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FAMSA 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameFAMSA 401(K) PROFIT SHARING PLAN
Plan identification number 001

FAMSA 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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

FAMSA, INC. has sponsored the creation of one or more 401k plans.

Company Name:FAMSA, INC.
Employer identification number (EIN):954798956
NAIC Classification:452200

Additional information about FAMSA, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2002-07-18
Company Identification Number: 0800102820
Legal Registered Office Address: 2655 VILLA CREEK DR STE 250

FARMERS BRNCH
United States of America (USA)
75234

More information about FAMSA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMSA 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01ALLEN BARAJAS2024-10-15
0012022-01-01NORMA MARTINEZ2023-10-11
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01ALLEN BARAJAS
0012016-01-01ALLEN BARAJAS
0012015-01-01ALLEN BARAJAS
0012014-01-01ALLEN BARAJAS
0012013-01-01ALLEN BARAJAS
0012012-01-01ALLEN BARAJAS
0012011-01-01RAY PARRILLA
0012009-01-01RAY PARRILLA

Plan Statistics for FAMSA 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for FAMSA 401(K) PROFIT SHARING PLAN

Measure Date Value
2023: FAMSA 401(K) PROFIT SHARING PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01297
Total number of active participants reported on line 7a of the Form 55002023-01-01177
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0160
Total of all active and inactive participants2023-01-01237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01237
Number of participants with account balances2023-01-01107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: FAMSA 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01352
Total number of active participants reported on line 7a of the Form 55002022-01-01231
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0167
Total of all active and inactive participants2022-01-01298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01298
Number of participants with account balances2022-01-01122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: FAMSA 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01416
Total number of active participants reported on line 7a of the Form 55002021-01-01272
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0174
Total of all active and inactive participants2021-01-01346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01346
Number of participants with account balances2021-01-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: FAMSA 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01467
Total number of active participants reported on line 7a of the Form 55002020-01-01328
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0174
Total of all active and inactive participants2020-01-01402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01402
Number of participants with account balances2020-01-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: FAMSA 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01456
Total number of active participants reported on line 7a of the Form 55002019-01-01366
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0169
Total of all active and inactive participants2019-01-01435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01435
Number of participants with account balances2019-01-01165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: FAMSA 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01493
Total number of active participants reported on line 7a of the Form 55002018-01-01380
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0162
Total of all active and inactive participants2018-01-01442
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01442
Number of participants with account balances2018-01-01164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: FAMSA 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01574
Total number of active participants reported on line 7a of the Form 55002017-01-01407
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0162
Total of all active and inactive participants2017-01-01469
Total participants2017-01-01469
Number of participants with account balances2017-01-01172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FAMSA 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01841
Total number of active participants reported on line 7a of the Form 55002016-01-01506
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0159
Total of all active and inactive participants2016-01-01565
Total participants2016-01-01565
Number of participants with account balances2016-01-01180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FAMSA 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01827
Total number of active participants reported on line 7a of the Form 55002015-01-01497
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01289
Total of all active and inactive participants2015-01-01786
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01786
Number of participants with account balances2015-01-01418
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FAMSA 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01889
Total number of active participants reported on line 7a of the Form 55002014-01-01470
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01315
Total of all active and inactive participants2014-01-01785
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01785
Number of participants with account balances2014-01-01455
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FAMSA 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01973
Total number of active participants reported on line 7a of the Form 55002013-01-01433
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01354
Total of all active and inactive participants2013-01-01787
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01787
Number of participants with account balances2013-01-01506
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: FAMSA 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,614
Total number of active participants reported on line 7a of the Form 55002012-01-01629
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01395
Total of all active and inactive participants2012-01-011,024
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,024
Number of participants with account balances2012-01-01599
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-018
2011: FAMSA 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,767
Total number of active participants reported on line 7a of the Form 55002011-01-01840
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01809
Total of all active and inactive participants2011-01-011,649
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,649
Number of participants with account balances2011-01-011,613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2009: FAMSA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,880
Total number of active participants reported on line 7a of the Form 55002009-01-011,205
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01345
Total of all active and inactive participants2009-01-011,550
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-011,550
Number of participants with account balances2009-01-011,545
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0119

