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STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 401k Plan overview

Plan NameSTEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN
Plan identification number 002

STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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

STEWART & STEWART, A MEDICAL CORP. has sponsored the creation of one or more 401k plans.

Company Name:STEWART & STEWART, A MEDICAL CORP.
Employer identification number (EIN):953657192
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-07-01
0022020-07-01
0022019-07-01JAMES R. STEWART MD2021-04-12
0022018-07-01JAMES R. STEWART MD2020-04-13
0022017-07-01JAMES R. STEWART MD2019-04-10
0022016-07-01
0022015-07-01
0022014-07-01
0022013-07-01
0022012-07-01JAMES R. STEWART, MD
0022011-07-01CYNTHIA FRANCISCO
0022010-07-01CYNTHIA FRANCISCO
0022009-07-01CYNTHIA FRANCISCO

Plan Statistics for STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN

401k plan membership statisitcs for STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN

Measure Date Value
2019: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0130
Total number of active participants reported on line 7a of the Form 55002019-07-0120
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-017
Total of all active and inactive participants2019-07-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-0127
Number of participants with account balances2019-07-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-010
2018: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-0127
Total number of active participants reported on line 7a of the Form 55002018-07-0118
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-0110
Total of all active and inactive participants2018-07-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-0128
Number of participants with account balances2018-07-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
2017: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0128
Total number of active participants reported on line 7a of the Form 55002017-07-0116
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0110
Total of all active and inactive participants2017-07-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-0126
Number of participants with account balances2017-07-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-011
2016: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0125
Total number of active participants reported on line 7a of the Form 55002016-07-0116
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-019
Total of all active and inactive participants2016-07-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-0125
Number of participants with account balances2016-07-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-011
2015: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0123
Total number of active participants reported on line 7a of the Form 55002015-07-0117
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-018
Total of all active and inactive participants2015-07-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0125
Number of participants with account balances2015-07-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0121
Total number of active participants reported on line 7a of the Form 55002014-07-0113
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-018
Total of all active and inactive participants2014-07-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0121
Number of participants with account balances2014-07-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-011
2013: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0121
Total number of active participants reported on line 7a of the Form 55002013-07-0114
Number of other retired or separated participants entitled to future benefits2013-07-017
Total of all active and inactive participants2013-07-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-0121
Number of participants with account balances2013-07-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0120
Total number of active participants reported on line 7a of the Form 55002012-07-0115
Number of other retired or separated participants entitled to future benefits2012-07-016
Total of all active and inactive participants2012-07-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-0121
Number of participants with account balances2012-07-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0121
Total number of active participants reported on line 7a of the Form 55002011-07-0120
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-0120
Number of participants with account balances2011-07-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-0122
Total number of active participants reported on line 7a of the Form 55002010-07-0116
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-015
Total of all active and inactive participants2010-07-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-0121
Number of participants with account balances2010-07-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
2009: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-0125
Total number of active participants reported on line 7a of the Form 55002009-07-0115
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-017
Total of all active and inactive participants2009-07-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-0122
Number of participants with account balances2009-07-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN

