401k Plan data: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN plan

PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 401k Plan overview

Plan Name	PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN
Plan identification number	001

PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN Benefits

401k Plan Type

Defined 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

PAUL W. KAISER & ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: PAUL W. KAISER & ASSOCIATES

Employer identification number (EIN): 362535458

NAIC Classification: 333900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 CHRISTOPHER J TOMEK 2024-09-13
001 2022-01-01 CHRISTOPHER J TOMEK 2023-07-21
001 2021-01-01 CHRISTOPHER J TOMEK 2022-06-13 CHRISTOPHER J TOMEK 2022-06-13
001 2020-01-01 CHRISTOPHER J TOMEK 2021-07-19 CHRISTOPHER J TOMEK 2021-07-19
001 2018-01-01 CHRISTOPHER J TOMEK 2019-09-24 CHRISTOPHER J TOMEK 2019-09-24
001 2017-01-01 CHRISTOPHER J TOMEK 2018-06-15 CHRISTOPHER J TOMEK 2018-06-15
001 2016-01-01 CHRISTOPHER J TOMEK 2017-06-01 CHRISTOPHER J TOMEK 2017-06-01
001 2015-01-01 CHRISTOPHER J TOMEK 2016-06-06 CHRISTOPHER J TOMEK 2016-06-06
001 2014-01-01 CHRISTOPHER J TOMEK CHRISTOPHER J TOMEK 2015-06-15
001 2013-01-01 CHRISTOPHER TOMEK
001 2012-01-01 CHRISTOPHER TOMEK CHRISTOPHER TOMEK 2013-06-18
001 2011-01-01 CHRISTOPHER TOMEK

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	CHRISTOPHER J TOMEK	2024-09-13
001	2022-01-01	CHRISTOPHER J TOMEK	2023-07-21
001	2021-01-01	CHRISTOPHER J TOMEK	2022-06-13	CHRISTOPHER J TOMEK	2022-06-13
001	2020-01-01	CHRISTOPHER J TOMEK	2021-07-19	CHRISTOPHER J TOMEK	2021-07-19
001	2018-01-01	CHRISTOPHER J TOMEK	2019-09-24	CHRISTOPHER J TOMEK	2019-09-24
001	2017-01-01	CHRISTOPHER J TOMEK	2018-06-15	CHRISTOPHER J TOMEK	2018-06-15
001	2016-01-01	CHRISTOPHER J TOMEK	2017-06-01	CHRISTOPHER J TOMEK	2017-06-01
001	2015-01-01	CHRISTOPHER J TOMEK	2016-06-06	CHRISTOPHER J TOMEK	2016-06-06
001	2014-01-01	CHRISTOPHER J TOMEK		CHRISTOPHER J TOMEK	2015-06-15
001	2013-01-01	CHRISTOPHER TOMEK
001	2012-01-01	CHRISTOPHER TOMEK		CHRISTOPHER TOMEK	2013-06-18
001	2011-01-01	CHRISTOPHER TOMEK

Plan Statistics for PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN

401k plan membership statisitcs for PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN

Measure Date Value
2025: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2025 401k membership
Total number of particpants at beginning of year 2025-07-16 11
Total number of particpants at end of year 2025-07-16 12
Number of Participants With Account Balances 2025-07-16 12
2024: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2024 401k membership
Total number of particpants at beginning of year 2024-09-13 10
Total number of particpants at end of year 2024-09-13 10
Number of Participants With Account Balances 2024-09-13 9
2014: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 6
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 6
Number of participants with account balances 2014-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 6
Number of participants with account balances 2013-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Number of participants with account balances 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2025: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2025 401k membership
Total number of particpants at beginning of year	2025-07-16	11
Total number of particpants at end of year	2025-07-16	12
Number of Participants With Account Balances	2025-07-16	12
2024: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2024 401k membership
Total number of particpants at beginning of year	2024-09-13	10
Total number of particpants at end of year	2024-09-13	10
Number of Participants With Account Balances	2024-09-13	9
2014: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	6
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	6
Number of participants with account balances	2014-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	6
Number of participants with account balances	2013-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Number of participants with account balances	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN

