S & K LABEL COMPANY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan S & K LABEL COMPANY PROFIT SHARING PLAN
| Measure | Date | Value |
|---|
| 2020: S & K LABEL COMPANY PROFIT SHARING PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 1 |
| Number of retired or separated participants receiving benefits | 2020-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-07-01 | 0 |
| Total of all active and inactive participants | 2020-07-01 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2020-07-01 | 0 |
| Total participants | 2020-07-01 | 1 |
| Number of participants with account balances | 2020-07-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2020-07-01 | 0 |
| 2019: S & K LABEL COMPANY PROFIT SHARING PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 4 |
| Total of all active and inactive participants | 2019-07-01 | 0 |
| Total participants | 2019-07-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 1 |
| Number of participants with account balances | 2019-07-01 | 1 |
| 2018: S & K LABEL COMPANY PROFIT SHARING PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 4 |
| Total of all active and inactive participants | 2018-07-01 | 4 |
| Total participants | 2018-07-01 | 4 |
| Number of participants with account balances | 2018-07-01 | 4 |
| 2017: S & K LABEL COMPANY PROFIT SHARING PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 4 |
| Total of all active and inactive participants | 2017-07-01 | 0 |
| Total participants | 2017-07-01 | 0 |
| 2016: S & K LABEL COMPANY PROFIT SHARING PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 4 |
| Total of all active and inactive participants | 2016-07-01 | 4 |
| Total participants | 2016-07-01 | 4 |
| Number of participants with account balances | 2016-07-01 | 4 |
| 2015: S & K LABEL COMPANY PROFIT SHARING PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 4 |
| Total of all active and inactive participants | 2015-07-01 | 4 |
| Total participants | 2015-07-01 | 4 |
| Number of participants with account balances | 2015-07-01 | 4 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-07-01 | 0 |
| 2014: S & K LABEL COMPANY PROFIT SHARING PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 3 |
| Total of all active and inactive participants | 2014-07-01 | 3 |
| Total participants | 2014-07-01 | 3 |
| 2013: S & K LABEL COMPANY PROFIT SHARING PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 3 |
| Total of all active and inactive participants | 2013-07-01 | 3 |
| Total participants | 2013-07-01 | 3 |
| 2012: S & K LABEL COMPANY PROFIT SHARING PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 3 |
| Total of all active and inactive participants | 2012-07-01 | 0 |
| Total participants | 2012-07-01 | 0 |
| 2011: S & K LABEL COMPANY PROFIT SHARING PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 3 |
| Total of all active and inactive participants | 2011-07-01 | 3 |
| Total participants | 2011-07-01 | 3 |
| 2010: S & K LABEL COMPANY PROFIT SHARING PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 3 |
| Total of all active and inactive participants | 2010-07-01 | 3 |
| Total participants | 2010-07-01 | 3 |
| 2009: S & K LABEL COMPANY PROFIT SHARING PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 3 |
| Total of all active and inactive participants | 2009-07-01 | 3 |
| Total participants | 2009-07-01 | 3 |
| Measure | Date | Value |
|---|
| 2021 : S & K LABEL COMPANY PROFIT SHARING PLAN 2021 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2021-06-30 | $0 |
| Total income from all sources | 2021-06-30 | $29,690 |
| Expenses. Total of all expenses incurred | 2021-06-30 | $2,985 |
| Total plan assets at end of year | 2021-06-30 | $502,329 |
| Total plan assets at beginning of year | 2021-06-30 | $475,624 |
| Expenses. Other expenses not covered elsewhere | 2021-06-30 | $1,185 |
| Other income received | 2021-06-30 | $29,690 |
| Net income (gross income less expenses) | 2021-06-30 | $26,705 |
| Net plan assets at end of year (total assets less liabilities) | 2021-06-30 | $502,329 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-06-30 | $475,624 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-06-30 | $1,800 |
| 2020 : S & K LABEL COMPANY PROFIT SHARING PLAN 2020 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2020-06-30 | $0 |
| Total income from all sources | 2020-06-30 | $-7,322 |
| Expenses. Total of all expenses incurred | 2020-06-30 | $219,386 |
| Benefits paid (including direct rollovers) | 2020-06-30 | $219,386 |
| Total plan assets at end of year | 2020-06-30 | $475,624 |
| Total plan assets at beginning of year | 2020-06-30 | $702,332 |
| Other income received | 2020-06-30 | $-7,322 |
| Net income (gross income less expenses) | 2020-06-30 | $-226,708 |
| Net plan assets at end of year (total assets less liabilities) | 2020-06-30 | $475,624 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-06-30 | $702,332 |
| 2019 : S & K LABEL COMPANY PROFIT SHARING PLAN 2019 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2019-06-30 | $0 |
| Total income from all sources | 2019-06-30 | $5,469 |
| Expenses. Total of all expenses incurred | 2019-06-30 | $4,454 |
| Benefits paid (including direct rollovers) | 2019-06-30 | $4,454 |
| Total plan assets at end of year | 2019-06-30 | $702,332 |
| Total plan assets at beginning of year | 2019-06-30 | $701,317 |
| Other income received | 2019-06-30 | $5,469 |
| Net income (gross income less expenses) | 2019-06-30 | $1,015 |
| Net plan assets at end of year (total assets less liabilities) | 2019-06-30 | $702,332 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-06-30 | $701,317 |
| Assets. Value of participant loans | 2019-06-30 | $38,263 |
| 2017 : S & K LABEL COMPANY PROFIT SHARING PLAN 2017 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2017-06-30 | $0 |
| Total income from all sources | 2017-06-30 | $26,338 |
