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Overview

Plan Information

  • Plan Year01/01/2019 — 12/31/2019
  • Date of Plan01/01/1984
  • Net Assets as of 12/31/2019 $27,633,955
  • Plan Number1
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2019

  • Active (Eligible) Participants210
  • Retired or separated participants receiving benefits4
  • Other retired or separated participants entitled to future benefits26
  • Subtotal240
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total240
  • Total number of participants as of 01/01/2019320
  • Number of participants with account balances234
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address5633 West Highway 13
  • CitySavage
  • StateMN
  • Zip55378
  • Telephone(952) 895-9595
  • EIN41-0771349
  • Industry Code423800
  • Named AdministratorTroy Johnson
  • Named Plan SponsorTroy Johnson

Audit Information

  • Audit StatusAudited
  • AuditorEllingson and Ellingson Ltd
  • Auditor EIN41-1399624
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G 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.
2J 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.
2K 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 contributions 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.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3D 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.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? No
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $6,576,401
Contributions $1,940,884
Cash Contributions $1,940,884
Cash from Employers $373,845
Cash from Participants $1,321,183
Others (including rollovers) $245,856
Noncash Contributions $0
Total Earnings on Investments $4,635,517
Total Interest $205,874
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $13,716
Interest from Other Investments $192,158
Total Dividends $0
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $4,429,643
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $0
Other Income $0
Expenses $3,562,525
Total Benefit Payments $3,538,346
Directly to participants or beneficiaries, including direct rollovers $3,538,346
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $17,920
Certain deemed distributions of participant loans $68
Interest expense $0
Total Administrative Expenses $6,191
Professional Fees $0
Contract Administrator Fees $6,176
Investment Advisory and management fees $0
Other Administrative Fees $15
Net Income $3,013,876
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2019 12/31/2018 Change YOY
Total Assets $27,633,955 $24,620,082 12.24%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $49,362 $56,191 -12.15%
Employer Contributions $10,469 $12,534 -16.48%
Participant Contributions $38,893 $39,695 -2.02%
Other Contributions $0 $3,962 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $258,586 $258,169 0.16%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $20,900,196 $17,865,692 16.99%
Value of funds held in insurance co. general account $6,425,811 $6,440,030 -0.22%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $3 -100.00%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $3 0.0%
Net Assets $27,633,955 $24,620,079 12.24%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

There is no information on eligible indirect compensation for this plan.

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Midwest Pension & Profit Sharing SE Contract Administrator, Plan Administrator Third Party Administrator $0 $12,528 $12,528
Massachusetts Mutual Life Ins. Co. Investment management fees paid indirectly by plan, Sub-transfer agency fees, Float revenue, Distribution (12b-1) fees, Recordkeeping fees, Soft dollars commissions, Other investment fees and expenses Contract Administrator $6,191 $0 $6,191
Alger Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
American Funds Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
American Funds Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
American Funds Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
Baron Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
Columbia Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
Columbia Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
CRM Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
Envestnet Retirement Solutions, LLC Investment advisory (plan) Investment Advisor $0 $0 $0
Invesco Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
Invesco Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
Invesco Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
Ridgeworth Investment management fees paid indirectly by plan Investment Provider $0 $0 $0
Total $6,191 $12,528 $18,719

