Civic Intelligence
Filing

Flexform Technologies LLC 401(K) Profit Sharing Plan

Flexform Technologies LLC • EIN 88-0486812 • Elkhart, IN • Plan year 2003

4955 Beck DriveElkhart, IN 46516
Filing Insights

Participants

Up

18 → 19

1 • 5.56%

Assets

Up

$46,787 → $103,373

$56,586 • 120.94%

Investment Management Fee

-

Admin expenses - • Total expenses $8,343

Filing Details

Context
Net investment result
$56,586
Pension payor EIN
01-0233346

Status Flags

Fidelity bond in place

Yes

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

No

Leases in default

No

Reportable party-in-interest issues

Not reported

Loss discovered during year

No

Assets with undetermined value

No

Non-cash contributions

No

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

No

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

No

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
202419$1,322,378$11,441$1,271iApproximate average salary by contribution assumption: employee only about $31,781 at 4% or $21,187 at 6%; with 50% employer match about $21,187 at 4% or $14,125 at 6%; with 100% employer match about $15,890 at 4% or $10,594 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-9$1,322,378$11,441$1,271iApproximate average salary by contribution assumption: employee only about $31,781 at 4% or $21,187 at 6%; with 50% employer match about $21,187 at 4% or $14,125 at 6%; with 100% employer match about $15,890 at 4% or $10,594 at 6%.
2023110$1,207,734$20,093$2,009iApproximate average salary by contribution assumption: employee only about $50,233 at 4% or $33,488 at 6%; with 50% employer match about $33,488 at 4% or $22,326 at 6%; with 100% employer match about $25,116 at 4% or $16,744 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-10$1,207,734$20,093$2,009iApproximate average salary by contribution assumption: employee only about $50,233 at 4% or $33,488 at 6%; with 50% employer match about $33,488 at 4% or $22,326 at 6%; with 100% employer match about $25,116 at 4% or $16,744 at 6%.
2022113$1,377,447$33,234$2,556iApproximate average salary by contribution assumption: employee only about $63,912 at 4% or $42,608 at 6%; with 50% employer match about $42,608 at 4% or $28,405 at 6%; with 100% employer match about $31,956 at 4% or $21,304 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-13$1,377,447$33,234$2,556iApproximate average salary by contribution assumption: employee only about $63,912 at 4% or $42,608 at 6%; with 50% employer match about $42,608 at 4% or $28,405 at 6%; with 100% employer match about $31,956 at 4% or $21,304 at 6%.
2021113$1,595,965$142,406$10,954iApproximate average salary by contribution assumption: employee only about $273,858 at 4% or $182,572 at 6%; with 50% employer match about $182,572 at 4% or $121,715 at 6%; with 100% employer match about $136,929 at 4% or $91,286 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-13$1,595,965$142,406$10,954iApproximate average salary by contribution assumption: employee only about $273,858 at 4% or $182,572 at 6%; with 50% employer match about $182,572 at 4% or $121,715 at 6%; with 100% employer match about $136,929 at 4% or $91,286 at 6%.
2020116$1,388,093$48,396$3,025iApproximate average salary by contribution assumption: employee only about $75,619 at 4% or $50,413 at 6%; with 50% employer match about $50,413 at 4% or $33,608 at 6%; with 100% employer match about $37,809 at 4% or $25,206 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-16$1,388,093$48,396$3,025iApproximate average salary by contribution assumption: employee only about $75,619 at 4% or $50,413 at 6%; with 50% employer match about $50,413 at 4% or $33,608 at 6%; with 100% employer match about $37,809 at 4% or $25,206 at 6%.
2019120$1,320,816$70,380$3,519iApproximate average salary by contribution assumption: employee only about $87,975 at 4% or $58,650 at 6%; with 50% employer match about $58,650 at 4% or $39,100 at 6%; with 100% employer match about $43,988 at 4% or $29,325 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-20$1,320,816$70,380$3,519iApproximate average salary by contribution assumption: employee only about $87,975 at 4% or $58,650 at 6%; with 50% employer match about $58,650 at 4% or $39,100 at 6%; with 100% employer match about $43,988 at 4% or $29,325 at 6%.
2018121$1,050,053$121,450$5,783iApproximate average salary by contribution assumption: employee only about $144,583 at 4% or $96,389 at 6%; with 50% employer match about $96,389 at 4% or $64,259 at 6%; with 100% employer match about $72,292 at 4% or $48,194 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-21$1,050,053$121,450$5,783iApproximate average salary by contribution assumption: employee only about $144,583 at 4% or $96,389 at 6%; with 50% employer match about $96,389 at 4% or $64,259 at 6%; with 100% employer match about $72,292 at 4% or $48,194 at 6%.
