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CO-OP 401(K) PLAN 401k Plan overview

Plan NameCO-OP 401(K) PLAN
Plan identification number 002

CO-OP 401(K) 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

NORTHERN STAR COOPERATIVE SERVICE has sponsored the creation of one or more 401k plans.

Company Name:NORTHERN STAR COOPERATIVE SERVICE
Employer identification number (EIN):410248090
NAIC Classification:115110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CO-OP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-10-01BRADLEY BOX
0022022-10-01
0022022-10-01BRADLEY BOX
0022021-10-01
0022021-10-01BRADLEY BOX
0022020-10-01
0022020-10-01
0022019-10-01BRADLEY BOX2021-07-09 NIKKI OSSE2021-07-09
0022018-10-01BRADLEY BOX2020-05-01
0022017-10-01BRADLEY BOX2019-07-01
0022016-10-01BRADLEY BOX2017-12-20 NIKKI OSSE2017-12-20
0022015-10-01BRADLEY BOX2017-03-27
0022014-10-01DAVE DELAWYER2016-02-10 NICOLE OSSE2016-02-10
0022014-10-01DAVE DELAWYER2015-12-15 NICOLE OSSE2015-12-15
0022013-10-01DAVE DELAWYER2015-07-10
0022012-10-01DAVE DELAWYER2014-01-29
0022011-10-01DAVE DELAWYER2012-11-30
0022010-10-01DAVE DELAWYER2012-03-09
0022009-10-01JOHN REED

Financial Data on CO-OP 401(K) PLAN

Measure Date Value
2023 : CO-OP 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$711
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$1,045
Total income from all sources (including contributions)2023-09-30$1,220,810
Total loss/gain on sale of assets2023-09-30$0
Total of all expenses incurred2023-09-30$784,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-09-30$745,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-09-30$478,639
Value of total assets at end of year2023-09-30$6,596,911
Value of total assets at beginning of year2023-09-30$6,161,003
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-09-30$39,028
Total interest from all sources2023-09-30$2,697
Total dividends received (eg from common stock, registered investment company shares)2023-09-30$276,745
Total dividends received from registered investment company shares (eg mutual funds)2023-09-30$276,745
Administrative expenses professional fees incurred2023-09-30$36,708
Was this plan covered by a fidelity bond2023-09-30Yes
Value of fidelity bond cover2023-09-30$500,000
If this is an individual account plan, was there a blackout period2023-09-30No
Were there any nonexempt tranactions with any party-in-interest2023-09-30No
Contributions received from participants2023-09-30$235,785
Participant contributions at end of year2023-09-30$65,762
Participant contributions at beginning of year2023-09-30$65,608
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-09-30$711
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-09-30$1,045
Other income not declared elsewhere2023-09-30$49,458
Administrative expenses (other) incurred2023-09-30$2,320
Total non interest bearing cash at end of year2023-09-30$20,025
Total non interest bearing cash at beginning of year2023-09-30$20,523
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Value of net income/loss2023-09-30$436,242
Value of net assets at end of year (total assets less liabilities)2023-09-30$6,596,200
Value of net assets at beginning of year (total assets less liabilities)2023-09-30$6,159,958
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-09-30No
Were any leases to which the plan was party in default or uncollectible2023-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-09-30$5,702,967
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-09-30$4,885,953
Interest on participant loans2023-09-30$2,697
Value of interest in common/collective trusts at end of year2023-09-30$21,115
Value of interest in common/collective trusts at beginning of year2023-09-30$43,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-09-30$217
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-09-30$495
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-09-30$495
Asset value of US Government securities at end of year2023-09-30$258,583
Asset value of US Government securities at beginning of year2023-09-30$356,746
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-09-30$412,507
Net investment gain or loss from common/collective trusts2023-09-30$764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-09-30No
Was there a failure to transmit to the plan any participant contributions2023-09-30No
Has the plan failed to provide any benefit when due under the plan2023-09-30No
Contributions received in cash from employer2023-09-30$242,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-09-30$745,540
Asset. Corporate debt instrument preferred debt at end of year2023-09-30$165,334
Asset. Corporate debt instrument preferred debt at beginning of year2023-09-30$270,568
Asset. Corporate debt instrument debt (other) at end of year2023-09-30$362,908
Asset. Corporate debt instrument debt (other) at beginning of year2023-09-30$517,946
Did the plan have assets held for investment2023-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-09-30No
Opinion of an independent qualified public accountant for this plan2023-09-30Unqualified
Accountancy firm name2023-09-30CARLSON SV, LLP
Accountancy firm EIN2023-09-30411562398
2022 : CO-OP 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-10-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-01$711
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-01$1,045
Total income from all sources (including contributions)2022-10-01$1,220,810
Total loss/gain on sale of assets2022-10-01$0
Total of all expenses incurred2022-10-01$784,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-10-01$745,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-10-01$478,639
Value of total assets at end of year2022-10-01$6,596,911
Value of total assets at beginning of year2022-10-01$6,161,003
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-10-01$39,028
Total interest from all sources2022-10-01$2,697
Total dividends received (eg from common stock, registered investment company shares)2022-10-01$276,745
Total dividends received from registered investment company shares (eg mutual funds)2022-10-01$276,745
Administrative expenses professional fees incurred2022-10-01$36,708
Was this plan covered by a fidelity bond2022-10-01Yes
Value of fidelity bond cover2022-10-01$500,000
If this is an individual account plan, was there a blackout period2022-10-01No
Were there any nonexempt tranactions with any party-in-interest2022-10-01No
Contributions received from participants2022-10-01$235,785
Participant contributions at end of year2022-10-01$65,762
Participant contributions at beginning of year2022-10-01$65,608
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-10-01$711
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-10-01$1,045
Other income not declared elsewhere2022-10-01$49,458
Administrative expenses (other) incurred2022-10-01$2,320
Total non interest bearing cash at end of year2022-10-01$20,025
Total non interest bearing cash at beginning of year2022-10-01$20,523
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-01No
Value of net income/loss2022-10-01$436,242
Value of net assets at end of year (total assets less liabilities)2022-10-01$6,596,200
Value of net assets at beginning of year (total assets less liabilities)2022-10-01$6,159,958
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-10-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-10-01No
Were any leases to which the plan was party in default or uncollectible2022-10-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-10-01$5,702,967
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-10-01$4,885,953
Interest on participant loans2022-10-01$2,697
Value of interest in common/collective trusts at end of year2022-10-01$21,115
Value of interest in common/collective trusts at beginning of year2022-10-01$43,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-10-01$217
Asset value of US Government securities at end of year2022-10-01$258,583
Asset value of US Government securities at beginning of year2022-10-01$356,746
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-10-01$412,507
Net investment gain or loss from common/collective trusts2022-10-01$764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-10-01No
Was there a failure to transmit to the plan any participant contributions2022-10-01No
Has the plan failed to provide any benefit when due under the plan2022-10-01No
Contributions received in cash from employer2022-10-01$242,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-10-01$745,540
Asset. Corporate debt instrument preferred debt at end of year2022-10-01$165,334
Asset. Corporate debt instrument preferred debt at beginning of year2022-10-01$270,568
Asset. Corporate debt instrument debt (other) at end of year2022-10-01$362,908
Asset. Corporate debt instrument debt (other) at beginning of year2022-10-01$517,946
Did the plan have assets held for investment2022-10-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-10-01No
Opinion of an independent qualified public accountant for this plan2022-10-011
Accountancy firm name2022-10-01CARLSON SV, LLP
Accountancy firm EIN2022-10-01411562398
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$1,045
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$974
Total income from all sources (including contributions)2022-09-30$-957,240
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$437,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$397,439
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$464,091
Value of total assets at end of year2022-09-30$6,161,003
Value of total assets at beginning of year2022-09-30$7,555,653
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$40,042
Total interest from all sources2022-09-30$2,749
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$444,315
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$444,315
Administrative expenses professional fees incurred2022-09-30$37,941
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$231,486
Participant contributions at end of year2022-09-30$65,608
Participant contributions at beginning of year2022-09-30$47,514
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-09-30$1,045
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-09-30$974
Other income not declared elsewhere2022-09-30$-133,222
Administrative expenses (other) incurred2022-09-30$2,101
Total non interest bearing cash at end of year2022-09-30$20,523
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-1,394,721
Value of net assets at end of year (total assets less liabilities)2022-09-30$6,159,958
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$7,554,679
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$4,885,953
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$6,222,291
Interest on participant loans2022-09-30$2,749
Value of interest in common/collective trusts at end of year2022-09-30$43,164
Value of interest in common/collective trusts at beginning of year2022-09-30$102,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-09-30$495
Asset value of US Government securities at end of year2022-09-30$356,746
Asset value of US Government securities at beginning of year2022-09-30$569,641
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-1,735,452
Net investment gain or loss from common/collective trusts2022-09-30$279
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$232,605
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$397,439
Asset. Corporate debt instrument preferred debt at end of year2022-09-30$270,568
Asset. Corporate debt instrument preferred debt at beginning of year2022-09-30$190,977
Asset. Corporate debt instrument debt (other) at end of year2022-09-30$517,946
Asset. Corporate debt instrument debt (other) at beginning of year2022-09-30$423,082
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30CARLSON SV, LLP
Accountancy firm EIN2022-09-30411562398
2021 : CO-OP 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$974
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total income from all sources (including contributions)2021-09-30$1,673,522
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$890,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$852,941
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$404,187
Value of total assets at end of year2021-09-30$7,555,653
Value of total assets at beginning of year2021-09-30$6,771,391
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$37,293
Total interest from all sources2021-09-30$2,321
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$226,735
Administrative expenses professional fees incurred2021-09-30$35,167
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$400,000
If this is an individual account plan, was there a blackout period2021-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$201,402
Participant contributions at end of year2021-09-30$47,514
Participant contributions at beginning of year2021-09-30$43,487
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-09-30$974
Other income not declared elsewhere2021-09-30$89,146
Administrative expenses (other) incurred2021-09-30$2,126
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$783,288
Value of net assets at end of year (total assets less liabilities)2021-09-30$7,554,679
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$6,771,391
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$6,222,291
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$6,727,904
Interest on participant loans2021-09-30$2,321
Value of interest in common/collective trusts at end of year2021-09-30$102,148
Asset value of US Government securities at end of year2021-09-30$569,641
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$951,096
Net investment gain or loss from common/collective trusts2021-09-30$37
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$202,785
Income. Dividends from preferred stock2021-09-30$226,735
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$852,941
Asset. Corporate debt instrument preferred debt at end of year2021-09-30$190,977
Asset. Corporate debt instrument debt (other) at end of year2021-09-30$423,082
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30CARLSON SV, LLP
Accountancy firm EIN2021-09-30411562398
2010 : CO-OP 401(K) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for CO-OP 401(K) PLAN

2022: CO-OP 401(K) PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)No
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – TrustYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement - TrustYes
2021: CO-OP 401(K) PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: CO-OP 401(K) PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2009: CO-OP 401(K) PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number166920
Policy instance 1
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number166920
Policy instance 1
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number166920
Policy instance 1

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