Measure	Date	Value
2025 : PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2025 401k financial data
Total transfers to/from plan in this plan year	2025-07-16	0
Total liabilities as of the end of the plan year	2025-07-16	0
Total liabilities as of the beginning of the plan year	2025-07-16	0
Total expenses incurred by plan in this plan year	2025-07-16	45828
Net assets as of the end of the plan year	2025-07-16	1954102
Total assets as of the beginning of the plan year	2025-07-16	1762054
Value of plan covered by a fidelity bond	2025-07-16	175000
Participant contributions to plan in this plan year	2025-07-16	41417
Value of participant loans at end of plan year	2025-07-16	6191
Other expenses paid from plan in this plan year	2025-07-16	0
Other contributions to plan in this plan year	2025-07-16	0
Other income to plan in this plan year	2025-07-16	187795
Plan net income in this plan year	2025-07-16	192048
Net assets as of the end of the plan year	2025-07-16	1954102
Net assets as of the beginning of the plan year	2025-07-16	1762054
Employer contributions to plan in this plan year	2025-07-16	8664
Fees paid to broker by Benefit Provider	2025-07-16	2453
Expensese paid to adminstrative service provicers from plan in this plan year	2025-07-16	121
2024 : PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2024 401k financial data
Total transfers to/from plan in this plan year	2024-09-13	0
Total liabilities as of the end of the plan year	2024-09-13	0
Total liabilities as of the beginning of the plan year	2024-09-13	0
Total expenses incurred by plan in this plan year	2024-09-13	39541
Net assets as of the end of the plan year	2024-09-13	1762054
Total assets as of the beginning of the plan year	2024-09-13	1507086
Value of plan covered by a fidelity bond	2024-09-13	175000
Participant contributions to plan in this plan year	2024-09-13	70991
Value of participant loans at end of plan year	2024-09-13	14627
Other expenses paid from plan in this plan year	2024-09-13	0
Other contributions to plan in this plan year	2024-09-13	0
Other income to plan in this plan year	2024-09-13	202917
Plan net income in this plan year	2024-09-13	254968
Net assets as of the end of the plan year	2024-09-13	1762054
Net assets as of the beginning of the plan year	2024-09-13	1507086
Employer contributions to plan in this plan year	2024-09-13	20601
Fees paid to broker by Benefit Provider	2024-09-13	2134
Expensese paid to adminstrative service provicers from plan in this plan year	2024-09-13	78
2014 : PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$113,967
Expenses. Total of all expenses incurred	2014-12-31	$22,245
Benefits paid (including direct rollovers)	2014-12-31	$22,221
Total plan assets at end of year	2014-12-31	$1,078,561
Total plan assets at beginning of year	2014-12-31	$986,839
Value of fidelity bond covering the plan	2014-12-31	$150,000
Total contributions received or receivable from participants	2014-12-31	$47,131
Expenses. Other expenses not covered elsewhere	2014-12-31	$24
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$53,607
Net income (gross income less expenses)	2014-12-31	$91,722
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,078,561
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$986,839
Assets. Value of participant loans	2014-12-31	$3,784
Total contributions received or receivable from employer(s)	2014-12-31	$13,229
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$96,869
Expenses. Total of all expenses incurred	2013-12-31	$20,994
Benefits paid (including direct rollovers)	2013-12-31	$20,970
Total plan assets at end of year	2013-12-31	$986,839
Total plan assets at beginning of year	2013-12-31	$910,964
Value of fidelity bond covering the plan	2013-12-31	$100,000
Total contributions received or receivable from participants	2013-12-31	$39,619
Expenses. Other expenses not covered elsewhere	2013-12-31	$24
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$53,561
Net income (gross income less expenses)	2013-12-31	$75,875
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$986,839
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$910,964
Assets. Value of participant loans	2013-12-31	$8,457
Total contributions received or receivable from employer(s)	2013-12-31	$3,689
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$111,333
Expenses. Total of all expenses incurred	2012-12-31	$19,067
Benefits paid (including direct rollovers)	2012-12-31	$19,043
Total plan assets at end of year	2012-12-31	$910,964
Total plan assets at beginning of year	2012-12-31	$818,698
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$39,619
Expenses. Other expenses not covered elsewhere	2012-12-31	$24
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$67,329
Net income (gross income less expenses)	2012-12-31	$92,266
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$910,964
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$818,698
Assets. Value of participant loans	2012-12-31	$13,015
Total contributions received or receivable from employer(s)	2012-12-31	$4,385
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$80,013
Expenses. Total of all expenses incurred	2011-12-31	$7,901
Benefits paid (including direct rollovers)	2011-12-31	$7,808
Total plan assets at end of year	2011-12-31	$818,698
Total plan assets at beginning of year	2011-12-31	$746,586
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$106,620
Expenses. Other expenses not covered elsewhere	2011-12-31	$93
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-26,607
Net income (gross income less expenses)	2011-12-31	$72,112
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$818,698
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$746,586
Assets. Value of participant loans	2011-12-31	$17,459
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$-1,228
Total income from all sources	2010-12-31	$86,647
Expenses. Total of all expenses incurred	2010-12-31	$720
Benefits paid (including direct rollovers)	2010-12-31	$695
Total plan assets at end of year	2010-12-31	$746,586
Total plan assets at beginning of year	2010-12-31	$661,887
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$8,200
Expenses. Other expenses not covered elsewhere	2010-12-31	$25
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$33,287
Net income (gross income less expenses)	2010-12-31	$85,927
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$746,586
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$661,887
Assets. Value of participant loans	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$45,160
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0

Form 5500 Responses for PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN

2014: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: PAUL W. KAISER & ASSOCIATES, INC. PROFIT SHARING & 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-814682
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-814682
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-814682
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-814682
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-814682
Policy instance	1

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Company Name:	PAUL W. KAISER & ASSOCIATES
Employer identification number (EIN):	362535458
NAIC Classification:	333900