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ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 401k Plan overview

Plan NameST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN
Plan identification number 001

ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 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.

401k Sponsoring company profile

ST. CROIX MACHINE TOOL, INC. has sponsored the creation of one or more 401k plans.

Company Name:ST. CROIX MACHINE TOOL, INC.
Employer identification number (EIN):391439827
NAIC Classification:332700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01PAUL WENZEL2024-07-25
0012022-01-01PAUL WENZEL2023-10-06
0012021-01-01PAUL WENZEL2022-10-07
0012020-01-01PAUL WENZEL2021-10-25
0012020-01-01PAUL WENZEL2021-10-13
0012019-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012017-01-01PAUL WENZEL
0012016-01-01PAUL WENZEL
0012015-01-01PAUL WENZEL
0012014-01-01PAUL WENZEL
0012013-01-01PAUL WENZEL
0012012-01-01LISA HOFF2013-07-23
0012011-01-01LISA HOFF2012-05-29
0012010-01-01LISA HOFF2011-05-24

Plan Statistics for ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN

401k plan membership statisitcs for ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN

Measure Date Value
2025: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2025 401k membership
Total number of particpants at beginning of year2025-09-1025
Total number of particpants at end of year2025-09-100
Number of Participants With Account Balances2025-09-100
Total number of particpants at beginning of year2025-05-1926
Total number of particpants at end of year2025-05-1925
Number of Participants With Account Balances2025-05-1920
2024: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2024 401k membership
Total number of particpants at beginning of year2024-07-2523
Total number of particpants at end of year2024-07-2523
Number of Participants With Account Balances2024-07-2522
2019: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0124
Total number of active participants reported on line 7a of the Form 55002019-01-0121
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0121
Number of participants with account balances2019-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0126
Total number of active participants reported on line 7a of the Form 55002018-01-0120
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-014
Total of all active and inactive participants2018-01-0124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0124
Number of participants with account balances2018-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0123
Total number of active participants reported on line 7a of the Form 55002017-01-0122
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-014
Total of all active and inactive participants2017-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0126
Number of participants with account balances2017-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0123
Total number of active participants reported on line 7a of the Form 55002016-01-0121
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0123
Number of participants with account balances2016-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0127
Total number of active participants reported on line 7a of the Form 55002015-01-0121
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0123
Number of participants with account balances2015-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0123
Total number of active participants reported on line 7a of the Form 55002014-01-0123
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0127
Number of participants with account balances2014-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0124
Total number of active participants reported on line 7a of the Form 55002013-01-0119
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0123
Number of participants with account balances2013-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN

Measure Date Value
2025 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2025 401k financial data
Total transfers to/from plan in this plan year2025-09-100
Total expenses incurred by plan in this plan year2025-09-102157812
Net assets as of the end of the plan year2025-09-100
Total assets as of the beginning of the plan year2025-09-101950821
Value of plan covered by a fidelity bond2025-09-10375000
Participant contributions to plan in this plan year2025-09-1015461
Other expenses paid from plan in this plan year2025-09-100
Other contributions to plan in this plan year2025-09-100
Other income to plan in this plan year2025-09-10182158
Plan net income in this plan year2025-09-10-1950821
Net assets as of the end of the plan year2025-09-100
Net assets as of the beginning of the plan year2025-09-101950821
Employer contributions to plan in this plan year2025-09-109372
Fees paid to broker by Benefit Provider2025-09-10586
Expensese paid to adminstrative service provicers from plan in this plan year2025-09-101430
Total transfers to/from plan in this plan year2025-05-190
Total expenses incurred by plan in this plan year2025-05-19120193
Net assets as of the end of the plan year2025-05-191950821
Total assets as of the beginning of the plan year2025-05-191742657
Value of plan covered by a fidelity bond2025-05-19375000
Participant contributions to plan in this plan year2025-05-1964456
Other expenses paid from plan in this plan year2025-05-190
Other contributions to plan in this plan year2025-05-190
Other income to plan in this plan year2025-05-19239699
Plan net income in this plan year2025-05-19208164
Net assets as of the end of the plan year2025-05-191950821
Net assets as of the beginning of the plan year2025-05-191742657
Employer contributions to plan in this plan year2025-05-1924202
Fees paid to broker by Benefit Provider2025-05-19927
Expensese paid to adminstrative service provicers from plan in this plan year2025-05-192086
2024 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2024 401k financial data
Total transfers to/from plan in this plan year2024-07-250
Total expenses incurred by plan in this plan year2024-07-250
Net assets as of the end of the plan year2024-07-251742657
Total assets as of the beginning of the plan year2024-07-251416392
Value of plan covered by a fidelity bond2024-07-25375000
Participant contributions to plan in this plan year2024-07-2564627
Other expenses paid from plan in this plan year2024-07-250
Other contributions to plan in this plan year2024-07-250
Other income to plan in this plan year2024-07-25233729
Plan net income in this plan year2024-07-25326265
Net assets as of the end of the plan year2024-07-251742657
Net assets as of the beginning of the plan year2024-07-251416392
Employer contributions to plan in this plan year2024-07-2527909
Fees paid to broker by Benefit Provider2024-07-25768
Expensese paid to adminstrative service provicers from plan in this plan year2024-07-250
2019 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2019 401k financial data
Total income from all sources2019-12-31$449,171
Expenses. Total of all expenses incurred2019-12-31$7,547
Benefits paid (including direct rollovers)2019-12-31$7,213
Total plan assets at end of year2019-12-31$2,026,506
Total plan assets at beginning of year2019-12-31$1,584,882
Total contributions received or receivable from participants2019-12-31$83,670
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$336,306
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$441,624
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,026,506
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,584,882
Total contributions received or receivable from employer(s)2019-12-31$29,195
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$334
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2018 401k financial data
Total income from all sources2018-12-31$-33,779
Expenses. Total of all expenses incurred2018-12-31$387,330
Benefits paid (including direct rollovers)2018-12-31$387,075
Total plan assets at end of year2018-12-31$1,584,882
Total plan assets at beginning of year2018-12-31$2,005,991
Value of fidelity bond covering the plan2018-12-31$250,000
Total contributions received or receivable from participants2018-12-31$73,756
Expenses. Other expenses not covered elsewhere2018-12-31$0
Other income received2018-12-31$-134,383
Net income (gross income less expenses)2018-12-31$-421,109
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,584,882
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,005,991
Total contributions received or receivable from employer(s)2018-12-31$26,848
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$255
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2017 401k financial data
Total income from all sources2017-12-31$329,053
Expenses. Total of all expenses incurred2017-12-31$0
Benefits paid (including direct rollovers)2017-12-31$0
Total plan assets at end of year2017-12-31$2,005,991
Total plan assets at beginning of year2017-12-31$1,676,938
Value of fidelity bond covering the plan2017-12-31$250,000
Total contributions received or receivable from participants2017-12-31$60,236
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$247,393
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$329,053
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,005,991
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,676,938
Total contributions received or receivable from employer(s)2017-12-31$21,424
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2016 401k financial data
Total income from all sources2016-12-31$341,893
Expenses. Total of all expenses incurred2016-12-31$298,323
Benefits paid (including direct rollovers)2016-12-31$298,143
Total plan assets at end of year2016-12-31$1,676,938
Total plan assets at beginning of year2016-12-31$1,633,368
Value of fidelity bond covering the plan2016-12-31$250,000
Total contributions received or receivable from participants2016-12-31$69,544
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$145,751
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$43,570
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,676,938
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,633,368
Total contributions received or receivable from employer(s)2016-12-31$126,598
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$180
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2015 401k financial data
Total income from all sources2015-12-31$102,014
Expenses. Total of all expenses incurred2015-12-31$595,127
Benefits paid (including direct rollovers)2015-12-31$594,941
Total plan assets at end of year2015-12-31$1,633,368
Total plan assets at beginning of year2015-12-31$2,126,481
Value of fidelity bond covering the plan2015-12-31$250,000
Total contributions received or receivable from participants2015-12-31$72,025
Expenses. Other expenses not covered elsewhere2015-12-31$0
Other income received2015-12-31$2,010
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$-493,113
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,633,368
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,126,481
Total contributions received or receivable from employer(s)2015-12-31$27,979
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$186
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2014 401k financial data
Total income from all sources2014-12-31$236,489
Expenses. Total of all expenses incurred2014-12-31$41,659
Benefits paid (including direct rollovers)2014-12-31$41,561
Total plan assets at end of year2014-12-31$2,126,481
Total plan assets at beginning of year2014-12-31$1,931,651
Value of fidelity bond covering the plan2014-12-31$150,000
Total contributions received or receivable from participants2014-12-31$64,054
Other income received2014-12-31$147,335
Net income (gross income less expenses)2014-12-31$194,830
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,126,481
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,931,651
Assets. Value of participant loans2014-12-31$1,637
Total contributions received or receivable from employer(s)2014-12-31$25,100
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$98
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2013 401k financial data
Total income from all sources2013-12-31$414,582
Expenses. Total of all expenses incurred2013-12-31$80,931
Benefits paid (including direct rollovers)2013-12-31$65,480
Total plan assets at end of year2013-12-31$1,931,651
Total plan assets at beginning of year2013-12-31$1,598,000
Value of fidelity bond covering the plan2013-12-31$200,000
Total contributions received or receivable from participants2013-12-31$56,002
Other income received2013-12-31$297,205
Net income (gross income less expenses)2013-12-31$333,651
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,931,651
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,598,000
Assets. Value of participant loans2013-12-31$3,955
Total contributions received or receivable from employer(s)2013-12-31$61,375
Value of certain deemed distributions of participant loans2013-12-31$14,127
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,324
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0

Form 5500 Responses for ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN

2019: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 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
2018: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ST. CROIX MACHINE TOOL, INC. 401(K) P/S PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number112004
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number112004
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number112004
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number112004
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number112004
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number112004
Policy instance 1

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