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Company:
Maine Eye Center, P.A.

Plan:
Maine Eye Center, P.A. Profit Sharing Plan
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Form 5500 | Insurance Information
Insurance Carrier Summary Persons Covered
 
John Hancock		 125
EIN 01-0233346
Industry Code 65838
Contract Number 93909
Contract Year 01/01/2010 — 12/31/2010
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
 
Insurance Fees and Commissions		 $36,199
 
Persons Receiving Commissions and Fees		  
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Downeast Pension Services
41 Campus Dr
New Gloucester, ME 04260 		Third Party Administrator $0 $29,102 3RD PARTY ADMINISTRATOR
Ubs Financial Services Ins. Agency
One City Center
Jersey City, NJ 07310 		Investment Manager/Adviser $7,097 $0
 
Allocated Funds		  
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
 
Unallocated Funds		  
Type of Contract Unspecified
Balance at the end of the previous year $0
Additions		 $0
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $0
Deductions		 $0
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $0
 
Reassure America Life Insurance Company		 1
EIN 38-0779740
Industry Code 97128
Contract Number 04062013
Contract Year 01/01/2010 — 12/31/2010
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
 
Insurance Fees and Commissions		 $0
 
Persons Receiving Commissions and Fees		  
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Robert D Irion
10 Atherton Lane
Amherst, NH 03031 		$0 $0
 
Allocated Funds		  
Type of Contract Individual Policies
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
 
Unallocated Funds		  
Type of Contract Unspecified
Balance at the end of the previous year $0
Additions		 $0
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $0
Deductions		 $0
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $0