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TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameTATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 001

TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

TATE FORD, LINCOLN, MERCURY, INC. has sponsored the creation of one or more 401k plans.

Company Name:TATE FORD, LINCOLN, MERCURY, INC.
Employer identification number (EIN):860368899
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01AL STRADLING AL STRADLING2018-10-15
0012016-01-01LINDA TATE LINDA TATE2017-10-09
0012015-01-01LINDA TATE LINDA TATE2016-08-31
0012014-01-01LINDA TATE
0012011-01-01LINDA TATE2012-10-13

Plan Statistics for TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01189
Total number of active participants reported on line 7a of the Form 55002017-01-0196
Number of retired or separated participants receiving benefits2017-01-0183
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01180
Number of participants with account balances2017-01-01163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0118
2016: TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01166
Total number of active participants reported on line 7a of the Form 55002016-01-01103
Number of retired or separated participants receiving benefits2016-01-0165
Total of all active and inactive participants2016-01-01168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01168
Number of participants with account balances2016-01-01160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0123
2015: TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01145
Total number of active participants reported on line 7a of the Form 55002015-01-0176
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0145
Total of all active and inactive participants2015-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01121
Number of participants with account balances2015-01-0186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-015
2014: TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01134
Total number of active participants reported on line 7a of the Form 55002014-01-01113
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0128
Total of all active and inactive participants2014-01-01141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01142
Number of participants with account balances2014-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013

Financial Data on TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017 : TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total transfer of assets to this plan2017-12-31$0
Total transfer of assets from this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$122
Total income from all sources (including contributions)2017-12-31$276,850
Total of all expenses incurred2017-12-31$133,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$132,071
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$117,231
Value of total assets at end of year2017-12-31$1,953,664
Value of total assets at beginning of year2017-12-31$1,810,453
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,690
Total interest from all sources2017-12-31$63,998
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$200,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$117,231
Participant contributions at end of year2017-12-31$31,729
Participant contributions at beginning of year2017-12-31$25,266
Participant contributions at end of year2017-12-31$185
Participant contributions at beginning of year2017-12-31$1,247
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Income. Non cash contributions2017-12-31$0
Value of net income/loss2017-12-31$143,089
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,953,542
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,810,453
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$1,444,945
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,268,889
Interest on participant loans2017-12-31$1,194
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$476,805
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$515,051
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$515,051
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$62,804
Net investment gain/loss from pooled separate accounts2017-12-31$95,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$0
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$132,071
Contract administrator fees2017-12-31$1,690
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31METZ & ASSOCIATES
Accountancy firm EIN2017-12-31464558541
2016 : TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total transfer of assets to this plan2016-12-31$0
Total transfer of assets from this plan2016-12-31$0
Total income from all sources (including contributions)2016-12-31$214,249
Total of all expenses incurred2016-12-31$60,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$59,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$129,435
Value of total assets at end of year2016-12-31$1,810,453
Value of total assets at beginning of year2016-12-31$1,656,916
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,485
Total interest from all sources2016-12-31$44,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$200,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$129,435
Participant contributions at end of year2016-12-31$25,266
Participant contributions at beginning of year2016-12-31$5,000
Participant contributions at end of year2016-12-31$1,247
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$153,537
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,810,453
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,656,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$1,268,889
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,130,837
Income. Interest from loans (other than to participants)2016-12-31$1,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$515,051
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$496,299
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$496,299
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$43,480
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from pooled separate accounts2016-12-31$40,168
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$0
Employer contributions (assets) at end of year2016-12-31$0
Employer contributions (assets) at beginning of year2016-12-31$24,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$59,227
Contract administrator fees2016-12-31$1,485
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31METZ & ASSOCIATES
Accountancy firm EIN2016-12-31464558541
2015 : TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total transfer of assets to this plan2015-12-31$0
Total transfer of assets from this plan2015-12-31$0
Total income from all sources (including contributions)2015-12-31$130,587
Total of all expenses incurred2015-12-31$137,521
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$129,418
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$158,008
Value of total assets at end of year2015-12-31$1,656,916
Value of total assets at beginning of year2015-12-31$1,663,850
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,103
Total interest from all sources2015-12-31$31,676
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$200,000
If this is an individual account plan, was there a blackout period2015-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$102,526
Participant contributions at end of year2015-12-31$5,000
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Income. Non cash contributions2015-12-31$0
Value of net income/loss2015-12-31$-6,934
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,656,916
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,663,850
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$1,130,837
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,172,122
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$496,299
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$31,676
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$491,728
Net investment gain/loss from pooled separate accounts2015-12-31$-59,097
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$55,482
Employer contributions (assets) at end of year2015-12-31$24,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$129,418
Contract administrator fees2015-12-31$8,103
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31Yes
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31METZ & ASSOCIATES
Accountancy firm EIN2015-12-31464558541
2014 : TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$232,156
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$261,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$258,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$169,862
Value of total assets at end of year2014-12-31$1,663,850
Value of total assets at beginning of year2014-12-31$1,692,753
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,915
Total interest from all sources2014-12-31$3,170
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$150,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$129,569
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-28,903
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,663,850
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,692,753
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$1,172,122
Value of interest in pooled separate accounts at beginning of year2014-12-31$1,109,330
Interest earned on other investments2014-12-31$3,170
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$491,728
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$583,423
Net investment gain/loss from pooled separate accounts2014-12-31$59,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$40,293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$258,144
Contract administrator fees2014-12-31$2,915
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31METZ & ASSOCIATES
Accountancy firm EIN2014-12-31464558541

Form 5500 Responses for TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN

2017: TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING 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: TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING 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: TATE FORD, LINCOLN MERCURY, INC. 401(K) PROFIT SHARING 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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number836668
Policy instance 1
Insurance contract or identification number836668
Number of Individuals Covered163
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,738
Total amount of fees paid to insurance companyUSD $1,148
Commission paid to Insurance BrokerUSD $3,446
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker namePENSION STRATEGIES, INC.
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number836668
Policy instance 1
Insurance contract or identification number836668
Number of Individuals Covered88
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $19,413
Total amount of fees paid to insurance companyUSD $5,000
Commission paid to Insurance BrokerUSD $8,396
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTPA FEE
Insurance broker nameJEFFREY CARL DOLLARHIDE
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number807966
Policy instance 1
Insurance contract or identification number807966
Number of Individuals Covered142
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $16,693
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,693
Insurance broker organization code?3
Insurance broker nameAMERICAN INDEPENDENTSECURITIES GRP

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