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W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 401k Plan overview

Plan NameW.L. HICKEY SONS, INC. PROFIT SHARING PLAN
Plan identification number 001

W.L. HICKEY SONS, INC. 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.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

W.L. HICKEY SONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:W.L. HICKEY SONS, INC.
Employer identification number (EIN):941073393
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan W.L. HICKEY SONS, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-10-01BRIAN SAILOR2023-01-27 EDWARD HICKEY2023-01-27
0012020-10-01BRIAN SAILOR2021-12-10 EDWARD HICKEY2021-12-10
0012019-10-01BRIAN SAILOR2021-07-12 BRIAN SAILOR2021-07-12
0012018-10-01EDWARD HICKEY2020-07-07 EDWARD HICKEY2020-07-07
0012017-10-01EDWARD HICKEY2018-12-28 EDWARD HICKEY2018-12-28
0012016-10-01EDWARD HICKEY EDWARD HICKEY2018-01-03
0012015-10-01ED HICKEY ED HICKEY2017-03-17
0012014-10-01ED HICKEY ED HICKEY2016-06-23
0012013-10-01ED HICKEY ED HICKEY2015-04-20
0012012-10-01ED HICKEY
0012011-10-01EDWARD L. HICKEY EDWARD L. HICKEY2013-04-04
0012010-10-01EDWARD L. HICKEY2012-07-13 EDWARD L. HICKEY2012-07-13
0012009-10-01MR. EDWARD HICKEY MR. EDWARD HICKEY2011-04-19

Plan Statistics for W.L. HICKEY SONS, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for W.L. HICKEY SONS, INC. PROFIT SHARING PLAN

Measure Date Value
2016: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-0112
Total number of active participants reported on line 7a of the Form 55002016-10-019
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-012
Total of all active and inactive participants2016-10-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-0111
Number of participants with account balances2016-10-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-010
2015: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0111
Total number of active participants reported on line 7a of the Form 55002015-10-019
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-013
Total of all active and inactive participants2015-10-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-0112
Number of participants with account balances2015-10-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-010
2014: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-0114
Total number of active participants reported on line 7a of the Form 55002014-10-0111
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-0111
Number of participants with account balances2014-10-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-010
2013: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0112
Total number of active participants reported on line 7a of the Form 55002013-10-0113
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-011
Total of all active and inactive participants2013-10-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-0114
Number of participants with account balances2013-10-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-010
2012: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-0112
Total number of active participants reported on line 7a of the Form 55002012-10-0111
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-011
Total of all active and inactive participants2012-10-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-0112
Number of participants with account balances2012-10-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-010
2011: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-0112
Total number of active participants reported on line 7a of the Form 55002011-10-0112
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-0112
Number of participants with account balances2011-10-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-010
2009: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-0116
Total number of active participants reported on line 7a of the Form 55002009-10-0112
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-012
Total of all active and inactive participants2009-10-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-0114
Number of participants with account balances2009-10-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on W.L. HICKEY SONS, INC. PROFIT SHARING PLAN

