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CLARK & ENERSEN, INC. RETIREMENT PLAN 401k Plan overview

Plan NameCLARK & ENERSEN, INC. RETIREMENT PLAN
Plan identification number 001

CLARK & ENERSEN, INC. 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 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.
  • 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

CLARK & ENERSEN, INC. has sponsored the creation of one or more 401k plans.

Company Name:CLARK & ENERSEN, INC.
Employer identification number (EIN):470468669
NAIC Classification:541310
NAIC Description:Architectural Services

Additional information about CLARK & ENERSEN, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2010-03-12
Company Identification Number: 0801243323
Legal Registered Office Address: 1010 LINCOLN MALL STE 200

LINCOLN
United States of America (USA)
68508

More information about CLARK & ENERSEN, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLARK & ENERSEN, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012018-01-01TED SCHIRMER2019-07-09 MELANIE STOVER2019-07-02
0012017-01-01ROBERT OLSON2018-08-07 MELANIE STOVER2018-08-07
0012016-01-01ROB OLSON2017-07-13 MELANIE STOVER2017-07-11
0012015-01-01MELANIE STOVER2016-08-02 ROB OLSON2016-08-02
0012014-01-01MELANIE STOVER2015-10-05 ROBERT OLSON2015-10-13
0012013-01-01MELANIE STOVER2014-07-17 ROBERT OLSON2014-07-18
0012012-01-01MELANIE STOVER2013-07-19 ROBERT OLSON2013-07-19
0012011-01-01MELANIE STOVER2012-05-15 MELANIE STOVER2012-05-15
0012010-01-01MELANIE STOVER2011-06-02 ROBERT OLSON2011-08-02
0012006-01-01ROBERT OLSON

Plan Statistics for CLARK & ENERSEN, INC. RETIREMENT PLAN

401k plan membership statisitcs for CLARK & ENERSEN, INC. RETIREMENT PLAN

Measure Date Value
2022: CLARK & ENERSEN, INC. RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01141
Total number of active participants reported on line 7a of the Form 55002022-01-01140
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0120
Total of all active and inactive participants2022-01-01160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01160
Number of participants with account balances2022-01-01145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-014
2021: CLARK & ENERSEN, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01137
Total number of active participants reported on line 7a of the Form 55002021-01-01129
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0110
Total of all active and inactive participants2021-01-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01139
Number of participants with account balances2021-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-015
2020: CLARK & ENERSEN, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01132
Total number of active participants reported on line 7a of the Form 55002020-01-01124
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0113
Total of all active and inactive participants2020-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01137
Number of participants with account balances2020-01-01126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2006: CLARK & ENERSEN, INC. RETIREMENT PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-0173
Total number of active participants reported on line 7a of the Form 55002006-01-0170
Number of other retired or separated participants entitled to future benefits2006-01-014
Total of all active and inactive participants2006-01-0174
Total participants2006-01-0174
Number of participants with account balances2006-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2006-01-012