2017116$1,144,076$181,061$11,316iApproximate average salary by contribution assumption: employee only about $282,908 at 4% or $188,605 at 6%; with 50% employer match about $188,605 at 4% or $125,737 at 6%; with 100% employer match about $141,454 at 4% or $94,303 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-16$1,144,076$181,061$11,316iApproximate average salary by contribution assumption: employee only about $282,908 at 4% or $188,605 at 6%; with 50% employer match about $188,605 at 4% or $125,737 at 6%; with 100% employer match about $141,454 at 4% or $94,303 at 6%.
2016116$996,170$144,527$9,033iApproximate average salary by contribution assumption: employee only about $225,823 at 4% or $150,549 at 6%; with 50% employer match about $150,549 at 4% or $100,366 at 6%; with 100% employer match about $112,912 at 4% or $75,274 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-16$996,170$144,527$9,033iApproximate average salary by contribution assumption: employee only about $225,823 at 4% or $150,549 at 6%; with 50% employer match about $150,549 at 4% or $100,366 at 6%; with 100% employer match about $112,912 at 4% or $75,274 at 6%.
2015118$838,440$67,192$3,733iApproximate average salary by contribution assumption: employee only about $93,322 at 4% or $62,215 at 6%; with 50% employer match about $62,215 at 4% or $41,477 at 6%; with 100% employer match about $46,661 at 4% or $31,107 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-18$838,440$67,192$3,733iApproximate average salary by contribution assumption: employee only about $93,322 at 4% or $62,215 at 6%; with 50% employer match about $62,215 at 4% or $41,477 at 6%; with 100% employer match about $46,661 at 4% or $31,107 at 6%.
2014117$807,016$56,805$3,341iApproximate average salary by contribution assumption: employee only about $83,537 at 4% or $55,691 at 6%; with 50% employer match about $55,691 at 4% or $37,127 at 6%; with 100% employer match about $41,768 at 4% or $27,846 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-17$807,016$56,805$3,341iApproximate average salary by contribution assumption: employee only about $83,537 at 4% or $55,691 at 6%; with 50% employer match about $55,691 at 4% or $37,127 at 6%; with 100% employer match about $41,768 at 4% or $27,846 at 6%.
2013118$747,543$46,660$2,592iApproximate average salary by contribution assumption: employee only about $64,806 at 4% or $43,204 at 6%; with 50% employer match about $43,204 at 4% or $28,802 at 6%; with 100% employer match about $32,403 at 4% or $21,602 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-18$747,543$46,660$2,592iApproximate average salary by contribution assumption: employee only about $64,806 at 4% or $43,204 at 6%; with 50% employer match about $43,204 at 4% or $28,802 at 6%; with 100% employer match about $32,403 at 4% or $21,602 at 6%.
2012116$618,918$56,694$3,543iApproximate average salary by contribution assumption: employee only about $88,584 at 4% or $59,056 at 6%; with 50% employer match about $59,056 at 4% or $39,371 at 6%; with 100% employer match about $44,292 at 4% or $29,528 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-16$618,918$56,694$3,543iApproximate average salary by contribution assumption: employee only about $88,584 at 4% or $59,056 at 6%; with 50% employer match about $59,056 at 4% or $39,371 at 6%; with 100% employer match about $44,292 at 4% or $29,528 at 6%.
2011117$498,923$41,584$2,446iApproximate average salary by contribution assumption: employee only about $61,153 at 4% or $40,769 at 6%; with 50% employer match about $40,769 at 4% or $27,179 at 6%; with 100% employer match about $30,576 at 4% or $20,384 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-17$498,923$41,584$2,446iApproximate average salary by contribution assumption: employee only about $61,153 at 4% or $40,769 at 6%; with 50% employer match about $40,769 at 4% or $27,179 at 6%; with 100% employer match about $30,576 at 4% or $20,384 at 6%.
2010112$477,993$25,487$2,124iApproximate average salary by contribution assumption: employee only about $53,098 at 4% or $35,399 at 6%; with 50% employer match about $35,399 at 4% or $23,599 at 6%; with 100% employer match about $26,549 at 4% or $17,699 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-12$477,993$25,487$2,124iApproximate average salary by contribution assumption: employee only about $53,098 at 4% or $35,399 at 6%; with 50% employer match about $35,399 at 4% or $23,599 at 6%; with 100% employer match about $26,549 at 4% or $17,699 at 6%.
