401k Plan data: BODY ART FORMS, LLC 401(K) PLAN plan

BODY ART FORMS, LLC 401(K) PLAN 401k Plan overview

Plan Name	BODY ART FORMS, LLC 401(K) PLAN
Plan identification number	001

BODY ART FORMS, LLC 401(K) PLAN Benefits

401k Plan Type

Defined 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.
Plan covering Self-Employed individuals.
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

BODY ART FORMS, LLC has sponsored the creation of one or more 401k plans.

Company Name: BODY ART FORMS, LLC

Employer identification number (EIN): 470851761

NAIC Classification: 448310
NAIC Description: Jewelry Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BODY ART FORMS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 AMANDA BUNCH 2024-04-10
001 2022-01-01 AMANDA BUNCH 2023-05-24
001 2021-01-01 AMANDA BUNCH 2022-05-19
001 2020-01-01 AMANDA BUNCH 2021-05-05 AMANDA BUNCH 2021-05-05
001 2018-01-01 AMANDA BUNCH 2019-06-03 AMANDA BUNCH 2019-06-03
001 2017-01-01 AMANDA BUNCH 2018-06-17 AMANDA BUNCH 2018-06-17
001 2016-01-01 AMANDA BUNCH 2017-06-23
001 2015-01-01 AMANDA BUNCH 2020-02-05 AMANDA BUNCH 2020-02-05
001 2014-01-01
001 2013-01-01
001 2012-01-01
001 2011-01-01
001 2010-03-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	AMANDA BUNCH	2024-04-10
001	2022-01-01	AMANDA BUNCH	2023-05-24
001	2021-01-01	AMANDA BUNCH	2022-05-19
001	2020-01-01	AMANDA BUNCH	2021-05-05	AMANDA BUNCH	2021-05-05
001	2018-01-01	AMANDA BUNCH	2019-06-03	AMANDA BUNCH	2019-06-03
001	2017-01-01	AMANDA BUNCH	2018-06-17	AMANDA BUNCH	2018-06-17
001	2016-01-01	AMANDA BUNCH	2017-06-23
001	2015-01-01	AMANDA BUNCH	2020-02-05	AMANDA BUNCH	2020-02-05
001	2014-01-01
001	2013-01-01
001	2012-01-01
001	2011-01-01
001	2010-03-01

Plan Statistics for BODY ART FORMS, LLC 401(K) PLAN

401k plan membership statisitcs for BODY ART FORMS, LLC 401(K) PLAN

Measure Date Value
2025: BODY ART FORMS, LLC 401(K) PLAN 2025 401k membership
Total number of particpants at beginning of year 2025-05-05 17
Total number of particpants at end of year 2025-05-05 19
Number of Participants With Account Balances 2025-05-05 17
2024: BODY ART FORMS, LLC 401(K) PLAN 2024 401k membership
Total number of particpants at beginning of year 2024-04-10 19
Total number of particpants at end of year 2024-04-10 17
Number of Participants With Account Balances 2024-04-10 15
2022: BODY ART FORMS, LLC 401(K) PLAN 2022 401k membership
Total number of particpants at beginning of year 2022-05-19 11
Total number of particpants at end of year 2022-05-19 17
Number of Participants With Account Balances 2022-05-19 16
2014: BODY ART FORMS, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 6
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 8
Number of participants with account balances 2014-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BODY ART FORMS, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 8
Number of participants with account balances 2013-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BODY ART FORMS, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BODY ART FORMS, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: BODY ART FORMS, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-03-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-03-01 7
Number of retired or separated participants receiving benefits 2010-03-01 0
Number of other retired or separated participants entitled to future benefits 2010-03-01 0
Total of all active and inactive participants 2010-03-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-03-01 0
Total participants 2010-03-01 7
Number of participants with account balances 2010-03-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-03-01 0

Measure	Date	Value
2025: BODY ART FORMS, LLC 401(K) PLAN 2025 401k membership
Total number of particpants at beginning of year	2025-05-05	17
Total number of particpants at end of year	2025-05-05	19
Number of Participants With Account Balances	2025-05-05	17
2024: BODY ART FORMS, LLC 401(K) PLAN 2024 401k membership
Total number of particpants at beginning of year	2024-04-10	19
Total number of particpants at end of year	2024-04-10	17
Number of Participants With Account Balances	2024-04-10	15
2022: BODY ART FORMS, LLC 401(K) PLAN 2022 401k membership
Total number of particpants at beginning of year	2022-05-19	11
Total number of particpants at end of year	2022-05-19	17
Number of Participants With Account Balances	2022-05-19	16
2014: BODY ART FORMS, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	6
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	8
Number of participants with account balances	2014-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BODY ART FORMS, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	8
Number of participants with account balances	2013-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BODY ART FORMS, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BODY ART FORMS, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: BODY ART FORMS, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-03-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-03-01	7
Number of retired or separated participants receiving benefits	2010-03-01	0
Number of other retired or separated participants entitled to future benefits	2010-03-01	0
Total of all active and inactive participants	2010-03-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-03-01	0
Total participants	2010-03-01	7
Number of participants with account balances	2010-03-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-03-01	0

