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ESSENCE VENTURES, LLC 401(K) PLAN 401k Plan overview

Plan NameESSENCE VENTURES, LLC 401(K) PLAN
Plan identification number 001

ESSENCE VENTURES, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ESSENCE VENTURES, LLC has sponsored the creation of one or more 401k plans.

Company Name:ESSENCE VENTURES, LLC
Employer identification number (EIN):823418584
NAIC Classification:519100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ESSENCE VENTURES, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01MARTHA DENNIS2024-10-15
0012022-01-01MARTHA DENNIS2023-10-10
0012021-01-01MARTHA DENNIS2022-10-10
0012020-01-01AKELA JOHNNY2021-10-06
0012019-01-01

Plan Statistics for ESSENCE VENTURES, LLC 401(K) PLAN

401k plan membership statisitcs for ESSENCE VENTURES, LLC 401(K) PLAN

Measure Date Value
2023: ESSENCE VENTURES, LLC 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01181
Total number of active participants reported on line 7a of the Form 55002023-01-01119
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0187
Total of all active and inactive participants2023-01-01206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01206
Number of participants with account balances2023-01-01194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-0110
2022: ESSENCE VENTURES, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01163
Total number of active participants reported on line 7a of the Form 55002022-01-0192
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0186
Total of all active and inactive participants2022-01-01178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01178
Number of participants with account balances2022-01-01173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0115
2021: ESSENCE VENTURES, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01168
Total number of active participants reported on line 7a of the Form 55002021-01-01112
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0160
Total of all active and inactive participants2021-01-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01172
Number of participants with account balances2021-01-01153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-016
2020: ESSENCE VENTURES, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01149
Total number of active participants reported on line 7a of the Form 55002020-01-0170
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0188
Total of all active and inactive participants2020-01-01158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01158
Number of participants with account balances2020-01-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0120

