401k Plan data: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN plan

MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN
Plan identification number	002

MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

MANHOLE ADJUSTING INC. has sponsored the creation of one or more 401k plans.

Company Name: MANHOLE ADJUSTING INC.

Employer identification number (EIN): 953548835

NAIC Classification: 324120

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-11-01
002 2020-11-01
002 2019-11-01
002 2018-11-01
002 2017-11-01 JOHN CORCORAN JOHN CORCORAN 2019-02-14
002 2016-11-01 JOHN CORCORAN 2018-04-03 JOHN CORCORAN 2018-04-03
002 2015-11-01 JOHN CORCORAN 2017-01-26 JOHN CORCORAN 2017-01-26
002 2014-11-01 JOHN CORCORAN 2016-05-02 JOHN CORCORAN 2016-05-02
002 2013-11-01 JOHN CORCORAN 2015-02-26 JOHN CORCORAN 2015-02-26
002 2012-11-01 JOHN CORCORAN 2014-03-26 JOHN CORCORAN 2014-03-26
002 2011-11-01 JOHN CORCORAN 2013-02-13
002 2010-11-01 JOHN CORCORAN 2012-01-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-11-01
002	2020-11-01
002	2019-11-01
002	2018-11-01
002	2017-11-01	JOHN CORCORAN		JOHN CORCORAN	2019-02-14
002	2016-11-01	JOHN CORCORAN	2018-04-03	JOHN CORCORAN	2018-04-03
002	2015-11-01	JOHN CORCORAN	2017-01-26	JOHN CORCORAN	2017-01-26
002	2014-11-01	JOHN CORCORAN	2016-05-02	JOHN CORCORAN	2016-05-02
002	2013-11-01	JOHN CORCORAN	2015-02-26	JOHN CORCORAN	2015-02-26
002	2012-11-01	JOHN CORCORAN	2014-03-26	JOHN CORCORAN	2014-03-26
002	2011-11-01	JOHN CORCORAN	2013-02-13
002	2010-11-01	JOHN CORCORAN	2012-01-26

Plan Statistics for MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN

401k plan membership statisitcs for MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN

Measure Date Value
2021: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-11-01 90
Total number of active participants reported on line 7a of the Form 5500 2021-11-01 41
Number of retired or separated participants receiving benefits 2021-11-01 0
Number of other retired or separated participants entitled to future benefits 2021-11-01 48
Total of all active and inactive participants 2021-11-01 89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-11-01 0
Total participants 2021-11-01 89
Number of participants with account balances 2021-11-01 89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-11-01 0
2020: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-11-01 96
Total number of active participants reported on line 7a of the Form 5500 2020-11-01 43
Number of retired or separated participants receiving benefits 2020-11-01 0
Number of other retired or separated participants entitled to future benefits 2020-11-01 50
Total of all active and inactive participants 2020-11-01 93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-11-01 1
Total participants 2020-11-01 94
Number of participants with account balances 2020-11-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-11-01 2
2019: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-11-01 91
Total number of active participants reported on line 7a of the Form 5500 2019-11-01 45
Number of retired or separated participants receiving benefits 2019-11-01 0
Number of other retired or separated participants entitled to future benefits 2019-11-01 50
Total of all active and inactive participants 2019-11-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-11-01 0
Total participants 2019-11-01 95
Number of participants with account balances 2019-11-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-11-01 2
2018: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-11-01 90
Total number of active participants reported on line 7a of the Form 5500 2018-11-01 40
Number of retired or separated participants receiving benefits 2018-11-01 0
Number of other retired or separated participants entitled to future benefits 2018-11-01 49
Total of all active and inactive participants 2018-11-01 89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-11-01 0
Total participants 2018-11-01 89
Number of participants with account balances 2018-11-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-11-01 1
2017: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-11-01 87
Total number of active participants reported on line 7a of the Form 5500 2017-11-01 40
Number of retired or separated participants receiving benefits 2017-11-01 0
Number of other retired or separated participants entitled to future benefits 2017-11-01 49
Total of all active and inactive participants 2017-11-01 89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-11-01 0
Total participants 2017-11-01 89
Number of participants with account balances 2017-11-01 86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-11-01 0