Financial Data on FAMSA 401(K) PROFIT SHARING PLAN

Measure Date Value
2023 : FAMSA 401(K) PROFIT SHARING PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$426,739
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$500,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$484,606
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$80,963
Value of total assets at end of year2023-12-31$2,611,215
Value of total assets at beginning of year2023-12-31$2,684,588
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$15,506
Total interest from all sources2023-12-31$13,252
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$80,963
Participant contributions at end of year2023-12-31$180,656
Participant contributions at beginning of year2023-12-31$211,032
Participant contributions at end of year2023-12-31$0
Participant contributions at beginning of year2023-12-31$45
Total non interest bearing cash at end of year2023-12-31$856
Total non interest bearing cash at beginning of year2023-12-31$685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-73,373
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,611,215
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$2,684,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in pooled separate accounts at end of year2023-12-31$2,429,703
Value of interest in pooled separate accounts at beginning of year2023-12-31$2,472,826
Interest on participant loans2023-12-31$13,252
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$332,524
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$484,606
Contract administrator fees2023-12-31$15,506
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31JONES & MALHOTRA
Accountancy firm EIN2023-12-31954668647
2022 : FAMSA 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-478,486
Total of all expenses incurred2022-12-31$346,204
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$329,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$102,433
Value of total assets at end of year2022-12-31$2,684,587
Value of total assets at beginning of year2022-12-31$3,509,277
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$16,699
Total interest from all sources2022-12-31$10,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$102,433
Participant contributions at end of year2022-12-31$211,031
Participant contributions at beginning of year2022-12-31$232,318
Participant contributions at end of year2022-12-31$45
Total non interest bearing cash at end of year2022-12-31$685
Total non interest bearing cash at beginning of year2022-12-31$685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-824,690
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,684,587
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,509,277
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$2,472,826
Value of interest in pooled separate accounts at beginning of year2022-12-31$3,276,274
Interest on participant loans2022-12-31$10,840
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-591,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$329,505
Contract administrator fees2022-12-31$16,699
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31JONES & MALHOTRA
Accountancy firm EIN2022-12-31954668647
2021 : FAMSA 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$523,768
Total of all expenses incurred2021-12-31$406,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$386,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$114,359
Value of total assets at end of year2021-12-31$3,509,277
Value of total assets at beginning of year2021-12-31$3,392,240
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$20,084
Total interest from all sources2021-12-31$11,021
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$114,359
Participant contributions at end of year2021-12-31$232,318
Participant contributions at beginning of year2021-12-31$233,279
Total non interest bearing cash at end of year2021-12-31$685
Total non interest bearing cash at beginning of year2021-12-31$685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$117,037
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,509,277
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$3,392,240
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$3,276,274
Value of interest in pooled separate accounts at beginning of year2021-12-31$3,158,276
Interest on participant loans2021-12-31$11,021
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$398,388
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$386,647
Contract administrator fees2021-12-31$20,084
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31JONES & MALHOTRA
Accountancy firm EIN2021-12-31954668647
2020 : FAMSA 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$638,940
Total of all expenses incurred2020-12-31$219,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$186,418
Expenses. Certain deemed distributions of participant loans2020-12-31$13,966
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$124,018
Value of total assets at end of year2020-12-31$3,392,240
Value of total assets at beginning of year2020-12-31$2,972,501
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$18,817
Total interest from all sources2020-12-31$14,077
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$124,018
Participant contributions at end of year2020-12-31$233,279
Participant contributions at beginning of year2020-12-31$285,132
Total non interest bearing cash at end of year2020-12-31$685
Total non interest bearing cash at beginning of year2020-12-31$685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$419,739
Value of net assets at end of year (total assets less liabilities)2020-12-31$3,392,240
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,972,501
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$3,158,276
Value of interest in pooled separate accounts at beginning of year2020-12-31$2,686,684
Interest on participant loans2020-12-31$14,077
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$500,845
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$186,418
Contract administrator fees2020-12-31$18,817
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31JONES & MALHOTRA
Accountancy firm EIN2020-12-31954668647
2019 : FAMSA 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$651,197
Total of all expenses incurred2019-12-31$156,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$110,694
Expenses. Certain deemed distributions of participant loans2019-12-31$26,772
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$161,206
Value of total assets at end of year2019-12-31$2,972,501
Value of total assets at beginning of year2019-12-31$2,477,550
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$18,780
Total interest from all sources2019-12-31$15,967
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$161,206
Participant contributions at end of year2019-12-31$285,132
Participant contributions at beginning of year2019-12-31$275,005
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Other income not declared elsewhere2019-12-31$22
Total non interest bearing cash at end of year2019-12-31$685
Total non interest bearing cash at beginning of year2019-12-31$685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$494,951
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,972,501
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,477,550
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$2,686,684
Value of interest in pooled separate accounts at beginning of year2019-12-31$2,201,860
Interest on participant loans2019-12-31$15,967
