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LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 401k Plan overview

Plan NameLOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN
Plan identification number 002

LOWS READY MIX, INC. 401(K) SALARY SAVINGS 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

LOWS READY MIX, INC. has sponsored the creation of one or more 401k plans.

Company Name:LOWS READY MIX, INC.
Employer identification number (EIN):820353031
NAIC Classification:327300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022017-01-01CAL D. LOW
0022016-01-01CAL D. LOW
0022015-01-01CAL D. LOW
0022014-01-01CAL D. LOW
0022013-01-01CAL D. LOW
0022012-01-01CAL D. LOW
0022011-01-01CAL D. LOW
0022010-01-01CAL D. LOW
0022009-01-01CAL D. LOW CAL D. LOW2010-09-27

Plan Statistics for LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN

401k plan membership statisitcs for LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN

Measure Date Value
2017: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-015
Total number of active participants reported on line 7a of the Form 55002017-01-010
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 participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0153
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-015
Number of participants with account balances2016-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0150
Total number of active participants reported on line 7a of the Form 55002015-01-0150
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0151
Number of participants with account balances2015-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0146
Total number of active participants reported on line 7a of the Form 55002014-01-0148
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0148
Number of participants with account balances2014-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0141
Total number of active participants reported on line 7a of the Form 55002013-01-0145
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0146
Number of participants with account balances2013-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0138
Total number of active participants reported on line 7a of the Form 55002012-01-0140
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0141
Number of participants with account balances2012-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0141
Total number of active participants reported on line 7a of the Form 55002011-01-0135
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0136
Number of participants with account balances2011-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0147
Total number of active participants reported on line 7a of the Form 55002010-01-0140
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0141
Number of participants with account balances2010-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0158
Total number of active participants reported on line 7a of the Form 55002009-01-0141
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 participants2009-01-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0144
Number of participants with account balances2009-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN

Measure Date Value
2017 : LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-04-30$8
Expenses. Total of all expenses incurred2017-04-30$135,129
Benefits paid (including direct rollovers)2017-04-30$134,504
Total plan assets at end of year2017-04-30$0
Total plan assets at beginning of year2017-04-30$135,121
Value of fidelity bond covering the plan2017-04-30$150,000
Other income received2017-04-30$8
Net income (gross income less expenses)2017-04-30$-135,121
Net plan assets at end of year (total assets less liabilities)2017-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$135,121
Expenses. Administrative service providers (salaries,fees and commissions)2017-04-30$625
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-04-30$0
2016 : LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$157,952
Expenses. Total of all expenses incurred2016-12-31$1,257,458
Benefits paid (including direct rollovers)2016-12-31$1,243,028
Total plan assets at end of year2016-12-31$135,121
Total plan assets at beginning of year2016-12-31$1,234,627
Value of fidelity bond covering the plan2016-12-31$150,000
Total contributions received or receivable from participants2016-12-31$64,310
Contributions received from other sources (not participants or employers)2016-12-31$8,223
Other income received2016-12-31$75,351
Net income (gross income less expenses)2016-12-31$-1,099,506
Net plan assets at end of year (total assets less liabilities)2016-12-31$135,121
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,234,627
Assets. Value of participant loans2016-12-31$2,491
Total contributions received or receivable from employer(s)2016-12-31$10,068
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$14,430
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2015 401k financial data
Total income from all sources2015-12-31$93,016
Expenses. Total of all expenses incurred2015-12-31$28,758
Benefits paid (including direct rollovers)2015-12-31$16,754
Total plan assets at end of year2015-12-31$1,234,627
Total plan assets at beginning of year2015-12-31$1,170,369
Value of fidelity bond covering the plan2015-12-31$150,000
Total contributions received or receivable from participants2015-12-31$78,700
Other income received2015-12-31$2,321
Net income (gross income less expenses)2015-12-31$64,258
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,234,627
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,170,369
Assets. Value of participant loans2015-12-31$108,397
Total contributions received or receivable from employer(s)2015-12-31$11,995
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$12,004
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2014 401k financial data
Total income from all sources2014-12-31$143,638
Expenses. Total of all expenses incurred2014-12-31$162,484
Benefits paid (including direct rollovers)2014-12-31$150,185
Total plan assets at end of year2014-12-31$1,170,369
Total plan assets at beginning of year2014-12-31$1,189,215
Value of fidelity bond covering the plan2014-12-31$150,000
Total contributions received or receivable from participants2014-12-31$69,174
Other income received2014-12-31$64,246
Net income (gross income less expenses)2014-12-31$-18,846
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,170,369
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,189,215
Assets. Value of participant loans2014-12-31$56,545
Total contributions received or receivable from employer(s)2014-12-31$10,218
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$12,299
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2013 401k financial data
Total income from all sources2013-12-31$280,964
Expenses. Total of all expenses incurred2013-12-31$11,266
Total plan assets at end of year2013-12-31$1,189,215
Total plan assets at beginning of year2013-12-31$919,517
Value of fidelity bond covering the plan2013-12-31$150,000
Total contributions received or receivable from participants2013-12-31$71,930
Other income received2013-12-31$198,980
Net income (gross income less expenses)2013-12-31$269,698
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,189,215
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$919,517
Assets. Value of participant loans2013-12-31$47,428
Total contributions received or receivable from employer(s)2013-12-31$10,054
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$11,266
2012 : LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-12-31$184,142
Expenses. Total of all expenses incurred2012-12-31$51,176
Benefits paid (including direct rollovers)2012-12-31$41,260
Total plan assets at end of year2012-12-31$919,517
Total plan assets at beginning of year2012-12-31$786,551
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$66,606
Other income received2012-12-31$108,167
Net income (gross income less expenses)2012-12-31$132,966
Net plan assets at end of year (total assets less liabilities)2012-12-31$919,517
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$786,551
Assets. Value of participant loans2012-12-31$42,285
Total contributions received or receivable from employer(s)2012-12-31$9,369
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$9,916
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2011 401k financial data
Total income from all sources2011-12-31$62,079
Expenses. Total of all expenses incurred2011-12-31$8,532
Total plan assets at end of year2011-12-31$786,551
Total plan assets at beginning of year2011-12-31$733,004
Value of fidelity bond covering the plan2011-12-31$100,000
Total contributions received or receivable from participants2011-12-31$59,914
Other income received2011-12-31$-5,802
Net income (gross income less expenses)2011-12-31$53,547
Net plan assets at end of year (total assets less liabilities)2011-12-31$786,551
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$733,004
Assets. Value of participant loans2011-12-31$40,532
Total contributions received or receivable from employer(s)2011-12-31$7,967
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$8,532
2010 : LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN 2010 401k financial data
Total plan liabilities at beginning of year2010-12-31$122
Total income from all sources2010-12-31$144,852
Expenses. Total of all expenses incurred2010-12-31$80,623
Benefits paid (including direct rollovers)2010-12-31$72,224
Total plan assets at end of year2010-12-31$733,004
Total plan assets at beginning of year2010-12-31$668,897
Value of fidelity bond covering the plan2010-12-31$75,000
Total contributions received or receivable from participants2010-12-31$53,116
Expenses. Other expenses not covered elsewhere2010-12-31$8,399
Other income received2010-12-31$84,780
Net income (gross income less expenses)2010-12-31$64,229
Net plan assets at end of year (total assets less liabilities)2010-12-31$733,004
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$668,775
Assets. Value of participant loans2010-12-31$30,839
Total contributions received or receivable from employer(s)2010-12-31$6,956
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0

