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ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN
Plan identification number 001

ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN Benefits

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

ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP has sponsored the creation of one or more 401k plans.

Company Name:ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP
Employer identification number (EIN):770579029
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01STEVEN J. ADAMSKI2018-06-28
0012016-01-01STEVEN J. ADAMSKI2017-07-28
0012015-01-01
0012014-01-01
0012013-01-01STEVEN J. ADAMSKI
0012012-01-01STEVEN J. ADAMSKI
0012011-01-01STEVEN J. ADAMSKI
0012010-01-01DOUGLAS S. HENDRY
0012009-01-01DOUGLAS S. HENDRY

Plan Statistics for ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN

Measure Date Value
2015: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0128
Total number of active participants reported on line 7a of the Form 55002015-01-0128
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0131
Number of participants with account balances2015-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012
2014: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0128
Total number of active participants reported on line 7a of the Form 55002014-01-0123
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-015
Total of all active and inactive participants2014-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0128
Number of participants with account balances2014-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0129
Total number of active participants reported on line 7a of the Form 55002013-01-0125
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0128
Number of participants with account balances2013-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0131
Total number of active participants reported on line 7a of the Form 55002012-01-0124
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0129
Number of participants with account balances2012-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0133
Total number of active participants reported on line 7a of the Form 55002011-01-0127
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0131
Number of participants with account balances2011-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0133
Total number of active participants reported on line 7a of the Form 55002010-01-0127
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-015
Total of all active and inactive participants2010-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0132
Number of participants with account balances2010-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-013
2009: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0128
Total number of active participants reported on line 7a of the Form 55002009-01-0129
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0132
Number of participants with account balances2009-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN

Measure Date Value
2015 : ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$134,476
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$565,068
Expenses. Total of all expenses incurred2015-12-31$1,004,896
Benefits paid (including direct rollovers)2015-12-31$1,004,896
Total plan assets at end of year2015-12-31$3,072,057
Total plan assets at beginning of year2015-12-31$3,377,409
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$288,570
Contributions received from other sources (not participants or employers)2015-12-31$15,373
Other income received2015-12-31$-67,638
Net income (gross income less expenses)2015-12-31$-439,828
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,072,057
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,377,409
Assets. Value of participant loans2015-12-31$45,629
Total contributions received or receivable from employer(s)2015-12-31$328,763
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$657,158
Expenses. Total of all expenses incurred2014-12-31$1,723,013
Benefits paid (including direct rollovers)2014-12-31$1,722,820
Total plan assets at end of year2014-12-31$3,377,409
Total plan assets at beginning of year2014-12-31$4,443,264
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$238,528
Expenses. Other expenses not covered elsewhere2014-12-31$193
Contributions received from other sources (not participants or employers)2014-12-31$10,843
Other income received2014-12-31$232,911
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$-1,065,855
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,377,409
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$4,443,264
Assets. Value of participant loans2014-12-31$31,362
Total contributions received or receivable from employer(s)2014-12-31$174,876
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$639,992
Expenses. Total of all expenses incurred2013-12-31$983,178
Benefits paid (including direct rollovers)2013-12-31$983,178
Total plan assets at end of year2013-12-31$4,443,264
Total plan assets at beginning of year2013-12-31$4,786,450
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$130,607
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$431,135
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$-343,186
Net plan assets at end of year (total assets less liabilities)2013-12-31$4,443,264
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$4,786,450
Assets. Value of participant loans2013-12-31$59,048
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022013-12-31$1,899
Total contributions received or receivable from employer(s)2013-12-31$78,250
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$1,299,815
Expenses. Total of all expenses incurred2012-12-31$65,226
Benefits paid (including direct rollovers)2012-12-31$62,421
Total plan assets at end of year2012-12-31$4,786,450
Total plan assets at beginning of year2012-12-31$3,551,861
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$162,995
Expenses. Other expenses not covered elsewhere2012-12-31$2,805
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$906,586
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$1,234,589
Net plan assets at end of year (total assets less liabilities)2012-12-31$4,786,450
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,551,861
Assets. Value of participant loans2012-12-31$89,062
Total contributions received or receivable from employer(s)2012-12-31$230,234
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$20,880
2011 : ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$194
Total income from all sources2011-12-31$375,594
Expenses. Total of all expenses incurred2011-12-31$20,096
Benefits paid (including direct rollovers)2011-12-31$17,315
Total plan assets at end of year2011-12-31$3,551,861
Total plan assets at beginning of year2011-12-31$3,196,557
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$211,607
Expenses. Other expenses not covered elsewhere2011-12-31$2,781
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-60,657
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$355,498
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,551,861
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$3,196,363
Assets. Value of participant loans2011-12-31$113,946
Total contributions received or receivable from employer(s)2011-12-31$224,644
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$194
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$558,535
Expenses. Total of all expenses incurred2010-12-31$25,629
Benefits paid (including direct rollovers)2010-12-31$23,473
Total plan assets at end of year2010-12-31$3,196,557
Total plan assets at beginning of year2010-12-31$2,663,457
Value of fidelity bond covering the plan2010-12-31$950,000
Total contributions received or receivable from participants2010-12-31$200,065
Expenses. Other expenses not covered elsewhere2010-12-31$2,156
Contributions received from other sources (not participants or employers)2010-12-31$59,036
Other income received2010-12-31$70,467
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$532,906
Net plan assets at end of year (total assets less liabilities)2010-12-31$3,196,363
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,663,457
Assets. Value of participant loans2010-12-31$34,305
Total contributions received or receivable from employer(s)2010-12-31$228,967
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN

2015: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING 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: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING 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: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING 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: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING 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: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING 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: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING 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
2009: ADAMSKI MOROSKI MADDEN CUMBERLAND & GREEN LLP 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number801148-000
Policy instance 1
Insurance contract or identification number801148-000
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-08-09
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $988
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 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?Yes
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
Amount paid for insurance broker fees988
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameSAN LUIS PENSION CONSULTANTS
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number801148-000
Policy instance 1
Insurance contract or identification number801148-000
Number of Individuals Covered29
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,655
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 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?Yes
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
Amount paid for insurance broker fees1655
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameSAN LUIS PENSION CONSULTANTS, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number801148-000
Policy instance 1
Insurance contract or identification number801148-000
Number of Individuals Covered31
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,117
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 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?Yes
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number801148-000
Policy instance 1
Insurance contract or identification number801148-000
Number of Individuals Covered32
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,370
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 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?Yes
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
Amount paid for insurance broker fees1370
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameSAN LUIS PENSION CONSULTANTS, INC.

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