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NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 401k Plan overview

Plan NameNORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN
Plan identification number 001

NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION
Employer identification number (EIN):450229318
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01
0012017-07-01
0012016-07-01
0012016-07-01
0012015-07-01
0012014-07-01
0012013-07-01MATTHEW FETSCH
0012012-07-01SHERMAN SYLLING
0012011-07-01SHERMAN SYLLING
0012010-07-01SHERMAN SYLLING
0012009-07-01SHERMAN SYLLING
0012008-07-01SHERMAN SYLLING
0012007-07-01SHERMAN SYLLING
0012006-07-01SHERMAN SYLLING
0012005-07-01SHERMAN SYLLING
0012004-07-01SHERMAN SYLLING
0012003-07-01SHERMAN SYLLING
0012002-07-01SHERMAN SYLLING
0012001-07-01SHERMAN SYLLING
0012000-07-01SHERMAN SYLLING
0011999-07-01SHERMAN SYLLING

Plan Statistics for NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN

401k plan membership statisitcs for NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN

Measure Date Value
2013: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0110
Total number of active participants reported on line 7a of the Form 55002013-07-018
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-011
Total of all active and inactive participants2013-07-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-019
Number of participants with account balances2013-07-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-019
Total number of active participants reported on line 7a of the Form 55002012-07-018
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-012
Total of all active and inactive participants2012-07-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-0110
Number of participants with account balances2012-07-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-019
Total number of active participants reported on line 7a of the Form 55002011-07-018
Number of other retired or separated participants entitled to future benefits2011-07-011
Total of all active and inactive participants2011-07-019
Total participants2011-07-019
Number of participants with account balances2011-07-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-018
Total number of active participants reported on line 7a of the Form 55002010-07-019
Total of all active and inactive participants2010-07-019
Total participants2010-07-019
Number of participants with account balances2010-07-019
2009: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-018
Total number of active participants reported on line 7a of the Form 55002009-07-018
Total of all active and inactive participants2009-07-018
Total participants2009-07-018
Number of participants with account balances2009-07-018
2008: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2008 401k membership
Total of all active and inactive participants2008-07-010
Total participants2008-07-010
2007: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2007 401k membership
Total of all active and inactive participants2007-07-010
Total participants2007-07-010
2006: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2006 401k membership
Total of all active and inactive participants2006-07-010
Total participants2006-07-010
2005: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2005 401k membership
Total of all active and inactive participants2005-07-010
Total participants2005-07-010
2004: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2004 401k membership
Total participants, beginning-of-year2004-07-010
Total of all active and inactive participants2004-07-010
Total participants2004-07-010
2003: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2003 401k membership
Total participants, beginning-of-year2003-07-010
Total of all active and inactive participants2003-07-010
Total participants2003-07-010
2002: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2002 401k membership
Total of all active and inactive participants2002-07-010
Total participants2002-07-010
2001: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2001 401k membership
Total of all active and inactive participants2001-07-010
Total participants2001-07-010
2000: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2000 401k membership
Total of all active and inactive participants2000-07-010
Total participants2000-07-010
1999: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 1999 401k membership
Total participants, beginning-of-year1999-07-010
Total of all active and inactive participants1999-07-010
Total participants1999-07-010

Financial Data on NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN

Measure Date Value
2014 : NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-06-30$255,022
Expenses. Total of all expenses incurred2014-06-30$425,100
Benefits paid (including direct rollovers)2014-06-30$424,954
Total plan assets at end of year2014-06-30$1,094,484
Total plan assets at beginning of year2014-06-30$1,264,562
Total contributions received or receivable from participants2014-06-30$17,782
Other income received2014-06-30$149,424
Net income (gross income less expenses)2014-06-30$-170,078
Net plan assets at end of year (total assets less liabilities)2014-06-30$1,094,484
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$1,264,562
Total contributions received or receivable from employer(s)2014-06-30$87,816
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$146
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
2013 : NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-06-30$203,788
Expenses. Total of all expenses incurred2013-06-30$146
Total plan assets at end of year2013-06-30$1,264,562
Total plan assets at beginning of year2013-06-30$1,060,920
Total contributions received or receivable from participants2013-06-30$18,984
Other income received2013-06-30$92,868
Net income (gross income less expenses)2013-06-30$203,642
Net plan assets at end of year (total assets less liabilities)2013-06-30$1,264,562
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$1,060,920
Total contributions received or receivable from employer(s)2013-06-30$91,936
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$146
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
2012 : NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-06-30$128,914
Expenses. Total of all expenses incurred2012-06-30$135
Total plan assets at end of year2012-06-30$1,060,920
Total plan assets at beginning of year2012-06-30$932,141
Total contributions received or receivable from participants2012-06-30$25,372
Other income received2012-06-30$27,831
Net income (gross income less expenses)2012-06-30$128,779
Net plan assets at end of year (total assets less liabilities)2012-06-30$1,060,920
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$932,141
Total contributions received or receivable from employer(s)2012-06-30$75,711
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$135
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
2011 : NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-06-30$231,003
Expenses. Total of all expenses incurred2011-06-30$131
Total plan assets at end of year2011-06-30$932,141
Total plan assets at beginning of year2011-06-30$701,269
Total contributions received or receivable from participants2011-06-30$23,400
Other income received2011-06-30$134,696
Net income (gross income less expenses)2011-06-30$230,872
Net plan assets at end of year (total assets less liabilities)2011-06-30$932,141
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$701,269
Total contributions received or receivable from employer(s)2011-06-30$72,907
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$131
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
2010 : NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN

2013: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes
2008: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01Submission has been amendedNo
2008-07-01This submission is the final filingNo
2008-07-01This return/report is a short plan year return/report (less than 12 months)No
2008-07-01Plan is a collectively bargained planNo
2007: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2007 form 5500 responses
2007-07-01Type of plan entitySingle employer plan
2007-07-01Submission has been amendedNo
2007-07-01This submission is the final filingNo
2007-07-01This return/report is a short plan year return/report (less than 12 months)No
2007-07-01Plan is a collectively bargained planNo
2006: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2006 form 5500 responses
2006-07-01Type of plan entitySingle employer plan
2006-07-01Submission has been amendedNo
2006-07-01This submission is the final filingNo
2006-07-01This return/report is a short plan year return/report (less than 12 months)No
2006-07-01Plan is a collectively bargained planNo
2005: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2005 form 5500 responses
2005-07-01Type of plan entitySingle employer plan
2005-07-01Submission has been amendedNo
2005-07-01This submission is the final filingNo
2005-07-01This return/report is a short plan year return/report (less than 12 months)No
2005-07-01Plan is a collectively bargained planNo
2004: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2004 form 5500 responses
2004-07-01Type of plan entitySingle employer plan
2004-07-01Submission has been amendedNo
2004-07-01This submission is the final filingNo
2004-07-01This return/report is a short plan year return/report (less than 12 months)No
2004-07-01Plan is a collectively bargained planNo
2003: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2003 form 5500 responses
2003-07-01Type of plan entitySingle employer plan
2003-07-01Submission has been amendedNo
2003-07-01This submission is the final filingNo
2003-07-01This return/report is a short plan year return/report (less than 12 months)No
2003-07-01Plan is a collectively bargained planNo
2002: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2002 form 5500 responses
2002-07-01Type of plan entitySingle employer plan
2002-07-01Submission has been amendedNo
2002-07-01This submission is the final filingNo
2002-07-01This return/report is a short plan year return/report (less than 12 months)No
2002-07-01Plan is a collectively bargained planNo
2001: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2001 form 5500 responses
2001-07-01Type of plan entityMulitple employer plan
2001-07-01Submission has been amendedNo
2001-07-01This submission is the final filingNo
2001-07-01This return/report is a short plan year return/report (less than 12 months)No
2001-07-01Plan is a collectively bargained planNo
2000: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 2000 form 5500 responses
2000-07-01Type of plan entitySingle employer plan
2000-07-01Submission has been amendedNo
2000-07-01This submission is the final filingNo
2000-07-01This return/report is a short plan year return/report (less than 12 months)No
2000-07-01Plan is a collectively bargained planNo
1999: NORTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION RETIREMENT PLAN 1999 form 5500 responses
1999-07-01Type of plan entitySingle employer plan
1999-07-01First time form 5500 has been submittedYes
1999-07-01Submission has been amendedYes
1999-07-01This submission is the final filingNo
1999-07-01This return/report is a short plan year return/report (less than 12 months)No
1999-07-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60788
Policy instance 1
Insurance contract or identification number60788
Number of Individuals Covered9
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $942
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $873
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameMR JENKINS
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60788
Policy instance 1
Insurance contract or identification number60788
Number of Individuals Covered10
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $1,907
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,401
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameC FLEISCHER
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60788
Policy instance 1
Insurance contract or identification number60788
Number of Individuals Covered9
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $1,016
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60788
Policy instance 1
Insurance contract or identification number60788
Number of Individuals Covered9
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $1,672
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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