Financial Data on ESSENCE VENTURES, LLC 401(K) PLAN

Measure Date Value
2023 : ESSENCE VENTURES, LLC 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$4,252
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$3,830
Total income from all sources (including contributions)2023-12-31$2,087,530
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$507,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$452,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,396,808
Value of total assets at end of year2023-12-31$4,890,423
Value of total assets at beginning of year2023-12-31$3,310,168
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$55,014
Total interest from all sources2023-12-31$4,439
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$2,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$765,366
Participant contributions at end of year2023-12-31$802
Participant contributions at beginning of year2023-12-31$802
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$87,508
Assets. Loans (other than to participants) at end of year2023-12-31$98,846
Assets. Loans (other than to participants) at beginning of year2023-12-31$42,720
Administrative expenses (other) incurred2023-12-31$2,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,579,833
Value of net assets at end of year (total assets less liabilities)2023-12-31$4,886,171
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$3,306,338
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$790
Value of interest in pooled separate accounts at end of year2023-12-31$4,623,841
Value of interest in pooled separate accounts at beginning of year2023-12-31$3,241,477
Interest on participant loans2023-12-31$4,439
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$36,561
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$17,263
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$17,263
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$0
Net investment gain/loss from pooled separate accounts2023-12-31$686,283
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$543,934
Employer contributions (assets) at end of year2023-12-31$130,373
Employer contributions (assets) at beginning of year2023-12-31$7,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$452,683
Contract administrator fees2023-12-31$52,124
Liabilities. Value of benefit claims payable at end of year2023-12-31$4,252
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$3,830
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31BELFINT, LYONS &SHUMAN, P.A.
Accountancy firm EIN2023-12-31510232399
2022 : ESSENCE VENTURES, LLC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,830
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$14,009
Total income from all sources (including contributions)2022-12-31$459,662
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$977,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$904,288
Expenses. Certain deemed distributions of participant loans2022-12-31$29,619
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,070,555
Value of total assets at end of year2022-12-31$3,310,168
Value of total assets at beginning of year2022-12-31$3,838,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$43,863
Total interest from all sources2022-12-31$1,423
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$584,977
Participant contributions at end of year2022-12-31$802
Participant contributions at beginning of year2022-12-31$1,550
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$73,005
Assets. Loans (other than to participants) at end of year2022-12-31$42,720
Assets. Loans (other than to participants) at beginning of year2022-12-31$35,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-518,108
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,306,338
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,824,446
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$43,863
Value of interest in pooled separate accounts at end of year2022-12-31$3,241,477
Value of interest in pooled separate accounts at beginning of year2022-12-31$3,671,252
Interest on participant loans2022-12-31$1,423
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$17,263
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$27,345
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$27,345
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Net investment gain/loss from pooled separate accounts2022-12-31$-612,316
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$412,573
Employer contributions (assets) at end of year2022-12-31$7,906
Employer contributions (assets) at beginning of year2022-12-31$103,193
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$904,288
Liabilities. Value of benefit claims payable at end of year2022-12-31$3,830
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$14,009
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MORGENSTERN, WAXMAN, ELLERSHAW LLC
Accountancy firm EIN2022-12-31814670608
2021 : ESSENCE VENTURES, LLC 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$14,009
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$29,515
Total income from all sources (including contributions)2021-12-31$1,396,681
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$751,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$701,458
Value of total corrective distributions2021-12-31$3,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$931,299
Value of total assets at end of year2021-12-31$3,838,455
Value of total assets at beginning of year2021-12-31$3,208,543
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$45,963
Total interest from all sources2021-12-31$1,377
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$475,875
Participant contributions at end of year2021-12-31$1,550
Participant contributions at beginning of year2021-12-31$25,129
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$112,941
Assets. Loans (other than to participants) at end of year2021-12-31$35,115
Assets. Loans (other than to participants) at beginning of year2021-12-31$43,301
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$645,418
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,824,446
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$3,179,028
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$3,671,252
Value of interest in pooled separate accounts at beginning of year2021-12-31$3,115,709
Interest on participant loans2021-12-31$1,377
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$27,345
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$534
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$534
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$0
Net investment gain/loss from pooled separate accounts2021-12-31$464,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$342,483
Employer contributions (assets) at end of year2021-12-31$103,193
Employer contributions (assets) at beginning of year2021-12-31$23,870
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$701,458
Contract administrator fees2021-12-31$45,963
Liabilities. Value of benefit claims payable at end of year2021-12-31$14,009
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$29,515
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MORGENSTERN, WAXMAN, ELLERSHAW LLC
Accountancy firm EIN2021-12-31814670608
2020 : ESSENCE VENTURES, LLC 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$29,515
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$15,670
Total income from all sources (including contributions)2020-12-31$2,004,001
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$455,482
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$422,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,565,888
Value of total assets at end of year2020-12-31$3,208,543
Value of total assets at beginning of year2020-12-31$1,646,179
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$32,874
Total interest from all sources2020-12-31$1,686
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$653,302
Participant contributions at end of year2020-12-31$25,129
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$456,655
Assets. Loans (other than to participants) at end of year2020-12-31$43,301
Assets. Loans (other than to participants) at beginning of year2020-12-31$31,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,548,519
Value of net assets at end of year (total assets less liabilities)2020-12-31$3,179,028
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,630,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$3,115,709
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,614,916
Interest on participant loans2020-12-31$1,686
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$534
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Net investment gain/loss from pooled separate accounts2020-12-31$436,427
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$455,931
Employer contributions (assets) at end of year2020-12-31$23,870
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$422,608
Contract administrator fees2020-12-31$32,874
Liabilities. Value of benefit claims payable at end of year2020-12-31$29,515
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$15,670
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31MORGENSTERN, WAXMAN, ELLERSHAW LLC
Accountancy firm EIN2020-12-31814670608

Form 5500 Responses for ESSENCE VENTURES, LLC 401(K) PLAN

2023: ESSENCE VENTURES, LLC 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: ESSENCE VENTURES, LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ESSENCE VENTURES, LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ESSENCE VENTURES, LLC 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 - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number802116
Policy instance 1
Insurance contract or identification number802116
Number of Individuals Covered224
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $28,585
Total amount of fees paid to insurance companyUSD $4,045
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?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
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number802116
Policy instance 1
Insurance contract or identification number802116
Number of Individuals Covered197
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $23,877
Total amount of fees paid to insurance companyUSD $3,713
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?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 $23,877
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number802116
Policy instance 1
Insurance contract or identification number802116
Number of Individuals Covered173
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $24,822
Total amount of fees paid to insurance companyUSD $3,424
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?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 $24,822
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number802116
Policy instance 1
Insurance contract or identification number802116
Number of Individuals Covered167
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $15,744
Total amount of fees paid to insurance companyUSD $3,956
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?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 $15,744
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?5

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