Net investment gain/loss from pooled separate accounts2019-12-31$474,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$110,694
Contract administrator fees2019-12-31$18,780
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31JONES & MALHOTRA
Accountancy firm EIN2019-12-31954668647
2018 : FAMSA 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$-1,203
Total of all expenses incurred2018-12-31$357,403
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$337,801
Value of total corrective distributions2018-12-31$1,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$156,536
Value of total assets at end of year2018-12-31$2,477,550
Value of total assets at beginning of year2018-12-31$2,836,156
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$18,252
Total interest from all sources2018-12-31$13,011
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$156,536
Participant contributions at end of year2018-12-31$275,005
Participant contributions at beginning of year2018-12-31$238,152
Total non interest bearing cash at end of year2018-12-31$685
Total non interest bearing cash at beginning of year2018-12-31$685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-358,606
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,477,550
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,836,156
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$2,201,860
Value of interest in pooled separate accounts at beginning of year2018-12-31$2,597,319
Interest on participant loans2018-12-31$13,011
Net investment gain/loss from pooled separate accounts2018-12-31$-170,750
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$337,801
Contract administrator fees2018-12-31$18,252
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31JONES & MALHOTRA
Accountancy firm EIN2018-12-31954668647
2017 : FAMSA 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$538,189
Total of all expenses incurred2017-12-31$170,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$146,758
Value of total corrective distributions2017-12-31$4,093
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$145,926
Value of total assets at end of year2017-12-31$2,836,156
Value of total assets at beginning of year2017-12-31$2,468,306
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$19,488
Total interest from all sources2017-12-31$11,208
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$145,926
Participant contributions at end of year2017-12-31$238,152
Participant contributions at beginning of year2017-12-31$246,241
Total non interest bearing cash at end of year2017-12-31$685
Total non interest bearing cash at beginning of year2017-12-31$685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$367,850
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,836,156
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,468,306
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,597,319
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,221,380
Interest on participant loans2017-12-31$11,208
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$381,055
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$146,758
Contract administrator fees2017-12-31$19,488
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31JONES & MALHOTRA
Accountancy firm EIN2017-12-31954668647
2016 : FAMSA 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$347,553
Total of all expenses incurred2016-12-31$922,396
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$877,495
Expenses. Certain deemed distributions of participant loans2016-12-31$3,042
Value of total corrective distributions2016-12-31$5,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$173,324
Value of total assets at end of year2016-12-31$2,468,306
Value of total assets at beginning of year2016-12-31$3,043,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$36,148
Total interest from all sources2016-12-31$9,077
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$173,324
Participant contributions at end of year2016-12-31$246,241
Participant contributions at beginning of year2016-12-31$208,133
Total non interest bearing cash at end of year2016-12-31$685
Total non interest bearing cash at beginning of year2016-12-31$4,374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-574,843
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,468,306
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,043,149
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,221,380
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,830,642
Interest on participant loans2016-12-31$9,077
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$165,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$877,495
Contract administrator fees2016-12-31$36,148
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31JONES & MALHOTRA
Accountancy firm EIN2016-12-31954668647
2015 : FAMSA 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$189,701
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$425,929
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$382,595
Expenses. Certain deemed distributions of participant loans2015-12-31$13,261
Value of total corrective distributions2015-12-31$5,795
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$217,223
Value of total assets at end of year2015-12-31$3,043,149
Value of total assets at beginning of year2015-12-31$3,279,377
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$24,278
Total interest from all sources2015-12-31$7,484
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$217,223
Participant contributions at end of year2015-12-31$208,133
Participant contributions at beginning of year2015-12-31$184,585
Total non interest bearing cash at end of year2015-12-31$4,374
Total non interest bearing cash at beginning of year2015-12-31$4,374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-236,228
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,043,149
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,279,377
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,830,642
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,090,418
Interest on participant loans2015-12-31$7,484
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-35,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$382,595
Contract administrator fees2015-12-31$24,278
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31JONES & MALHOTRA
Accountancy firm EIN2015-12-31954668647
2014 : FAMSA 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$355,459
Total of all expenses incurred2014-12-31$360,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$297,686
Expenses. Certain deemed distributions of participant loans2014-12-31$28,635
Value of total corrective distributions2014-12-31$7,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$212,623
Value of total assets at end of year2014-12-31$3,279,377
Value of total assets at beginning of year2014-12-31$3,284,728
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$26,940
Total interest from all sources2014-12-31$7,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$212,623
Participant contributions at end of year2014-12-31$184,585
Participant contributions at beginning of year2014-12-31$209,090
Total non interest bearing cash at end of year2014-12-31$4,374
Total non interest bearing cash at beginning of year2014-12-31$4,374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-5,351
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,279,377
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,284,728
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,090,418