Measure Date Value
2020 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-06-30$68,596
Expenses. Total of all expenses incurred2020-06-30$47,555
Benefits paid (including direct rollovers)2020-06-30$40,901
Total plan assets at end of year2020-06-30$1,537,381
Total plan assets at beginning of year2020-06-30$1,516,340
Value of fidelity bond covering the plan2020-06-30$400,000
Total contributions received or receivable from participants2020-06-30$0
Assets. Value of loans (other than to participants)2020-06-30$0
Contributions received from other sources (not participants or employers)2020-06-30$0
Other income received2020-06-30$18,596
Net income (gross income less expenses)2020-06-30$21,041
Net plan assets at end of year (total assets less liabilities)2020-06-30$1,537,381
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$1,516,340
Total contributions received or receivable from employer(s)2020-06-30$50,000
Value of certain deemed distributions of participant loans2020-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$6,654
2019 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-06-30$55,026
Expenses. Total of all expenses incurred2019-06-30$10,045
Benefits paid (including direct rollovers)2019-06-30$0
Total plan assets at end of year2019-06-30$1,516,340
Total plan assets at beginning of year2019-06-30$1,471,359
Value of fidelity bond covering the plan2019-06-30$400,000
Total contributions received or receivable from participants2019-06-30$0
Assets. Value of loans (other than to participants)2019-06-30$112,813
Contributions received from other sources (not participants or employers)2019-06-30$0
Other income received2019-06-30$15,026
Net income (gross income less expenses)2019-06-30$44,981
Net plan assets at end of year (total assets less liabilities)2019-06-30$1,516,340
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$1,471,359
Assets. Value of participant loans2019-06-30$0
Total contributions received or receivable from employer(s)2019-06-30$40,000
Value of certain deemed distributions of participant loans2019-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$10,045
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
2018 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2018 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
2017 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year2017-06-30$0
Total plan liabilities at beginning of year2017-06-30$0
Total income from all sources2017-06-30$100,623
Expenses. Total of all expenses incurred2017-06-30$4,446
Benefits paid (including direct rollovers)2017-06-30$0
Total plan assets at end of year2017-06-30$1,407,625
Total plan assets at beginning of year2017-06-30$1,311,448
Value of fidelity bond covering the plan2017-06-30$400,000
Total contributions received or receivable from participants2017-06-30$0
Assets. Value of loans (other than to participants)2017-06-30$172,742
Contributions received from other sources (not participants or employers)2017-06-30$0
Other income received2017-06-30$50,623
Net income (gross income less expenses)2017-06-30$96,177
Net plan assets at end of year (total assets less liabilities)2017-06-30$1,407,625
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$1,311,448
Assets. Value of participant loans2017-06-30$34,795
Total contributions received or receivable from employer(s)2017-06-30$50,000
Value of certain deemed distributions of participant loans2017-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$4,446
2016 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-06-30$0
Total plan liabilities at beginning of year2016-06-30$0
Total income from all sources2016-06-30$62,883
Expenses. Total of all expenses incurred2016-06-30$4,696
Benefits paid (including direct rollovers)2016-06-30$0
Total plan assets at end of year2016-06-30$1,311,448
Total plan assets at beginning of year2016-06-30$1,253,261
Value of fidelity bond covering the plan2016-06-30$400,000
Total contributions received or receivable from participants2016-06-30$0
Assets. Value of loans (other than to participants)2016-06-30$374,640
Contributions received from other sources (not participants or employers)2016-06-30$0
Other income received2016-06-30$12,883
Net income (gross income less expenses)2016-06-30$58,187
Net plan assets at end of year (total assets less liabilities)2016-06-30$1,311,448
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$1,253,261
Assets. Value of participant loans2016-06-30$33,628
Total contributions received or receivable from employer(s)2016-06-30$50,000
Value of certain deemed distributions of participant loans2016-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$4,696
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
2015 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-06-30$0
Total plan liabilities at beginning of year2015-06-30$0
Total income from all sources2015-06-30$56,661
Expenses. Total of all expenses incurred2015-06-30$3,556
Benefits paid (including direct rollovers)2015-06-30$0
Total plan assets at end of year2015-06-30$1,253,261
Total plan assets at beginning of year2015-06-30$1,200,156
Value of fidelity bond covering the plan2015-06-30$300,000
Total contributions received or receivable from participants2015-06-30$0
Assets. Value of loans (other than to participants)2015-06-30$386,641
Contributions received from other sources (not participants or employers)2015-06-30$0
Other income received2015-06-30$6,661
Net income (gross income less expenses)2015-06-30$53,105
Net plan assets at end of year (total assets less liabilities)2015-06-30$1,253,261
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$1,200,156
Total contributions received or receivable from employer(s)2015-06-30$50,000
Value of certain deemed distributions of participant loans2015-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$3,556
2014 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-06-30$0
Total plan liabilities at beginning of year2014-06-30$0
Total income from all sources2014-06-30$58,434
Expenses. Total of all expenses incurred2014-06-30$3,496
Total plan assets at end of year2014-06-30$1,200,156
Total plan assets at beginning of year2014-06-30$1,145,218
Value of fidelity bond covering the plan2014-06-30$300,000
Assets. Value of loans (other than to participants)2014-06-30$294,289
Other income received2014-06-30$23,434
Net income (gross income less expenses)2014-06-30$54,938
Net plan assets at end of year (total assets less liabilities)2014-06-30$1,200,156
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$1,145,218
Total contributions received or receivable from employer(s)2014-06-30$35,000
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$3,496
2013 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-06-30$0
Total plan liabilities at beginning of year2013-06-30$0
Total income from all sources2013-06-30$61,803
Expenses. Total of all expenses incurred2013-06-30$3,536
Total plan assets at end of year2013-06-30$1,145,218
Total plan assets at beginning of year2013-06-30$1,086,951
Value of fidelity bond covering the plan2013-06-30$400,000
Assets. Value of loans (other than to participants)2013-06-30$298,089
Other income received2013-06-30$11,803
Net income (gross income less expenses)2013-06-30$58,267
Net plan assets at end of year (total assets less liabilities)2013-06-30$1,145,218
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$1,086,951
Total contributions received or receivable from employer(s)2013-06-30$50,000
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$3,536
2012 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-06-30$0
Total plan liabilities at end of year2012-06-30$0
Total plan liabilities at beginning of year2012-06-30$0
Total income from all sources2012-06-30$93,527
Expenses. Total of all expenses incurred2012-06-30$6,991
Total plan assets at end of year2012-06-30$1,086,951
Total plan assets at beginning of year2012-06-30$1,000,415
Value of fidelity bond covering the plan2012-06-30$400,000
Assets. Value of loans (other than to participants)2012-06-30$266,773
Expenses. Other expenses not covered elsewhere2012-06-30$96
Other income received2012-06-30$43,527
Net income (gross income less expenses)2012-06-30$86,536
Net plan assets at end of year (total assets less liabilities)2012-06-30$1,086,951
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$1,000,415
Assets. Value of participant loans2012-06-30$7,695
Total contributions received or receivable from employer(s)2012-06-30$50,000
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$6,895
2011 : STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-06-30$0
Total plan liabilities at end of year2011-06-30$0
Total plan liabilities at beginning of year2011-06-30$0
Total income from all sources2011-06-30$87,343
Expenses. Total of all expenses incurred2011-06-30$27,248
Benefits paid (including direct rollovers)2011-06-30$23,952
Total plan assets at end of year2011-06-30$1,000,415
Total plan assets at beginning of year2011-06-30$940,320
Value of fidelity bond covering the plan2011-06-30$400,000
Total contributions received or receivable from participants2011-06-30$0
Assets. Value of loans (other than to participants)2011-06-30$306,034
Expenses. Other expenses not covered elsewhere2011-06-30$96
Contributions received from other sources (not participants or employers)2011-06-30$0
Other income received2011-06-30$37,343
Noncash contributions received2011-06-30$0
Net income (gross income less expenses)2011-06-30$60,095
Net plan assets at end of year (total assets less liabilities)2011-06-30$1,000,415
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$940,320
Assets. Value of participant loans2011-06-30$8,395
Total contributions received or receivable from employer(s)2011-06-30$50,000
Value of certain deemed distributions of participant loans2011-06-30$0
Value of corrective distributions2011-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$3,200