| Expenses. Total of all expenses incurred | 2017-06-30 | $8,227 |
| Benefits paid (including direct rollovers) | 2017-06-30 | $8,227 |
| Total plan assets at end of year | 2017-06-30 | $649,556 |
| Total plan assets at beginning of year | 2017-06-30 | $631,445 |
| Other income received | 2017-06-30 | $26,338 |
| Net income (gross income less expenses) | 2017-06-30 | $18,111 |
| Net plan assets at end of year (total assets less liabilities) | 2017-06-30 | $649,556 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-06-30 | $631,445 |
| Assets. Value of participant loans | 2017-06-30 | $40,295 |
| 2016 : S & K LABEL COMPANY PROFIT SHARING PLAN 2016 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2016-06-30 | $0 |
| Total income from all sources | 2016-06-30 | $28,733 |
| Total plan assets at end of year | 2016-06-30 | $631,445 |
| Total plan assets at beginning of year | 2016-06-30 | $602,712 |
| Other income received | 2016-06-30 | $28,733 |
| Net income (gross income less expenses) | 2016-06-30 | $28,733 |
| Net plan assets at end of year (total assets less liabilities) | 2016-06-30 | $631,445 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-06-30 | $602,712 |
| 2015 : S & K LABEL COMPANY PROFIT SHARING PLAN 2015 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2015-06-30 | $0 |
| Total income from all sources | 2015-06-30 | $9,881 |
| Expenses. Total of all expenses incurred | 2015-06-30 | $8,504 |
| Benefits paid (including direct rollovers) | 2015-06-30 | $8,504 |
| Total plan assets at end of year | 2015-06-30 | $602,712 |
| Total plan assets at beginning of year | 2015-06-30 | $601,335 |
| Other income received | 2015-06-30 | $9,881 |
| Net income (gross income less expenses) | 2015-06-30 | $1,377 |
| Net plan assets at end of year (total assets less liabilities) | 2015-06-30 | $602,712 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-06-30 | $601,335 |
| 2014 : S & K LABEL COMPANY PROFIT SHARING PLAN 2014 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2014-06-30 | $0 |
| Expenses. Total of all expenses incurred | 2014-06-30 | $11,475 |
| Total plan assets at end of year | 2014-06-30 | $601,335 |
| Total plan assets at beginning of year | 2014-06-30 | $612,810 |
| Expenses. Other expenses not covered elsewhere | 2014-06-30 | $11,475 |
| Net income (gross income less expenses) | 2014-06-30 | $-11,475 |
| Net plan assets at end of year (total assets less liabilities) | 2014-06-30 | $601,335 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-06-30 | $612,810 |
| 2013 : S & K LABEL COMPANY PROFIT SHARING PLAN 2013 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2013-06-30 | $0 |
| Total income from all sources | 2013-06-30 | $51,076 |
| Total plan assets at end of year | 2013-06-30 | $612,810 |
| Total plan assets at beginning of year | 2013-06-30 | $561,734 |
| Other income received | 2013-06-30 | $51,076 |
| Net income (gross income less expenses) | 2013-06-30 | $51,076 |
| Net plan assets at end of year (total assets less liabilities) | 2013-06-30 | $612,810 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-06-30 | $561,734 |
| 2012 : S & K LABEL COMPANY PROFIT SHARING PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-06-30 | $26,822 |
| Total plan assets at end of year | 2012-06-30 | $561,734 |
| Total plan assets at beginning of year | 2012-06-30 | $534,912 |
| Other income received | 2012-06-30 | $16,822 |
| Net income (gross income less expenses) | 2012-06-30 | $26,822 |
| Net plan assets at end of year (total assets less liabilities) | 2012-06-30 | $561,734 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-06-30 | $534,912 |
| Total contributions received or receivable from employer(s) | 2012-06-30 | $10,000 |
| 2011 : S & K LABEL COMPANY PROFIT SHARING PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-06-30 | $52,380 |
| Total plan assets at end of year | 2011-06-30 | $534,912 |
| Total plan assets at beginning of year | 2011-06-30 | $482,532 |
| Other income received | 2011-06-30 | $42,380 |
| Net income (gross income less expenses) | 2011-06-30 | $52,380 |
| Net plan assets at end of year (total assets less liabilities) | 2011-06-30 | $534,912 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-06-30 | $482,532 |
| Total contributions received or receivable from employer(s) | 2011-06-30 | $10,000 |
| 2020: S & K LABEL COMPANY PROFIT SHARING PLAN 2020 form 5500 responses |
|---|
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan funding arrangement – Trust | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement - Trust | Yes |
| 2019: S & K LABEL COMPANY PROFIT SHARING PLAN 2019 form 5500 responses |
|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Submission has been amended | Yes |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan funding arrangement – Trust | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement - Trust | Yes |
| 2018: S & K LABEL COMPANY PROFIT SHARING PLAN 2018 form 5500 responses |
|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan funding arrangement – Trust | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement - Trust | Yes |
| 2017: S & K LABEL COMPANY PROFIT SHARING PLAN 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan funding arrangement – Trust | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement - Trust | Yes |
| 2016: S & K LABEL COMPANY PROFIT SHARING PLAN 2016 form 5500 responses |
|---|
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | First time form 5500 has been submitted | Yes |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan funding arrangement – Trust | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement - Trust | Yes |
| 2015: S & K LABEL COMPANY PROFIT SHARING PLAN 2015 form 5500 responses |
|---|
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan funding arrangement – Trust | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement - Trust | Yes |