Measure Date Value
2017 : W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-09-30$318,740
Expenses. Total of all expenses incurred2017-09-30$160,601
Benefits paid (including direct rollovers)2017-09-30$116,482
Total plan assets at end of year2017-09-30$2,067,049
Total plan assets at beginning of year2017-09-30$1,908,910
Total contributions received or receivable from participants2017-09-30$28,726
Expenses. Other expenses not covered elsewhere2017-09-30$0
Contributions received from other sources (not participants or employers)2017-09-30$0
Other income received2017-09-30$253,756
Net income (gross income less expenses)2017-09-30$158,139
Net plan assets at end of year (total assets less liabilities)2017-09-30$2,067,049
Net plan assets at beginning of year (total assets less liabilities)2017-09-30$1,908,910
Assets. Value of participant loans2017-09-30$22,424
Total contributions received or receivable from employer(s)2017-09-30$36,258
Value of certain deemed distributions of participant loans2017-09-30$28,027
Value of corrective distributions2017-09-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-09-30$16,092
2016 : W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-09-30$208,424
Expenses. Total of all expenses incurred2016-09-30$364,136
Benefits paid (including direct rollovers)2016-09-30$348,141
Total plan assets at end of year2016-09-30$1,908,910
Total plan assets at beginning of year2016-09-30$2,064,622
Total contributions received or receivable from participants2016-09-30$31,709
Expenses. Other expenses not covered elsewhere2016-09-30$0
Contributions received from other sources (not participants or employers)2016-09-30$0
Other income received2016-09-30$143,007
Net income (gross income less expenses)2016-09-30$-155,712
Net plan assets at end of year (total assets less liabilities)2016-09-30$1,908,910
Net plan assets at beginning of year (total assets less liabilities)2016-09-30$2,064,622
Assets. Value of participant loans2016-09-30$32,635
Total contributions received or receivable from employer(s)2016-09-30$33,708
Value of certain deemed distributions of participant loans2016-09-30$0
Value of corrective distributions2016-09-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-09-30$15,995
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Funding deficiency by the employer to the plan for this plan year2016-09-30$0
Minimum employer required contribution for this plan year2016-09-30$0
Amount contributed by the employer to the plan for this plan year2016-09-30$0
2015 : W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-09-30$229,189
Expenses. Total of all expenses incurred2015-09-30$1,667,556
Benefits paid (including direct rollovers)2015-09-30$1,643,036
Total plan assets at end of year2015-09-30$2,064,622
Total plan assets at beginning of year2015-09-30$3,502,989
Value of fidelity bond covering the plan2015-09-30$500,000
Total contributions received or receivable from participants2015-09-30$65,272
Expenses. Other expenses not covered elsewhere2015-09-30$0
Contributions received from other sources (not participants or employers)2015-09-30$0
Other income received2015-09-30$112,128
Net income (gross income less expenses)2015-09-30$-1,438,367
Net plan assets at end of year (total assets less liabilities)2015-09-30$2,064,622
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$3,502,989
Assets. Value of participant loans2015-09-30$51,383
Total contributions received or receivable from employer(s)2015-09-30$51,789
Value of certain deemed distributions of participant loans2015-09-30$0
Value of corrective distributions2015-09-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-09-30$24,520
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
2014 : W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-09-30$373,507
Expenses. Total of all expenses incurred2014-09-30$31,336
Benefits paid (including direct rollovers)2014-09-30$5,218
Total plan assets at end of year2014-09-30$3,502,989
Total plan assets at beginning of year2014-09-30$3,160,818
Value of fidelity bond covering the plan2014-09-30$500,000
Total contributions received or receivable from participants2014-09-30$67,684
Expenses. Other expenses not covered elsewhere2014-09-30$0
Contributions received from other sources (not participants or employers)2014-09-30$0
Other income received2014-09-30$257,794
Net income (gross income less expenses)2014-09-30$342,171
Net plan assets at end of year (total assets less liabilities)2014-09-30$3,502,989
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$3,160,818
Assets. Value of participant loans2014-09-30$72,902
Total contributions received or receivable from employer(s)2014-09-30$48,029
Value of certain deemed distributions of participant loans2014-09-30$0
Value of corrective distributions2014-09-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-09-30$26,118
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
2013 : W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-09-30$609,736
Expenses. Total of all expenses incurred2013-09-30$550,376
Benefits paid (including direct rollovers)2013-09-30$523,388
Total plan assets at end of year2013-09-30$3,160,818
Total plan assets at beginning of year2013-09-30$3,101,458
Value of fidelity bond covering the plan2013-09-30$500,000
Total contributions received or receivable from participants2013-09-30$95,892
Expenses. Other expenses not covered elsewhere2013-09-30$0
Contributions received from other sources (not participants or employers)2013-09-30$24,077
Other income received2013-09-30$431,202
Net income (gross income less expenses)2013-09-30$59,360
Net plan assets at end of year (total assets less liabilities)2013-09-30$3,160,818
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$3,101,458
Assets. Value of participant loans2013-09-30$110,984
Total contributions received or receivable from employer(s)2013-09-30$58,565
Value of certain deemed distributions of participant loans2013-09-30$0
Value of corrective distributions2013-09-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-09-30$26,988
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
2012 : W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-09-30$555,137
Expenses. Total of all expenses incurred2012-09-30$199,151
Benefits paid (including direct rollovers)2012-09-30$172,679
Total plan assets at end of year2012-09-30$3,101,458
Total plan assets at beginning of year2012-09-30$2,745,472
Total contributions received or receivable from participants2012-09-30$115,289
Expenses. Other expenses not covered elsewhere2012-09-30$200
Contributions received from other sources (not participants or employers)2012-09-30$0
Other income received2012-09-30$387,919
Net income (gross income less expenses)2012-09-30$355,986
Net plan assets at end of year (total assets less liabilities)2012-09-30$3,101,458
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$2,745,472
Assets. Value of participant loans2012-09-30$90,403
Total contributions received or receivable from employer(s)2012-09-30$51,929
Value of certain deemed distributions of participant loans2012-09-30$0
Value of corrective distributions2012-09-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-09-30$26,272
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
2010 : W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for W.L. HICKEY SONS, INC. PROFIT SHARING PLAN

2016: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2009: W.L. HICKEY SONS, INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 50275
Policy instance 1
Insurance contract or identification numberFL 50275
Number of Individuals Covered12
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $6,764
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 $6,764
Insurance broker organization code?1
Insurance broker nameCETERA ADVISOR NETWORKS LLC
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 50275
Policy instance 1
Insurance contract or identification numberFL 50275
Number of Individuals Covered11
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $11,427
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 $11,427
Insurance broker organization code?1
Insurance broker nameCETERA ADVISOR NETWORKS LLC
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 50275
Policy instance 1
Insurance contract or identification numberFL 50275
Number of Individuals Covered14
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $11,458
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 $11,458
Insurance broker organization code?1
Insurance broker nameCETERA ADVISOR NETWORKS LLC
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 50275
Policy instance 1
Insurance contract or identification numberFL 50275
Number of Individuals Covered12
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $10,641
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 $10,641
Insurance broker organization code?1
Insurance broker nameCETERA ADVISOR NETWORKS LLC
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 50275
Policy instance 1
Insurance contract or identification numberFL 50275
Number of Individuals Covered12
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $10,977
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

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