2009114$593,195$21,152$1,511iApproximate average salary by contribution assumption: employee only about $37,771 at 4% or $25,181 at 6%; with 50% employer match about $25,181 at 4% or $16,787 at 6%; with 100% employer match about $18,886 at 4% or $12,590 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-14$593,195$21,152$1,511iApproximate average salary by contribution assumption: employee only about $37,771 at 4% or $25,181 at 6%; with 50% employer match about $25,181 at 4% or $16,787 at 6%; with 100% employer match about $18,886 at 4% or $12,590 at 6%.
2008134$499,566$43,917$1,292iApproximate average salary by contribution assumption: employee only about $32,292 at 4% or $21,528 at 6%; with 50% employer match about $21,528 at 4% or $14,352 at 6%; with 100% employer match about $16,146 at 4% or $10,764 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-34$499,566$43,917$1,292iApproximate average salary by contribution assumption: employee only about $32,292 at 4% or $21,528 at 6%; with 50% employer match about $21,528 at 4% or $14,352 at 6%; with 100% employer match about $16,146 at 4% or $10,764 at 6%.
2007123$635,052$60,190$2,617iApproximate average salary by contribution assumption: employee only about $65,424 at 4% or $43,616 at 6%; with 50% employer match about $43,616 at 4% or $29,077 at 6%; with 100% employer match about $32,712 at 4% or $21,808 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-23$635,052$60,190$2,617iApproximate average salary by contribution assumption: employee only about $65,424 at 4% or $43,616 at 6%; with 50% employer match about $43,616 at 4% or $29,077 at 6%; with 100% employer match about $32,712 at 4% or $21,808 at 6%.
2006131$593,239$193,674$6,248iApproximate average salary by contribution assumption: employee only about $156,189 at 4% or $104,126 at 6%; with 50% employer match about $104,126 at 4% or $69,417 at 6%; with 100% employer match about $78,094 at 4% or $52,063 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-31$593,239$193,674$6,248iApproximate average salary by contribution assumption: employee only about $156,189 at 4% or $104,126 at 6%; with 50% employer match about $104,126 at 4% or $69,417 at 6%; with 100% employer match about $78,094 at 4% or $52,063 at 6%.
2005125$373,129$181,064$7,243iApproximate average salary by contribution assumption: employee only about $181,064 at 4% or $120,709 at 6%; with 50% employer match about $120,709 at 4% or $80,473 at 6%; with 100% employer match about $90,532 at 4% or $60,355 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-25$373,129$181,064$7,243iApproximate average salary by contribution assumption: employee only about $181,064 at 4% or $120,709 at 6%; with 50% employer match about $120,709 at 4% or $80,473 at 6%; with 100% employer match about $90,532 at 4% or $60,355 at 6%.
2004119$204,355$104,458$5,498iApproximate average salary by contribution assumption: employee only about $137,445 at 4% or $91,630 at 6%; with 50% employer match about $91,630 at 4% or $61,087 at 6%; with 100% employer match about $68,722 at 4% or $45,815 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-19$204,355$104,458$5,498iApproximate average salary by contribution assumption: employee only about $137,445 at 4% or $91,630 at 6%; with 50% employer match about $91,630 at 4% or $61,087 at 6%; with 100% employer match about $68,722 at 4% or $45,815 at 6%.
2003119$103,373$42,057$2,214iApproximate average salary by contribution assumption: employee only about $55,338 at 4% or $36,892 at 6%; with 50% employer match about $36,892 at 4% or $24,595 at 6%; with 100% employer match about $27,669 at 4% or $18,446 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing PlanCurrent19$103,373$42,057$2,214iApproximate average salary by contribution assumption: employee only about $55,338 at 4% or $36,892 at 6%; with 50% employer match about $36,892 at 4% or $24,595 at 6%; with 100% employer match about $27,669 at 4% or $18,446 at 6%.
2002120$46,787$26,485$1,324iApproximate average salary by contribution assumption: employee only about $33,106 at 4% or $22,071 at 6%; with 50% employer match about $22,071 at 4% or $14,714 at 6%; with 100% employer match about $16,553 at 4% or $11,035 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-20$46,787$26,485$1,324iApproximate average salary by contribution assumption: employee only about $33,106 at 4% or $22,071 at 6%; with 50% employer match about $22,071 at 4% or $14,714 at 6%; with 100% employer match about $16,553 at 4% or $11,035 at 6%.
2001122$58,913$36,023$1,637iApproximate average salary by contribution assumption: employee only about $40,935 at 4% or $27,290 at 6%; with 50% employer match about $27,290 at 4% or $18,193 at 6%; with 100% employer match about $20,468 at 4% or $13,645 at 6%.
Flexform Technologies LLC 401(K) Profit Sharing Plan-22$58,913$36,023$1,637iApproximate average salary by contribution assumption: employee only about $40,935 at 4% or $27,290 at 6%; with 50% employer match about $27,290 at 4% or $18,193 at 6%; with 100% employer match about $20,468 at 4% or $13,645 at 6%.
Schedule Details