Financial Data on CLARK & ENERSEN, INC. RETIREMENT PLAN

Measure Date Value
2022 : CLARK & ENERSEN, INC. RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-2,436,685
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,277,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,276,195
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,980,641
Value of total assets at end of year2022-12-31$23,668,340
Value of total assets at beginning of year2022-12-31$27,382,172
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$952
Total interest from all sources2022-12-31$9,070
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$75,195
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$75,195
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,395,286
Participant contributions at end of year2022-12-31$23,778
Participant contributions at beginning of year2022-12-31$80,249
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$127,157
Other income not declared elsewhere2022-12-31$-32,506
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,713,832
Value of net assets at end of year (total assets less liabilities)2022-12-31$23,668,340
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$27,382,172
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$6,046,016
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$7,253,989
Value of interest in pooled separate accounts at end of year2022-12-31$14,564,707
Value of interest in pooled separate accounts at beginning of year2022-12-31$16,452,507
Interest on participant loans2022-12-31$1,955
Interest earned on other investments2022-12-31$7,115
Value of interest in common/collective trusts at end of year2022-12-31$2,360,787
Value of interest in common/collective trusts at beginning of year2022-12-31$2,903,851
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$673,052
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$691,576
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,262,171
Net investment gain/loss from pooled separate accounts2022-12-31$-2,871,083
Net investment gain or loss from common/collective trusts2022-12-31$-335,831
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$458,198
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,276,195
Contract administrator fees2022-12-31$952
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : CLARK & ENERSEN, INC. RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$5,992,541
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,175,690
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,174,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,930,657
Value of total assets at end of year2021-12-31$27,382,172
Value of total assets at beginning of year2021-12-31$22,565,321
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,178
Total interest from all sources2021-12-31$9,771
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$84,634
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$84,634
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,215,546
Participant contributions at end of year2021-12-31$80,249
Participant contributions at beginning of year2021-12-31$42,081
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$300,917
Other income not declared elsewhere2021-12-31$-8,261
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$4,816,851
Value of net assets at end of year (total assets less liabilities)2021-12-31$27,382,172
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$22,565,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$7,253,989
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$6,815,281
Value of interest in pooled separate accounts at end of year2021-12-31$16,452,507
Value of interest in pooled separate accounts at beginning of year2021-12-31$13,345,335
Interest on participant loans2021-12-31$2,770
Interest earned on other investments2021-12-31$7,001
Value of interest in common/collective trusts at end of year2021-12-31$2,903,851
Value of interest in common/collective trusts at beginning of year2021-12-31$1,684,769
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$691,576
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$677,855
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,224,771
Net investment gain/loss from pooled separate accounts2021-12-31$2,563,366
Net investment gain or loss from common/collective trusts2021-12-31$187,603
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$414,194
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,174,512
Contract administrator fees2021-12-31$1,178
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : CLARK & ENERSEN, INC. RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,862,832
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$697,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$697,174
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Value of total corrective distributions2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,393,819
Value of total assets at end of year2020-12-31$22,565,321
Value of total assets at beginning of year2020-12-31$19,400,427
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$764
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$9,366
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$76,610
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$76,610
Administrative expenses professional fees incurred2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Amount of non-exempt transactions with any party-in-interest2020-12-31$0
Contributions received from participants2020-12-31$1,025,830
Participant contributions at end of year2020-12-31$42,081
Participant contributions at beginning of year2020-12-31$40,584
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$815
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$1,000
Administrative expenses (other) incurred2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$3,164,894
Value of net assets at end of year (total assets less liabilities)2020-12-31$22,565,321
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$19,400,427
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2020-12-31$0
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2020-12-31$0
Investment advisory and management fees2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$6,815,281
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$6,158,826
Value of interest in pooled separate accounts at end of year2020-12-31$13,345,335
Value of interest in pooled separate accounts at beginning of year2020-12-31$11,988,339
Interest on participant loans2020-12-31$2,716
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$6,650
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Value of interest in common/collective trusts at end of year2020-12-31$1,684,769
Value of interest in common/collective trusts at beginning of year2020-12-31$779,574
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$677,855
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$433,104
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$774,795
Net investment gain/loss from pooled separate accounts2020-12-31$1,401,283
Net investment gain or loss from common/collective trusts2020-12-31$205,959
Net gain/loss from 103.12 investment entities2020-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$367,174
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$697,174
Contract administrator fees2020-12-31$764
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260

Form 5500 Responses for CLARK & ENERSEN, INC. RETIREMENT PLAN

2022: CLARK & ENERSEN, INC. RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CLARK & ENERSEN, INC. RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CLARK & ENERSEN, INC. RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2006: CLARK & ENERSEN, INC. RETIREMENT PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan funding arrangement – TrustYes
2006-01-01Plan benefit arrangement – InsuranceYes
2006-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number387065
Policy instance 1
Insurance contract or identification number387065
Number of Individuals Covered160
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $23,100
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,100
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number387065
Policy instance 1
Insurance contract or identification number387065
Number of Individuals Covered139
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $22,894
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,894
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number387065
Policy instance 1
Insurance contract or identification number387065
Number of Individuals Covered137
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $16,783
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,783
Amount paid for insurance broker fees0
Insurance broker organization code?3

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