| 2014: S & K LABEL COMPANY PROFIT SHARING PLAN 2014 form 5500 responses |
|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan funding arrangement – Trust | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement - Trust | Yes |
| 2013: S & K LABEL COMPANY PROFIT SHARING PLAN 2013 form 5500 responses |
|---|
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan funding arrangement – Trust | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement - Trust | Yes |
| 2012: S & K LABEL COMPANY PROFIT SHARING PLAN 2012 form 5500 responses |
|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan funding arrangement – Trust | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement - Trust | Yes |
| 2011: S & K LABEL COMPANY PROFIT SHARING PLAN 2011 form 5500 responses |
|---|
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan funding arrangement – Trust | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement - Trust | Yes |
| 2010: S & K LABEL COMPANY PROFIT SHARING PLAN 2010 form 5500 responses |
|---|
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Plan funding arrangement – Insurance | Yes |
| 2010-07-01 | Plan funding arrangement – Trust | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-07-01 | Plan benefit arrangement - Trust | Yes |
| 2009: S & K LABEL COMPANY PROFIT SHARING PLAN 2009 form 5500 responses |
|---|
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan funding arrangement – Trust | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement - Trust | Yes |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF0065014450 |
| Policy instance | 6 |
| Insurance contract or identification number | CF0065014450 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-12-27 | | Insurance policy end date | 2021-12-26 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF00650440 |
| Policy instance | 4 |
| Insurance contract or identification number | CF00650440 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF0065014610 |
| Policy instance | 3 |
| Insurance contract or identification number | CF0065014610 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 |
|
| WAHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65900 ) |
| Policy contract number | 10UL068184 |
| Policy instance | 2 |
| Insurance contract or identification number | 10UL068184 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-12-26 | | Insurance policy end date | 2021-12-26 |
|
| WAHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65900 ) |
| Policy contract number | 1090116357 |
| Policy instance | 1 |
| Insurance contract or identification number | 1090116357 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-12-26 | | Insurance policy end date | 2021-12-26 |
|
| WAHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65900 ) |
| Policy contract number | 1090116357 |
| Policy instance | 1 |
| Insurance contract or identification number | 1090116357 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-12-26 | | Insurance policy end date | 2020-12-26 |
|
| WAHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65900 ) |
| Policy contract number | 10UL068184 |
| Policy instance | 2 |
| Insurance contract or identification number | 10UL068184 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-12-27 | | Insurance policy end date | 2020-12-26 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF0065014619 |
| Policy instance | 3 |
| Insurance contract or identification number | CF0065014619 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF0065014450 |
| Policy instance | 6 |
| Insurance contract or identification number | CF0065014450 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-12-27 | | Insurance policy end date | 2020-12-26 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF00650440 |
| Policy instance | 4 |
| Insurance contract or identification number | CF00650440 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | 0071244570 |
| Policy instance | 5 |
| Insurance contract or identification number | 0071244570 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-12-27 | | Insurance policy end date | 2020-12-26 |
|
| WAHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65900 ) |
| Policy contract number | 10UL068184 / 35 |
| Policy instance | 1 |
| Insurance contract or identification number | 10UL068184 / 35 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-12-27 | | Insurance policy end date | 2018-12-26 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF0065014450 |
| Policy instance | 7 |
| Insurance contract or identification number | CF0065014450 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-12-27 | | Insurance policy end date | 2018-12-26 |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | 0071244570 |
| Policy instance | 6 |
| Insurance contract or identification number | 0071244570 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-12-27 | | Insurance policy end date | 2018-12-26 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF00650440 |
| Policy instance | 5 |
| Insurance contract or identification number | CF00650440 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | 007032449A |
| Policy instance | 3 |
| Insurance contract or identification number | 007032449A | | Number of Individuals Covered | 3 | | Insurance policy start date | 2017-07-29 | | Insurance policy end date | 2018-07-28 |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | 007032436A |
| Policy instance | 2 |
| Insurance contract or identification number | 007032436A | | Number of Individuals Covered | 3 | | Insurance policy start date | 2017-07-29 | | Insurance policy end date | 2018-07-28 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | CF0065014619 |
| Policy instance | 4 |
| Insurance contract or identification number | CF0065014619 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 |
|