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,071,264
Interest on participant loans2014-12-31$7,422
Interest earned on other investments2014-12-31$114
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$135,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$297,686
Contract administrator fees2014-12-31$26,940
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31JONES & MALHOTRA
Accountancy firm EIN2014-12-31954668647
2013 : FAMSA 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$720,419
Total of all expenses incurred2013-12-31$777,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$706,874
Expenses. Certain deemed distributions of participant loans2013-12-31$26,409
Value of total corrective distributions2013-12-31$10,930
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$220,884
Value of total assets at end of year2013-12-31$3,284,728
Value of total assets at beginning of year2013-12-31$3,342,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$33,715
Total interest from all sources2013-12-31$7,363
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Participant contributions at end of year2013-12-31$209,090
Participant contributions at beginning of year2013-12-31$166,671
Administrative expenses (other) incurred2013-12-31$0
Total non interest bearing cash at end of year2013-12-31$4,374
Total non interest bearing cash at beginning of year2013-12-31$4,374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-57,509
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,284,728
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,342,237
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,071,264
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,171,192
Interest on participant loans2013-12-31$7,363
Net investment gain/loss from pooled separate accounts2013-12-31$492,172
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$220,884
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$706,874
Contract administrator fees2013-12-31$33,715
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31JONES & MALHOTRA
Accountancy firm EIN2013-12-31954668647
2012 : FAMSA 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$729,748
Total of all expenses incurred2012-12-31$830,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$747,841
Expenses. Certain deemed distributions of participant loans2012-12-31$24,656
Value of total corrective distributions2012-12-31$19,550
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$338,217
Value of total assets at end of year2012-12-31$3,342,237
Value of total assets at beginning of year2012-12-31$3,442,771
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$38,235
Total interest from all sources2012-12-31$9,398
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$26,235
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$150,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$338,217
Participant contributions at end of year2012-12-31$166,671
Participant contributions at beginning of year2012-12-31$238,042
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$0
Total non interest bearing cash at end of year2012-12-31$4,374
Total non interest bearing cash at beginning of year2012-12-31$4,562
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-100,534
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,342,237
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,442,771
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$3,171,192
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$3,200,167
Interest on participant loans2012-12-31$9,398
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$382,133
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$747,841
Contract administrator fees2012-12-31$12,000
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31JONES & MALHOTRA
Accountancy firm EIN2012-12-31954668647
2011 : FAMSA 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$384,645
Total of all expenses incurred2011-12-31$586,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$482,571
Expenses. Certain deemed distributions of participant loans2011-12-31$50,292
Value of total corrective distributions2011-12-31$12,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$472,120
Value of total assets at end of year2011-12-31$3,442,771
Value of total assets at beginning of year2011-12-31$3,644,890
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$41,329
Total interest from all sources2011-12-31$9,721
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$11,850
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$150,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$472,120
Participant contributions at end of year2011-12-31$238,042
Participant contributions at beginning of year2011-12-31$229,937
Total non interest bearing cash at end of year2011-12-31$4,562
Total non interest bearing cash at beginning of year2011-12-31$4,362
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-202,119
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,442,771
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,644,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,200,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$3,410,591
Interest on participant loans2011-12-31$9,721
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-97,196
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$482,571
Contract administrator fees2011-12-31$29,479
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31JONES & MALHOTRA
Accountancy firm EIN2011-12-31954668647
2010 : FAMSA 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$981,128
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$577,011
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$493,991
Expenses. Certain deemed distributions of participant loans2010-12-31$24,491
Value of total corrective distributions2010-12-31$11,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$615,095
Value of total assets at end of year2010-12-31$3,644,890
Value of total assets at beginning of year2010-12-31$3,240,773
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$47,006
Total interest from all sources2010-12-31$10,249
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$15,588
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$150,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$566,873
Participant contributions at end of year2010-12-31$229,937
Participant contributions at beginning of year2010-12-31$180,295
Participant contributions at beginning of year2010-12-31$18,001
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$10,926
Total non interest bearing cash at end of year2010-12-31$4,362
Total non interest bearing cash at beginning of year2010-12-31$4,210
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$404,117
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,644,890
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,240,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$3,410,591
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$3,033,921
Interest on participant loans2010-12-31$10,249
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$355,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$37,296
Employer contributions (assets) at beginning of year2010-12-31$4,346
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$493,991
Contract administrator fees2010-12-31$31,418
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31ROBERT E. MOE, CPA
Accountancy firm EIN2010-12-31330800760
2009 : FAMSA 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for FAMSA 401(K) PROFIT SHARING PLAN