Schedule A

Row 1
Filing Id
84037184586534
Form Id
47736537
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
3030374184586030002
Ins Broker 01 Name
MUTUAL SERVICE CORPORATION
Ins Broker 01 Street Addr
3140 WINDSOR COURT
Ins Broker 01 City
ELKHART
Ins Broker 01 State
IN
Ins Broker 01 ZIP Code
46514
Ins Broker Comm Pd 01 Amount
$535
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 2
Filing Id
84037184586534
Form Id
47736537
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
3030374184586030002
Ins Broker 01 Name
QUESTAR CAPITAL CORPORATION
Ins Broker 01 Street Addr
3140 WINDSOR COURT
Ins Broker 01 City
ELKHART
Ins Broker 01 State
IN
Ins Broker 01 ZIP Code
46514
Ins Broker Comm Pd 01 Amount
$160
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 3
Ins Carrier Name: MANUFACTURERS LIFE INSURANCE COMPANY (USA)
Filing Id
84037184586534
Form Id
47736537
Schedule A EIN
88-0486812
Schedule A Plan Num
001
Schedule A Plan Year Begin Date
2003-01-01
Schedule A Tax Period
20031231
Ins Carrier Name
MANUFACTURERS LIFE INSURANCE COMPANY (USA)
Ins Carrier EIN
01-0233346
Ins Carrier Naic Code
65838
Ins Contract Num
74983
Ins Prsn Covered End of year Count
15
Ins Policy From Date
2003-01-01
Ins Policy To Date
2003-12-31
Ins Broker Comm Total Amount
$695
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$103,373
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pnsn Type Unalloc Cntrct I
3
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$0
Wlfr Acquis Cost Amount
$0

