOPE

Employer identification number (EIN): 760521166

NAIC Classification: 517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHONOSCOPE EMPLOYEE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 SARAH COOK 2021-10-14 LEE COOK 2021-10-14
001 2019-01-01 VIRGINIA PAYNE 2020-10-02 VIRGINIA PAYNE 2020-10-02
001 2018-01-01 VIRGINIA PAYNE 2019-10-11 VIRGINIA PAYNE 2019-10-11
001 2016-01-01 NICOLE HORTON 2017-08-03
001 2015-01-01 TOM WILLISFORD 2016-07-26
001 2014-01-01 ANGELA HITZMAN ANGELA HITZMAN 2015-06-29
001 2014-01-01 ANGELA HITZMAN ANGELA HITZMAN 2015-06-29
001 2014-01-01 ANGELA HITZMAN
001 2012-01-01 ROBERT ELY
001 2011-01-01 ROBERT ELY
001 2010-01-01 ROBERT ELY ROBERT ELY 2011-07-13
001 2009-01-01 ROBERT ELY ROBERT ELY 2010-07-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	SARAH COOK	2021-10-14	LEE COOK	2021-10-14
001	2019-01-01	VIRGINIA PAYNE	2020-10-02	VIRGINIA PAYNE	2020-10-02
001	2018-01-01	VIRGINIA PAYNE	2019-10-11	VIRGINIA PAYNE	2019-10-11
001	2016-01-01	NICOLE HORTON	2017-08-03
001	2015-01-01	TOM WILLISFORD	2016-07-26
001	2014-01-01	ANGELA HITZMAN		ANGELA HITZMAN	2015-06-29
001	2014-01-01	ANGELA HITZMAN		ANGELA HITZMAN	2015-06-29
001	2014-01-01	ANGELA HITZMAN
001	2012-01-01	ROBERT ELY
001	2011-01-01	ROBERT ELY
001	2010-01-01	ROBERT ELY		ROBERT ELY	2011-07-13
001	2009-01-01	ROBERT ELY		ROBERT ELY	2010-07-19

Plan Statistics for PHONOSCOPE EMPLOYEE RETIREMENT PLAN

401k plan membership statisitcs for PHONOSCOPE EMPLOYEE RETIREMENT PLAN

Measure Date Value
2014: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 85
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 131
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 8
Total of all active and inactive participants 2014-01-01 139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 140
Number of participants with account balances 2014-01-01 106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2
2012: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 91
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 16
Total of all active and inactive participants 2012-01-01 107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 108
Number of participants with account balances 2012-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 17
2011: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 83
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 83
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 83
Number of participants with account balances 2011-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 82
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 82
Number of participants with account balances 2010-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 79
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 82
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 10
Total of all active and inactive participants 2009-01-01 92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 92
Number of participants with account balances 2009-01-01 63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	85
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	131
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	8
Total of all active and inactive participants	2014-01-01	139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	140
Number of participants with account balances	2014-01-01	106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2
2012: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	91
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	16
Total of all active and inactive participants	2012-01-01	107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	108
Number of participants with account balances	2012-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	17
2011: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	83
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	83
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	83
Number of participants with account balances	2011-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	82
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	82
Number of participants with account balances	2010-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	79
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	82
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	10
Total of all active and inactive participants	2009-01-01	92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	92
Number of participants with account balances	2009-01-01	63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PHONOSCOPE EMPLOYEE RETIREMENT PLAN

Measure	Date	Value
2014 : PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$668,674
Expenses. Total of all expenses incurred	2014-12-31	$72,307
Benefits paid (including direct rollovers)	2014-12-31	$69,269
Total plan assets at end of year	2014-12-31	$4,023,983
Total plan assets at beginning of year	2014-12-31	$3,427,616
Total contributions received or receivable from participants	2014-12-31	$357,670
Expenses. Other expenses not covered elsewhere	2014-12-31	$3,038
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$179,764
Net income (gross income less expenses)	2014-12-31	$596,367
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$4,023,983
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,427,616
Assets. Value of participant loans	2014-12-31	$99,433
Total contributions received or receivable from employer(s)	2014-12-31	$131,240
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2012 : PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$569,198
Expenses. Total of all expenses incurred	2012-12-31	$141,355
Benefits paid (including direct rollovers)	2012-12-31	$141,075
Total plan assets at end of year	2012-12-31	$2,975,117
Total plan assets at beginning of year	2012-12-31	$2,547,274
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$225,195
Expenses. Other expenses not covered elsewhere	2012-12-31	$280
Other income received	2012-12-31	$266,768
Net income (gross income less expenses)	2012-12-31	$427,843
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,975,117
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,547,274
Assets. Value of participant loans	2012-12-31	$53,590
Total contributions received or receivable from employer(s)	2012-12-31	$77,235
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$151,811
Expenses. Total of all expenses incurred	2011-12-31	$57,114
Benefits paid (including direct rollovers)	2011-12-31	$56,974
Total plan assets at end of year	2011-12-31	$2,547,274
Total plan assets at beginning of year	2011-12-31	$2,452,577
Value of fidelity bond covering the plan	2011-12-31	$130,000
Total contributions received or receivable from participants	2011-12-31	$217,073
Expenses. Other expenses not covered elsewhere	2011-12-31	$140
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-133,442
Net income (gross income less expenses)	2011-12-31	$94,697
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,547,274
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,452,577
Assets. Value of participant loans	2011-12-31	$61,947
Total contributions received or receivable from employer(s)	2011-12-31	$68,180
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$557,932
Expenses. Total of all expenses incurred	2010-12-31	$181,369
Benefits paid (including direct rollovers)	2010-12-31	$180,809
Total plan assets at end of year	2010-12-31	$2,452,577
Total plan assets at beginning of year	2010-12-31	$2,076,014
Value of fidelity bond covering the plan	2010-12-31	$130,000
Total contributions received or receivable from participants	2010-12-31	$201,071
Expenses. Other expenses not covered elsewhere	2010-12-31	$560
Other income received	2010-12-31	$291,893
Net income (gross income less expenses)	2010-12-31	$376,563
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,452,577
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,076,014
Assets. Value of participant loans	2010-12-31	$105,145
Total contributions received or receivable from employer(s)	2010-12-31	$64,968
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for PHONOSCOPE EMPLOYEE RETIREMENT PLAN

2014: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2012: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: PHONOSCOPE EMPLOYEE RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-829561

Policy instance

Insurance contract or identification number	GA-829561
Number of Individuals Covered	106
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,551
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,551
Insurance broker organization code?	3
Insurance broker name	NYLIFE SECURITIES LLC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-006538

Policy instance

Insurance contract or identification number	GA-006538
Number of Individuals Covered	92
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,133
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,133
Insurance broker organization code?	3
Insurance broker name	NYLIFE SECURITIES LLC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-006538

Policy instance

Insurance contract or identification number	GA-006538
Number of Individuals Covered	66
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $3,937
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-006538

Policy instance

Insurance contract or identification number	GA-006538
Number of Individuals Covered	59
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $3,614
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,614
Insurance broker organization code?	3
Insurance broker name	NYLIFE SECURITIES LLC

Potentially related plans

PHONOSCOPE EMPLOYEE BENEFIT PLAN TRUST [EIN = 205101841]

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Company Name:	PHONOSCOPE
Employer identification number (EIN):	760521166
NAIC Classification:	517000