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Midwest Pension & Profit Sharing SE Massachusetts Mutual Life Ins. Co. Contract Administrator, Plan Administrator Expense Reimbursement To Third Party $12,528
Massachusetts Mutual Life Ins. Co. Prem Inflat-Prot and Incm Barings Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Prem U.S. Govt Money Mrkt Barings Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Premier Core Bond Barings Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm S&P 500 Index Northern Trust Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Select Sm Cp Gr Wellingtoninv Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Select Equity Opps Wellingtontrp Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Select Mid Cap Gr Trpfrontier Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Select Trpls Blue Chip Growth Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Select Overseas Mfsharris Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Sel Fundamental Val Brwhnlybspt Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Sel Small Co Value Abam Century Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Capital Appreciation Alger Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Growth Baron Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Fndmntl Invstrs American Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Real Estate Invesco Oppenheimer Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Premier Global Invesco Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Small Cap Index Columbia Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Washington Mutual Invs American Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2005 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2010 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2015 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2020 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2025 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2030 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2035 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2040 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2045 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2050 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2055 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mm Sel T. Rowe Price Ret 2060 Distribution (12b-1) fees, Other investment fees and expenses, Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mid Cap Value Crm Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Global Opps Invesco Oppenheimer Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Dvlpng Mrkts Invesco Oppenheimer Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Mid Cap Index Columbia Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Balanced American Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Massachusetts Mutual Life Ins. Co. Ceredex Mid Cp Val Eq Virtus Distribution (12b-1) fees, Sub-transfer agency fees Basis Points * Plan Assets $0
Alger Capital Appreciation Alger Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
American Funds Fndmntl Invstrs American Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
American Funds Washington Mutual Invs American Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
American Funds Balanced American Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Baron Growth Baron Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Columbia Small Cap Index Columbia Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Columbia Mid Cap Index Columbia Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
CRM Mid Cap Value Crm Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Envestnet Retirement Solutions, LLC Massachusetts Mutual Life Ins. Co. Investment advisory (plan) Basis Points * Plan Assets $0
Invesco Real Estate Invesco Oppenheimer Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Invesco Global Opps Invesco Oppenheimer Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Invesco Dvlpng Mrkts Invesco Oppenheimer Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
Ridgeworth Ceredex Mid Cp Val Eq Virtus Investment management fees paid indirectly by plan Basis Points * Plan Assets $0
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Sia-T4 Mm Sel T. Rowe Price Ret 202 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,698,311
Sia-T6 Mm Sel T. Rowe Price Ret 203 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,608,430
Sia-Zx Mm S&P 500 Index Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,445,501
Sia-Nd Premier Global Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,198,277
Sia-B2 Small Cap Index Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,185,431
Sia-Ml Capital Appreciation Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,163,711
Sia-T7 Mm Sel T. Rowe Price Ret 204 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,134,952
Sia-Ye Premier Core Bond Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,068,136
Sia-Lv Select Equity Opps Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1,059,541
Sia-Lk Sel Fundamental Val Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $935,516
Sia-Yt Select Mid Cap Gr Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $909,996
Sia-Kt Washington Mutual Invs Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $673,371
Sia-W1 Select Trp/Ls Blue Chip Grow Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $663,943
Sia-Ku Balanced Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $640,200
Sia-B8 Mid Cap Index Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $608,601
Sia-Wy Growth Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $569,616
Sia-Nh Global Opps Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $533,077
Sia-Ly Sel Small Co Value Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $513,356
Sia-Ki Fndmntl Invstrs Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $421,741
Sia-Rk Mid Cap Value Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $395,162
Sia-Lh Select Overseas Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $391,155
Sia-C2 Real Estate II Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $380,585
Sia-Y Prem Inflat-Prot and Incm Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $328,671
Sia-C Dvlpng Mrkts Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $310,267
Sia-Lc Select Sm Cp Gr Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $296,516
Sia-T9 Mm Sel T. Rowe Price Ret 205 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $189,021
Sia-M3 Ceredex Mid Cp Val Eq Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $170,173
Sia-D0 Mm Sel T. Rowe Price Ret 203 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $153,534
Sia-C0 Mm Sel T. Rowe Price Ret 202 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $100,475
Sia-T3 Mm Sel T. Rowe Price Ret 201 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $71,529
Sia-Crl Mm Sel T. Rowe Price Ret 20 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $58,050
Sia-E0 Mm Sel T. Rowe Price Ret 204 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $20,598
Sia-A0 Mm Sel T. Rowe Price Ret 200 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $2,040
Sia-F0 Mm Sel T. Rowe Price Ret 205 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $712
Sia-Lg Prem U.S. Govt Money Mrkt Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $1
Sia-Ot Mm Sel T. Rowe Price Ret 205 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Ft Mm Sel T. Rowe Price Ret 201 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Go Mm Sel T. Rowe Price Ret 204 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Eo Mm Sel T. Rowe Price Ret 202 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Lt Mm Sel T. Rowe Price Ret 202 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Co Mm Sel T. Rowe Price Ret 200 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Crk Mm Sel T. Rowe Price Ret 20 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Qt Mm Sel T. Rowe Price Ret 204 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Pt Mm Sel T. Rowe Price Ret 203 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Sia-Fo Mm Sel T. Rowe Price Ret 203 Massachusetts Mutual Life Insurance DFE: Pooled Separate Account $0
Total $20,900,196

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Massachusetts Mutual Life Insurance Company 240
EIN 04-1590850
Industry Code 65935
Contract Number RM 82812
Contract Year 01/01/2019 — 12/31/2019
Value in General Account at Year End $0
Value in Separate Accounts at Year End $20,900,195
Insurance Fees and Commissions $50,707
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
John N Byers 100 S 5th St Ste 2300 Minneapolis, MN 55402 Insurance Agent or Broker $37,649 $0
Midwest Pension & Profit Sharing Sv 121 S 8th St Ste 630 Minneapolis, MN 55402 Insurance Agent or Broker $7,181 $0
John Byers Fifth Street Tower 100 S 5th St Ste Minneapolis, MN 55402 -1230 Insurance Agent or Broker $5,877 $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 GROUP ANNUITY CONTRACT
Balance at the end of the previous year $6,440,030
Additions $2,308,619
Contributions Deposited during the year $1,697,769
Dividends and credits $0
Interest credited during the year $192,157
Transferred from separate account $46,619
Other $372,074
Total of Balance and Additions $8,748,649
Deductions $2,322,837
Disbursed from fund to pay benefits or purchase annuities during the year $497,802
Administration charge made by carrier $985
Transferred to Separate Account $1,816,930
Other $7,120
Balance at the end of the current year $6,425,812