Schedule D

Row 1
Filing Id
84037184586534
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
3030374184586030003
Row 2
Filing Id
84037184586534
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC SALOMON BROS HIGH YIELD
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$948
Row 3
Filing Id
84037184586534
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC T. ROWE PRICE EQUITY INC.
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,861
Row 4
Filing Id
84037184586534
Page Id
2
Page Seq
1
Page Row Num
1
Row Num
10
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC MUNDER NETNET
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 5
Filing Id
84037184586534
Page Id
2
Page Seq
1
Page Row Num
2
Row Num
11
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC SHORT-TERM FEDERAL
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$3,683
Row 6
Filing Id
84037184586534
Page Id
2
Page Seq
1
Page Row Num
3
Row Num
12
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC PIMCO TOTAL RETURN
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,827
Row 7
Filing Id
84037184586534
Page Id
2
Page Seq
1
Page Row Num
4
Row Num
13
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC FIDELITY ADV HIGH INCOME
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 8
Filing Id
84037184586534
Page Id
2
Page Seq
1
Page Row Num
5
Row Num
14
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC DAVIS NEW YORK VENTURE
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$4,911
Row 9
Filing Id
84037184586534
Page Id
2
Page Seq
1
Page Row Num
6
Row Num
15
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC FRANKLIN BALANCE SHEET
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,363
Row 10
Filing Id
84037184586534
Page Id
2
Page Seq
2
Page Row Num
1
Row Num
16
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC LORD ABBETT MID CAP VALUE
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$984
Row 11
Filing Id
84037184586534
Page Id
2
Page Seq
2
Page Row Num
2
Row Num
17
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC SCUDDER RREEF REAL ESTATE
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$2,204
Row 12
Filing Id
84037184586534
Page Id
2
Page Seq
2
Page Row Num
3
Row Num
18
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC MFS STRATEGIC GROWTH
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$7,746
Row 13
Filing Id
84037184586534
Page Id
2
Page Seq
2
Page Row Num
4
Row Num
19
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC SCUDDER INTL SELECT EQUITY
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$2,870
Row 14
Filing Id
84037184586534
Page Id
1
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC WEITZ PARTNERS VALUE
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$7,026
Row 15
Filing Id
84037184586534
Page Id
2
Page Seq
2
Page Row Num
5
Row Num
20
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC SCUDDER MID CAP
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$880
Row 16
Filing Id
84037184586534
Page Id
2
Page Seq
2
Page Row Num
6
Row Num
21
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC LORD ABBETT DEVELOP GROWTH
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$0
Row 17
Filing Id
84037184586534
Page Id
2
Page Seq
3
Page Row Num
1
Row Num
22
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC AIM AGGRESSIVE GROWTH
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$943
Row 18
Filing Id
84037184586534
Page Id
2
Page Seq
3
Page Row Num
2
Row Num
23
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC TEMPLETON DEVELOPING MKTS
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$467
Row 19
Filing Id
84037184586534
Page Id
1
Page Seq
0
Page Row Num
4
Row Num
3
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC MORGAN STANLEY EQUITY GROWTH
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$3,551
Row 20
Filing Id
84037184586534
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
4
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC EXCELSIOR VALUE AND RESTRUCT
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$8,927
Row 21
Filing Id
84037184586534
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
5
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC JANUS ADVISER WORLDWIDE
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$10,901
Row 22
Filing Id
84037184586534
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
6
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC JANUS TWENTY
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$10,445
Row 23
Filing Id
84037184586534
Page Id
2
Page Seq
0
Page Row Num
4
Row Num
7
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC AIM SMALL CAP GROWTH
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$2,906
Row 24
Filing Id
84037184586534
Page Id
2
Page Seq
0
Page Row Num
5
Row Num
8
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC FRANKLIN SMALL-MID GROWTH
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$3,316
Row 25
Filing Id
84037184586534
Page Id
2
Page Seq
0
Page Row Num
6
Row Num
9
Image Form Id
3030374184586030003
DFE P1 Entity 01 Name
MFC T. ROWE PRICE SCIENCE AND TECH
DFE P1 Spons 01 Name
MANUFACTURERS LIFE INSURANCE CO USA
DFE P1 Plan 01 EIN Plan number
010233346000
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$24,186
Row 26
Filing Id
84037184586534
Schedule D EIN
88-0486812
Schedule D Plan number
001
Schedule D Plan Year Begin Date
2003-01-01
Schedule D Tax Period
20031231

Schedule I

Schedule I Financial Statement

Small plan result

Balance sheet and activity values reported by the filer for this small-plan annual return.

