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J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 401k Plan overview

Plan NameJ & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST
Plan identification number 001

J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

J&J VENTURES GAMING LLC has sponsored the creation of one or more 401k plans.

Company Name:J&J VENTURES GAMING LLC
Employer identification number (EIN):272534514
NAIC Classification:713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01

Plan Statistics for J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST

401k plan membership statisitcs for J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST

Measure Date Value
2022: J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01509
Total number of active participants reported on line 7a of the Form 55002022-01-01489
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0160
Total of all active and inactive participants2022-01-01549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01549
Number of participants with account balances2022-01-01485
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01461
Total number of active participants reported on line 7a of the Form 55002021-01-01439
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0152
Total of all active and inactive participants2021-01-01491
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01491
Number of participants with account balances2021-01-01449
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01417
Total number of active participants reported on line 7a of the Form 55002020-01-01321
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0140
Total of all active and inactive participants2020-01-01361
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01361
Number of participants with account balances2020-01-01339
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01304
Total number of active participants reported on line 7a of the Form 55002019-01-01313
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0117
Total of all active and inactive participants2019-01-01330
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01330
Number of participants with account balances2019-01-01306
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST

Measure Date Value
2022 : J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$0
Total transfer of assets from this plan2022-12-31$58,795
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$1,357,193
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$787,124
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$693,629
Expenses. Certain deemed distributions of participant loans2022-12-31$1,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,623,139
Value of total assets at end of year2022-12-31$13,080,079
Value of total assets at beginning of year2022-12-31$12,568,805
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$91,568
Total interest from all sources2022-12-31$8,164
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$616,608
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$616,608
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$1,830,570
Participant contributions at end of year2022-12-31$164,696
Participant contributions at beginning of year2022-12-31$191,524
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$917,854
Other income not declared elsewhere2022-12-31$865
Administrative expenses (other) incurred2022-12-31$91,568
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$570,069
Value of net assets at end of year (total assets less liabilities)2022-12-31$13,080,079
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$12,568,805
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 registered invesment companies (eg mutual funds) at end of year2022-12-31$12,850,523
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$12,295,640
Interest on participant loans2022-12-31$8,164
Value of interest in common/collective trusts at end of year2022-12-31$64,860
Value of interest in common/collective trusts at beginning of year2022-12-31$81,641
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,893,742
Net investment gain or loss from common/collective trusts2022-12-31$2,159
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 contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$874,715
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$693,629
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 name2022-12-31DOEHRING WINDERS & CO LLP
Accountancy firm EIN2022-12-31371206717
2021 : J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$0
Total transfer of assets from this plan2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$4,667,317
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,182,131
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,100,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,092,124
Value of total assets at end of year2021-12-31$12,568,805
Value of total assets at beginning of year2021-12-31$9,083,619
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$81,275
Total interest from all sources2021-12-31$6,946
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$592,411
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$592,411
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$1,535,271
Participant contributions at end of year2021-12-31$191,524
Participant contributions at beginning of year2021-12-31$99,740
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$811,505
Administrative expenses (other) incurred2021-12-31$81,275
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$3,485,186
Value of net assets at end of year (total assets less liabilities)2021-12-31$12,568,805
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,083,619
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 registered invesment companies (eg mutual funds) at end of year2021-12-31$12,295,640
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$8,928,397
Interest on participant loans2021-12-31$6,946
Value of interest in common/collective trusts at end of year2021-12-31$81,641
Value of interest in common/collective trusts at beginning of year2021-12-31$55,482
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$974,579
Net investment gain or loss from common/collective trusts2021-12-31$1,257
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
Contributions received in cash from employer2021-12-31$745,348
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,100,856
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 name2021-12-31DOEHRING WINDERS & CO LLP
Accountancy firm EIN2021-12-31371206717
2020 : J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$16,076
Total transfer of assets from this plan2020-12-31$5,318,342
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,908,432
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$935,875
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$872,786
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,867,076
Value of total assets at end of year2020-12-31$9,083,619
Value of total assets at beginning of year2020-12-31$12,413,328
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$63,089
Total interest from all sources2020-12-31$3,080
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$242,803
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$242,803
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$1,090,051
Participant contributions at end of year2020-12-31$99,740
Participant contributions at beginning of year2020-12-31$102,039
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$254,093
Administrative expenses (other) incurred2020-12-31$63,089
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$1,972,557
Value of net assets at end of year (total assets less liabilities)2020-12-31$9,083,619
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$12,413,328
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 registered invesment companies (eg mutual funds) at end of year2020-12-31$8,928,397
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$11,972,593
Interest on participant loans2020-12-31$3,080
Value of interest in common/collective trusts at end of year2020-12-31$55,482
Value of interest in common/collective trusts at beginning of year2020-12-31$338,696
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$792,698
Net investment gain or loss from common/collective trusts2020-12-31$2,775
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$522,932
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$872,786
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 name2020-12-31DOEHRING, WINDERS, & CO LLP
Accountancy firm EIN2020-12-31371206717
2019 : J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets from this plan2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,189,730
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$327,260
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$261,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,880,550
Value of total assets at end of year2019-12-31$12,413,328
Value of total assets at beginning of year2019-12-31$8,550,858
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$66,075
Total interest from all sources2019-12-31$864
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$398,716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$398,716
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 period2019-12-31Yes
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$1,075,485
Participant contributions at end of year2019-12-31$102,039
Participant contributions at beginning of year2019-12-31$67,485
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$343,451
Administrative expenses (other) incurred2019-12-31$66,075
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
Value of net income/loss2019-12-31$3,862,470
Value of net assets at end of year (total assets less liabilities)2019-12-31$12,413,328
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,550,858
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 registered invesment companies (eg mutual funds) at end of year2019-12-31$11,972,593
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$8,180,396
Interest on participant loans2019-12-31$864
Value of interest in common/collective trusts at end of year2019-12-31$338,696
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$302,977
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,908,440
Net investment gain or loss from common/collective trusts2019-12-31$1,160
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 contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$461,614
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$261,185
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
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 name2019-12-31DOEHRING, WINDERS, & CO LLP
Accountancy firm EIN2019-12-31371206717

Form 5500 Responses for J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST

2022: J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
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 – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 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 – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: J & J VENTURES GAMING, LLC 401(K) SAVINGS PLAN AND TRUST 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

Insurance Providers Used on plan

CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 )
Policy contract number012-1630-1
Policy instance 1
Insurance contract or identification number012-1630-1
Number of Individuals Covered256
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $23,324
Total amount of fees paid to insurance companyUSD $0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $23,324
Amount paid for insurance broker fees0
Insurance broker organization code?3

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