Form 5500 Responses for LOWS READY MIX, INC. 401(K) SALARY SAVINGS PLAN

2017: LOWS READY MIX, INC. 401(K) SALARY 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 filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: LOWS READY MIX, INC. 401(K) SALARY 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: LOWS READY MIX, INC. 401(K) SALARY 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: LOWS READY MIX, INC. 401(K) SALARY 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: LOWS READY MIX, INC. 401(K) SALARY 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: LOWS READY MIX, INC. 401(K) SALARY 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: LOWS READY MIX, INC. 401(K) SALARY 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: LOWS READY MIX, INC. 401(K) SALARY 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
2009: LOWS READY MIX, INC. 401(K) SALARY SAVINGS 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
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 numberRM 80901-1
Policy instance 1
Insurance contract or identification numberRM 80901-1
Number of Individuals Covered25
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5,563
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $3,762
Insurance broker organization code?3
Insurance broker nameB ERSTAD
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 80901-1
Policy instance 1
Insurance contract or identification numberRM 80901-1
Number of Individuals Covered21
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $5,857
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $3,766
Insurance broker organization code?3
Insurance broker nameB ERSTAD
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 80901-1
Policy instance 1
Insurance contract or identification numberRM 80901-1
Number of Individuals Covered23
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,511
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $3,417
Insurance broker organization code?3
Insurance broker nameFRANK ERSTAD
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 80901-1
Policy instance 1
Insurance contract or identification numberRM 80901-1
Number of Individuals Covered23
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,736
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $3,169
Insurance broker organization code?3
Insurance broker nameBYRON ERSTAD
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 80901-1
Policy instance 1
Insurance contract or identification numberRM 80901-1
Number of Individuals Covered22
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,864
Total amount of fees paid to insurance companyUSD $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 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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 80901-1
Policy instance 1
Insurance contract or identification numberRM 80901-1
Number of Individuals Covered21
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,403
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $2,497
Insurance broker organization code?3
Insurance broker nameBYRON ERSTAD

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