End-of-year assets$103,373$56,586 change

Balance Sheet

Beginning and end of plan year.

Total assets$46,787$103,373Increase +$56,586 (120.94%)
Total liabilities$0$0No change $0
Net assets$46,787$103,373Increase +$56,586 (120.94%)

Contributions

Employer contributions$0
Participant contributions$38,994
Other contributions$3,063

Income & Expenses

Total income$64,929
Total expenses$8,343
Net income$56,586
Source fields
Schedule I source fields
Filing Id
84037184586534
Schedule I EIN
88-0486812
Schedule I Plan Num
001
Schedule I Plan Year Begin Date
2003-01-01
Schedule I Tax Period
20031231
Small plan total assets at beginning of year
$46,787
Small plan total liabilities at beginning of year
$0
Small plan net assets at beginning of year
$46,787
Small plan total assets at end of year
$103,373
Small plan total liabilities at end of year
$0
Small plan net assets at end of year
$103,373
Small plan employer contributions
$0
Small plan participant contributions
$38,994
Small Oth Contribution Rcvd Amount
$3,063
Small Non Cash Contribution Bs Amount
$0
Small Other Income Amount
$22,872
Small plan total income
$64,929
Small plan total benefit distributions
$6,658
Small Corrective Distribution Amount
$0
Small Dm Dstrb Ptcp Ln A
0
Small Oth Expenses Amount
$1,685
Small plan total expenses
$8,343
Small plan net income or loss
$56,586
Small Total Plan Transfers Amount
$0
Small Joint Venture End of year Indicator
No
Small Joint Venture End of year Amount
$0
Small Employer Prop End of year Indicator
No
Small Employer Prop End of year Amount
$0
Small Investment Real Est End of year I
2
Small Investment Real Est End of year A
0
Small Employer Sec End of year Indicator
No
Small Employer Sec End of year Amount
$0
Small Mortg Participants End of year Indicator
No
Small Mortg Participants End of year Amount
$0
Small Oth Lns Participants End of year Indicator
No
Small Oth Lns Participants End of year Amount
$0
Small Personal Prop End of year Indicator
No
Small Personal Prop End of year Amount
$0
Small Fail Xmt Ctb I
2
Small Fail Xmt Ctb A
0
Small plan participant loans in default
No
Small Loans In Default Amount
$0
Small plan leases in default
No
Small Leases In Default Amount
$0
Small Pt In Interest Not Reported I
2
Small Pt In Interest Not Reported A
0
Small plan fidelity bond in place
Yes
Small plan fidelity bond amount
$100,000
Small plan loss discovered during year
No
Small Loss Discovered Dur Year Amount
$0
Small plan assets with undetermined value
No
Small Asset Undeterm Valuation Amount
$0
Small plan non-cash contributions reported
No
Small Non Cash Contribution Amount
$0
Small 20 Percent Sngl Investment Indicator
No
Small 20 Percent Sngl Investment Amount
$0
Small plan all plan assets distributed
No
Waiver Annual Iqpa Report
1
Small plan resolution to terminate plan adopted
No
Small Res Terminate Plan Adpt Amount
$0

Schedule R

Schedule R Pension Information

Retirement plan characteristics

Testing, payor, opinion-letter, and transfer information reported with the filing.

Pension & Payor

Payor EIN01-0233346

Transfers

Distributed property value$0
Schedule R source fields
Payor 01-0233346
Filing Id
84037184586534
Schedule R EIN
88-0486812
Schedule R Plan number
001
Schedule R Plan Year Begin Date
2003-01-01
Schedule R Tax Period
20031231
Pension Value Dstrb Pd Property Amount
$0
Pension payor EIN
01-0233346
Pension Bnft Distribution Sngl Sum Count
0
Pension Employer Contribution Rqr Amount
$0
Pension Employer Contribution Paid Amount
$0
Pension Funding Deficiency Amount
$0