Measure	Date	Value
2021: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-11-01	90
Total number of active participants reported on line 7a of the Form 5500	2021-11-01	41
Number of retired or separated participants receiving benefits	2021-11-01	0
Number of other retired or separated participants entitled to future benefits	2021-11-01	48
Total of all active and inactive participants	2021-11-01	89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-11-01	0
Total participants	2021-11-01	89
Number of participants with account balances	2021-11-01	89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-11-01	0
2020: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-11-01	96
Total number of active participants reported on line 7a of the Form 5500	2020-11-01	43
Number of retired or separated participants receiving benefits	2020-11-01	0
Number of other retired or separated participants entitled to future benefits	2020-11-01	50
Total of all active and inactive participants	2020-11-01	93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-11-01	1
Total participants	2020-11-01	94
Number of participants with account balances	2020-11-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-11-01	2
2019: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-11-01	91
Total number of active participants reported on line 7a of the Form 5500	2019-11-01	45
Number of retired or separated participants receiving benefits	2019-11-01	0
Number of other retired or separated participants entitled to future benefits	2019-11-01	50
Total of all active and inactive participants	2019-11-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-11-01	0
Total participants	2019-11-01	95
Number of participants with account balances	2019-11-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-11-01	2
2018: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-11-01	90
Total number of active participants reported on line 7a of the Form 5500	2018-11-01	40
Number of retired or separated participants receiving benefits	2018-11-01	0
Number of other retired or separated participants entitled to future benefits	2018-11-01	49
Total of all active and inactive participants	2018-11-01	89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-11-01	0
Total participants	2018-11-01	89
Number of participants with account balances	2018-11-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-11-01	1
2017: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-11-01	87
Total number of active participants reported on line 7a of the Form 5500	2017-11-01	40
Number of retired or separated participants receiving benefits	2017-11-01	0
Number of other retired or separated participants entitled to future benefits	2017-11-01	49
Total of all active and inactive participants	2017-11-01	89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-11-01	0
Total participants	2017-11-01	89
Number of participants with account balances	2017-11-01	86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-11-01	0