2023: FAMSA 401(K) PROFIT SHARING PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: FAMSA 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FAMSA 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FAMSA 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FAMSA 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FAMSA 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FAMSA 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FAMSA 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FAMSA 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FAMSA 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FAMSA 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FAMSA 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: FAMSA 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: FAMSA 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered126
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $9,274
Total amount of fees paid to insurance companyUSD $4,577
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered140
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $10,570
Total amount of fees paid to insurance companyUSD $4,562
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $10,570
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees3050
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered150
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $12,175
Total amount of fees paid to insurance companyUSD $5,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,175
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees5942
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered164
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $10,230
Total amount of fees paid to insurance companyUSD $15,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,230
Amount paid for insurance broker fees10230
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered179
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,674
Total amount of fees paid to insurance companyUSD $5,586
Commission paid to Insurance BrokerUSD $9,674
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees5586
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered179
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9,456
Total amount of fees paid to insurance companyUSD $5,619
Commission paid to Insurance BrokerUSD $9,456
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees5619
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered186
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,243
Total amount of fees paid to insurance companyUSD $6,572
Commission paid to Insurance BrokerUSD $9,243
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees6572
Insurance broker nameQBI, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered647
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,993
Total amount of fees paid to insurance companyUSD $5,828
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,993
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?6
Insurance broker nameQBI, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered666
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $11,406
Total amount of fees paid to insurance companyUSD $7,314
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 fees7314
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $11,406
Insurance broker nameTRG INSURANCE SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered704
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,606
Total amount of fees paid to insurance companyUSD $12,498
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 fees12498
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $11,606
Insurance broker nameTRG INSURANCE SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36086
Policy instance 1
Insurance contract or identification number36086
Number of Individuals Covered781
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $12,261
Total amount of fees paid to insurance companyUSD $13,783
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 BrokerUSD $12,261
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?6
Amount paid for insurance broker fees13783
Insurance broker nameQUALIFIED BENEFITS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number65838
Policy instance 1
Insurance contract or identification number65838
Number of Individuals Covered887
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $12,720
Total amount of fees paid to insurance companyUSD $13,695
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number65838
Policy instance 1
Insurance contract or identification number65838
Number of Individuals Covered979
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,822
Total amount of fees paid to insurance companyUSD $17,287
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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