Financial Data on BODY ART FORMS, LLC 401(K) PLAN

Measure	Date	Value
2025 : BODY ART FORMS, LLC 401(K) PLAN 2025 401k financial data
Total liabilities as of the beginning of the plan year	2025-05-05	0
Total expenses incurred by plan in this plan year	2025-05-05	10349
Net assets as of the end of the plan year	2025-05-05	1599648
Total assets as of the beginning of the plan year	2025-05-05	1311405
Value of plan covered by a fidelity bond	2025-05-05	150000
Participant contributions to plan in this plan year	2025-05-05	71879
Value of participant loans at end of plan year	2025-05-05	6221
Other income to plan in this plan year	2025-05-05	192912
Plan net income in this plan year	2025-05-05	288243
Net assets as of the end of the plan year	2025-05-05	1599648
Net assets as of the beginning of the plan year	2025-05-05	1311405
Employer contributions to plan in this plan year	2025-05-05	33801
Expensese paid to adminstrative service provicers from plan in this plan year	2025-05-05	480
2024 : BODY ART FORMS, LLC 401(K) PLAN 2024 401k financial data
Total liabilities as of the beginning of the plan year	2024-04-10	0
Total expenses incurred by plan in this plan year	2024-04-10	101
Net assets as of the end of the plan year	2024-04-10	1311405
Total assets as of the beginning of the plan year	2024-04-10	1005972
Value of plan covered by a fidelity bond	2024-04-10	150000
Participant contributions to plan in this plan year	2024-04-10	68264
Other income to plan in this plan year	2024-04-10	205770
Plan net income in this plan year	2024-04-10	305433
Net assets as of the end of the plan year	2024-04-10	1311405
Net assets as of the beginning of the plan year	2024-04-10	1005972
Employer contributions to plan in this plan year	2024-04-10	31500
Expensese paid to adminstrative service provicers from plan in this plan year	2024-04-10	75
2022 : BODY ART FORMS, LLC 401(K) PLAN 2022 401k financial data
Total liabilities as of the beginning of the plan year	2022-05-19	0
Total expenses incurred by plan in this plan year	2022-05-19	0
Net assets as of the end of the plan year	2022-05-19	1109499
Total assets as of the beginning of the plan year	2022-05-19	872486
Value of plan covered by a fidelity bond	2022-05-19	150000
Participant contributions to plan in this plan year	2022-05-19	66125
Value of participant loans at end of plan year	2022-05-19	0
Other income to plan in this plan year	2022-05-19	143753
Plan net income in this plan year	2022-05-19	237013
Net assets as of the end of the plan year	2022-05-19	1109499
Net assets as of the beginning of the plan year	2022-05-19	872486
Employer contributions to plan in this plan year	2022-05-19	27135
Expensese paid to adminstrative service provicers from plan in this plan year	2022-05-19	0
2014 : BODY ART FORMS, LLC 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$64,839
Expenses. Total of all expenses incurred	2014-12-31	$6,795
Benefits paid (including direct rollovers)	2014-12-31	$6,770
Total plan assets at end of year	2014-12-31	$263,358
Total plan assets at beginning of year	2014-12-31	$205,314
Value of fidelity bond covering the plan	2014-12-31	$100
Total contributions received or receivable from participants	2014-12-31	$33,512
Expenses. Other expenses not covered elsewhere	2014-12-31	$25
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$14,397
Net income (gross income less expenses)	2014-12-31	$58,044
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$263,358
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$205,314
Total contributions received or receivable from employer(s)	2014-12-31	$16,930
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : BODY ART FORMS, LLC 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$82,990
Expenses. Total of all expenses incurred	2013-12-31	$3,959
Benefits paid (including direct rollovers)	2013-12-31	$3,934
Total plan assets at end of year	2013-12-31	$205,314
Total plan assets at beginning of year	2013-12-31	$126,283
Value of fidelity bond covering the plan	2013-12-31	$100
Total contributions received or receivable from participants	2013-12-31	$32,761
Expenses. Other expenses not covered elsewhere	2013-12-31	$25
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$34,238
Net income (gross income less expenses)	2013-12-31	$79,031
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$205,314
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$126,283
Total contributions received or receivable from employer(s)	2013-12-31	$15,991
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : BODY ART FORMS, LLC 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$56,391
Expenses. Total of all expenses incurred	2012-12-31	$1,030
Benefits paid (including direct rollovers)	2012-12-31	$1,018
Total plan assets at end of year	2012-12-31	$126,283
Total plan assets at beginning of year	2012-12-31	$70,922
Value of fidelity bond covering the plan	2012-12-31	$100
Total contributions received or receivable from participants	2012-12-31	$30,517
Expenses. Other expenses not covered elsewhere	2012-12-31	$12
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$11,397
Net income (gross income less expenses)	2012-12-31	$55,361
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$126,283
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$70,922
Total contributions received or receivable from employer(s)	2012-12-31	$14,477
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
2011 : BODY ART FORMS, LLC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$41,273
Expenses. Total of all expenses incurred	2011-12-31	$1,729
Benefits paid (including direct rollovers)	2011-12-31	$1,698
Total plan assets at end of year	2011-12-31	$70,922
Total plan assets at beginning of year	2011-12-31	$31,378
Value of fidelity bond covering the plan	2011-12-31	$100
Total contributions received or receivable from participants	2011-12-31	$29,124
Expenses. Other expenses not covered elsewhere	2011-12-31	$31
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-1,034
Net income (gross income less expenses)	2011-12-31	$39,544
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$70,922
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$31,378
Assets. Value of participant loans	2011-12-31	$1,000
Total contributions received or receivable from employer(s)	2011-12-31	$13,183
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : BODY ART FORMS, LLC 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$31,378
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$31,378
Total plan assets at beginning of year	2010-12-31	$0
Value of fidelity bond covering the plan	2010-12-31	$150,000
Total contributions received or receivable from participants	2010-12-31	$20,253
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$2,696
Net income (gross income less expenses)	2010-12-31	$31,378
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$31,378
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$8,429
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for BODY ART FORMS, LLC 401(K) PLAN

2014: BODY ART FORMS, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: BODY ART FORMS, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: BODY ART FORMS, LLC 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: BODY ART FORMS, LLC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: BODY ART FORMS, LLC 401(K) PLAN 2010 form 5500 responses
2010-03-01	Type of plan entity	Single employer plan
2010-03-01	Submission has been amended	Yes
2010-03-01	This submission is the final filing	No
2010-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2010-03-01	Plan is a collectively bargained plan	No
2010-03-01	Plan funding arrangement – Insurance	Yes
2010-03-01	Plan funding arrangement – Trust	Yes
2010-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-821155
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-821155
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-821155
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-821155
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-821155
Policy instance	1

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Company Name:	BODY ART FORMS, LLC
Employer identification number (EIN):	470851761
NAIC Classification:	448310
NAIC Description:	Jewelry Stores