Financial Data on MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN

Measure	Date	Value
2022 : MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2022 401k financial data
Total plan liabilities at end of year	2022-10-31	$0
Total plan liabilities at beginning of year	2022-10-31	$0
Total income from all sources	2022-10-31	$-25,800
Expenses. Total of all expenses incurred	2022-10-31	$79,600
Benefits paid (including direct rollovers)	2022-10-31	$49,384
Total plan assets at end of year	2022-10-31	$6,434,432
Total plan assets at beginning of year	2022-10-31	$6,539,832
Value of fidelity bond covering the plan	2022-10-31	$700,000
Total contributions received or receivable from participants	2022-10-31	$206,239
Expenses. Other expenses not covered elsewhere	2022-10-31	$10,695
Contributions received from other sources (not participants or employers)	2022-10-31	$0
Other income received	2022-10-31	$-454,257
Noncash contributions received	2022-10-31	$0
Net income (gross income less expenses)	2022-10-31	$-105,400
Net plan assets at end of year (total assets less liabilities)	2022-10-31	$6,434,432
Net plan assets at beginning of year (total assets less liabilities)	2022-10-31	$6,539,832
Assets. Value of real-estate (other than employer real property)	2022-10-31	$620,000
Total contributions received or receivable from employer(s)	2022-10-31	$222,218
Value of certain deemed distributions of participant loans	2022-10-31	$0
Value of corrective distributions	2022-10-31	$4,317
Expenses. Administrative service providers (salaries,fees and commissions)	2022-10-31	$15,204
2021 : MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan	2021-10-31	$0
Total plan liabilities at end of year	2021-10-31	$0
Total plan liabilities at beginning of year	2021-10-31	$0
Total income from all sources	2021-10-31	$1,427,978
Expenses. Total of all expenses incurred	2021-10-31	$1,231,142
Benefits paid (including direct rollovers)	2021-10-31	$1,169,800
Total plan assets at end of year	2021-10-31	$6,539,832
Total plan assets at beginning of year	2021-10-31	$6,342,996
Value of fidelity bond covering the plan	2021-10-31	$700,000
Total contributions received or receivable from participants	2021-10-31	$202,115
Expenses. Other expenses not covered elsewhere	2021-10-31	$9,228
Contributions received from other sources (not participants or employers)	2021-10-31	$0
Other income received	2021-10-31	$822,991
Noncash contributions received	2021-10-31	$0
Net income (gross income less expenses)	2021-10-31	$196,836
Net plan assets at end of year (total assets less liabilities)	2021-10-31	$6,539,832
Net plan assets at beginning of year (total assets less liabilities)	2021-10-31	$6,342,996
Assets. Value of real-estate (other than employer real property)	2021-10-31	$618,000
Total contributions received or receivable from employer(s)	2021-10-31	$402,872
Value of certain deemed distributions of participant loans	2021-10-31	$0
Value of corrective distributions	2021-10-31	$30,415
Expenses. Administrative service providers (salaries,fees and commissions)	2021-10-31	$21,699
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-10-31	$0
2020 : MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2020 401k financial data
Transfers to/from the plan	2020-10-31	$0
Total plan liabilities at end of year	2020-10-31	$0
Total plan liabilities at beginning of year	2020-10-31	$0
Total income from all sources	2020-10-31	$380,482
Expenses. Total of all expenses incurred	2020-10-31	$115,724
Benefits paid (including direct rollovers)	2020-10-31	$76,604
Total plan assets at end of year	2020-10-31	$6,342,996
Total plan assets at beginning of year	2020-10-31	$6,078,238
Value of fidelity bond covering the plan	2020-10-31	$700,000
Total contributions received or receivable from participants	2020-10-31	$188,772
Expenses. Other expenses not covered elsewhere	2020-10-31	$0
Contributions received from other sources (not participants or employers)	2020-10-31	$72,617
Other income received	2020-10-31	$-50,392
Noncash contributions received	2020-10-31	$0
Net income (gross income less expenses)	2020-10-31	$264,758
Net plan assets at end of year (total assets less liabilities)	2020-10-31	$6,342,996
Net plan assets at beginning of year (total assets less liabilities)	2020-10-31	$6,078,238
Assets. Value of real-estate (other than employer real property)	2020-10-31	$619,500
Total contributions received or receivable from employer(s)	2020-10-31	$169,485
Value of certain deemed distributions of participant loans	2020-10-31	$20,425
Value of corrective distributions	2020-10-31	$18,695
Expenses. Administrative service providers (salaries,fees and commissions)	2020-10-31	$0
2019 : MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2019 401k financial data
Transfers to/from the plan	2019-10-31	$0
Total plan liabilities at end of year	2019-10-31	$0
Total plan liabilities at beginning of year	2019-10-31	$0
Total income from all sources	2019-10-31	$598,966
Expenses. Total of all expenses incurred	2019-10-31	$39,709
Benefits paid (including direct rollovers)	2019-10-31	$22,662
Total plan assets at end of year	2019-10-31	$6,078,238
Total plan assets at beginning of year	2019-10-31	$5,518,981
Value of fidelity bond covering the plan	2019-10-31	$700,000
Total contributions received or receivable from participants	2019-10-31	$147,133
Expenses. Other expenses not covered elsewhere	2019-10-31	$0
Contributions received from other sources (not participants or employers)	2019-10-31	$0
Other income received	2019-10-31	$296,880
Noncash contributions received	2019-10-31	$0
Net income (gross income less expenses)	2019-10-31	$559,257
Net plan assets at end of year (total assets less liabilities)	2019-10-31	$6,078,238
Net plan assets at beginning of year (total assets less liabilities)	2019-10-31	$5,518,981
Assets. Value of real-estate (other than employer real property)	2019-10-31	$669,060
Total contributions received or receivable from employer(s)	2019-10-31	$154,953
Value of certain deemed distributions of participant loans	2019-10-31	$10,269
Value of corrective distributions	2019-10-31	$6,778
Expenses. Administrative service providers (salaries,fees and commissions)	2019-10-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-10-31	$0
2018 : MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2018 401k financial data
Transfers to/from the plan	2018-10-31	$0
Total plan liabilities at end of year	2018-10-31	$0
Total plan liabilities at beginning of year	2018-10-31	$0
Total income from all sources	2018-10-31	$313,701
Expenses. Total of all expenses incurred	2018-10-31	$19,545
Benefits paid (including direct rollovers)	2018-10-31	$5,784
Total plan assets at end of year	2018-10-31	$5,518,981
Total plan assets at beginning of year	2018-10-31	$5,224,825
Value of fidelity bond covering the plan	2018-10-31	$700,000
Total contributions received or receivable from participants	2018-10-31	$126,135
Expenses. Other expenses not covered elsewhere	2018-10-31	$0
Contributions received from other sources (not participants or employers)	2018-10-31	$0
Other income received	2018-10-31	$41,492
Noncash contributions received	2018-10-31	$0
Net income (gross income less expenses)	2018-10-31	$294,156
Net plan assets at end of year (total assets less liabilities)	2018-10-31	$5,518,981
Net plan assets at beginning of year (total assets less liabilities)	2018-10-31	$5,224,825
Assets. Value of real-estate (other than employer real property)	2018-10-31	$673,000
Total contributions received or receivable from employer(s)	2018-10-31	$146,074
Value of certain deemed distributions of participant loans	2018-10-31	$0
Value of corrective distributions	2018-10-31	$3,681
Expenses. Administrative service providers (salaries,fees and commissions)	2018-10-31	$10,080
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-10-31	$0