Form 5500 Responses for STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN

2019: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: STEWART & STEWART, A MEDICAL CORPORATION PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberPFU1426
Policy instance 2
Insurance contract or identification numberPFU1426
Number of Individuals Covered30
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number672218/19
Policy instance 1
Insurance contract or identification number672218/19
Number of Individuals Covered30
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberPFU1426
Policy instance 2
Insurance contract or identification numberPFU1426
Number of Individuals Covered28
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number672218/19
Policy instance 1
Insurance contract or identification number672218/19
Number of Individuals Covered28
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number672218/19
Policy instance 1
Insurance contract or identification number672218/19
Number of Individuals Covered26
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberPFU1426
Policy instance 2
Insurance contract or identification numberPFU1426
Number of Individuals Covered26
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number672218/19
Policy instance 1
Insurance contract or identification number672218/19
Number of Individuals Covered25
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameTRANSPACIFIC FINANCIAL INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberPFU1426
Policy instance 2
Insurance contract or identification numberPFU1426
Number of Individuals Covered25
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Commission paid to Insurance BrokerUSD $0
Insurance broker nameGLOBALLINK SECURITIES INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberPFU1426
Policy instance 2
Insurance contract or identification numberPFU1426
Number of Individuals Covered21
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number
Policy instance 1
Number of Individuals Covered21
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of fees paid to insurance companyUSD $151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees151
Insurance broker organization code?3
Insurance broker nameTRANSPACIFIC FINANCIAL INC
AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 60631 )
Policy contract number677218/19
Policy instance 1
Insurance contract or identification number677218/19
Number of Individuals Covered21
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $73
Total amount of fees paid to insurance companyUSD $73
Amount paid for insurance broker fees73
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $73
Insurance broker nameS & J INSURANCE SERVICES
AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 60631 )
Policy contract number677218/19
Policy instance 1
Insurance contract or identification number677218/19
Number of Individuals Covered21
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $8,702
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,351
Insurance broker organization code?3
Insurance broker nameS & J INSURANCE SERVICES
AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 60631 )
Policy contract number677218/19
Policy instance 1
Insurance contract or identification number677218/19
Number of Individuals Covered20
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?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
AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 60631 )
Policy contract number672218/19
Policy instance 1
Insurance contract or identification number672218/19
Number of Individuals Covered21
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $40,848
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?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

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