Form 5500 Responses for MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN

2021: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-11-01	Type of plan entity	Single employer plan
2021-11-01	Submission has been amended	No
2021-11-01	This submission is the final filing	No
2021-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-11-01	Plan is a collectively bargained plan	No
2021-11-01	Plan funding arrangement – Insurance	Yes
2021-11-01	Plan funding arrangement – Trust	Yes
2021-11-01	Plan benefit arrangement - Trust	Yes
2020: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-11-01	Type of plan entity	Single employer plan
2020-11-01	Submission has been amended	No
2020-11-01	This submission is the final filing	No
2020-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-11-01	Plan is a collectively bargained plan	No
2020-11-01	Plan funding arrangement – Insurance	Yes
2020-11-01	Plan funding arrangement – Trust	Yes
2020-11-01	Plan benefit arrangement - Trust	Yes
2019: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-11-01	Type of plan entity	Single employer plan
2019-11-01	Submission has been amended	No
2019-11-01	This submission is the final filing	No
2019-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-11-01	Plan is a collectively bargained plan	No
2019-11-01	Plan funding arrangement – Insurance	Yes
2019-11-01	Plan funding arrangement – Trust	Yes
2019-11-01	Plan benefit arrangement - Trust	Yes
2018: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-11-01	Type of plan entity	Single employer plan
2018-11-01	Submission has been amended	No
2018-11-01	This submission is the final filing	No
2018-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-11-01	Plan is a collectively bargained plan	No
2018-11-01	Plan funding arrangement – Insurance	Yes
2018-11-01	Plan funding arrangement – Trust	Yes
2018-11-01	Plan benefit arrangement - Trust	Yes
2017: MANHOLE ADJUSTING INC. 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-11-01	Type of plan entity	Single employer plan
2017-11-01	Submission has been amended	No
2017-11-01	This submission is the final filing	No
2017-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-11-01	Plan is a collectively bargained plan	No
2017-11-01	Plan funding arrangement – Insurance	Yes
2017-11-01	Plan funding arrangement – Trust	Yes
2017-11-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

754306-01

Policy instance

Insurance contract or identification number	754306-01
Number of Individuals Covered	50
Insurance policy start date	2022-04-23
Insurance policy end date	2022-10-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-830329

Policy instance

Insurance contract or identification number	GA-830329
Number of Individuals Covered	51
Insurance policy start date	2020-01-01
Insurance policy end date	2021-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,429
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1429
Additional information about fees paid to insurance broker	CONSULTING
Insurance broker organization code?	5

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-830329

Policy instance

Insurance contract or identification number	GA-830329
Number of Individuals Covered	50
Insurance policy start date	2019-01-01
Insurance policy end date	2020-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,589
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1589
Additional information about fees paid to insurance broker	CONSULTING
Insurance broker organization code?	5

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-830329

Policy instance

Insurance contract or identification number	GA-830329
Number of Individuals Covered	40
Insurance policy start date	2018-01-01
Insurance policy end date	2019-10-31
Total amount of commissions paid to insurance broker	USD $7,003
Total amount of fees paid to insurance company	USD $858
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,003
Insurance broker organization code?	3
Amount paid for insurance broker fees	858
Additional information about fees paid to insurance broker	CONSULTING

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-830329

Policy instance

Insurance contract or identification number	GA-830329
Number of Individuals Covered	40
Insurance policy start date	2017-01-01
Insurance policy end date	2018-10-31
Total amount of commissions paid to insurance broker	USD $6,477
Total amount of fees paid to insurance company	USD $1,079
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MANHOLE ADJUSTING INC.
Employer identification number (EIN):	953548835
NAIC Classification:	324120