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RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 401k Plan overview

Plan NameRADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN
Plan identification number 001

RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.

401k Sponsoring company profile

RADIOLOGY ASSOCIATES OF DOTHAN, P.A. has sponsored the creation of one or more 401k plans.

Company Name:RADIOLOGY ASSOCIATES OF DOTHAN, P.A.
Employer identification number (EIN):630577764
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01LIANG GU2023-07-26
0012021-01-01LIANG GU2022-07-20
0012020-01-01LIANG GU
0012019-01-01LIANG GU2020-06-16
0012018-01-01JULIE ALEXANDER2019-07-29
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01MICHAEL N. DOWNING
0012011-01-01WILLIAM W. BECKETT
0012010-01-01GEORGE W. VEALE
0012009-01-01GEORGE W. VEALE

Plan Statistics for RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN

401k plan membership statisitcs for RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN

Measure Date Value
2022: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0115
Total number of active participants reported on line 7a of the Form 55002022-01-0116
Number of other retired or separated participants entitled to future benefits2022-01-011
Total of all active and inactive participants2022-01-0117
Total participants2022-01-0117
Number of participants with account balances2022-01-0117
2021: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0112
Total number of active participants reported on line 7a of the Form 55002021-01-0114
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-0115
Total participants2021-01-0115
Number of participants with account balances2021-01-0115
2020: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0112
Total number of active participants reported on line 7a of the Form 55002020-01-0112
Total of all active and inactive participants2020-01-0112
Total participants2020-01-0112
Number of participants with account balances2020-01-0112
2019: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0113
Total number of active participants reported on line 7a of the Form 55002019-01-0112
Total of all active and inactive participants2019-01-0112
Total participants2019-01-0112
Number of participants with account balances2019-01-0112
2018: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0114
Total number of active participants reported on line 7a of the Form 55002018-01-0113
Total of all active and inactive participants2018-01-0113
Total participants2018-01-0113
Number of participants with account balances2018-01-0113
2017: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0112
Total number of active participants reported on line 7a of the Form 55002017-01-0114
Total of all active and inactive participants2017-01-0114
Total participants2017-01-0114
Number of participants with account balances2017-01-0114
2016: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0114
Total number of active participants reported on line 7a of the Form 55002016-01-0112
Total of all active and inactive participants2016-01-0112
Total participants2016-01-0112
Number of participants with account balances2016-01-0112
2015: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0116
Total number of active participants reported on line 7a of the Form 55002015-01-0113
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0114
Total participants2015-01-0114
Number of participants with account balances2015-01-0114
2014: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0115
Total number of active participants reported on line 7a of the Form 55002014-01-0113
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0116
Total participants2014-01-0116
Number of participants with account balances2014-01-0116
2013: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0117
Total number of active participants reported on line 7a of the Form 55002013-01-0115
Total of all active and inactive participants2013-01-0115
Total participants2013-01-0115
Number of participants with account balances2013-01-0115
2012: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0117
Total number of active participants reported on line 7a of the Form 55002012-01-0114
Number of other retired or separated participants entitled to future benefits2012-01-013
Total of all active and inactive participants2012-01-0117
Total participants2012-01-0117
Number of participants with account balances2012-01-0117
2011: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0117
Total number of active participants reported on line 7a of the Form 55002011-01-0114
Number of other retired or separated participants entitled to future benefits2011-01-013
Total of all active and inactive participants2011-01-0117
Total participants2011-01-0117
Number of participants with account balances2011-01-0117
2010: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0117
Total number of active participants reported on line 7a of the Form 55002010-01-0114
Number of other retired or separated participants entitled to future benefits2010-01-013
Total of all active and inactive participants2010-01-0117
Total participants2010-01-0117
Number of participants with account balances2010-01-0117
2009: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0117
Total number of active participants reported on line 7a of the Form 55002009-01-0114
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0117
Total participants2009-01-0117
Number of participants with account balances2009-01-0117

Financial Data on RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN

Measure Date Value
2022 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-12-31$-4,190,848
Expenses. Total of all expenses incurred2022-12-31$60,193
Total plan assets at end of year2022-12-31$21,937,645
Total plan assets at beginning of year2022-12-31$26,188,686
Value of fidelity bond covering the plan2022-12-31$500,000
Other income received2022-12-31$-5,166,848
Net income (gross income less expenses)2022-12-31$-4,251,041
Net plan assets at end of year (total assets less liabilities)2022-12-31$21,937,645
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$26,188,686
Total contributions received or receivable from employer(s)2022-12-31$976,000
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$60,193
2021 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$5,376,384
Expenses. Total of all expenses incurred2021-12-31$66,532
Total plan assets at end of year2021-12-31$26,188,686
Total plan assets at beginning of year2021-12-31$20,878,834
Value of fidelity bond covering the plan2021-12-31$500,000
Other income received2021-12-31$4,564,384
Net income (gross income less expenses)2021-12-31$5,309,852
Net plan assets at end of year (total assets less liabilities)2021-12-31$26,188,686
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$20,878,834
Total contributions received or receivable from employer(s)2021-12-31$812,000
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$66,532
2020 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$4,000,239
Expenses. Total of all expenses incurred2020-12-31$47,533
Total plan assets at end of year2020-12-31$20,878,834
Total plan assets at beginning of year2020-12-31$16,926,128
Value of fidelity bond covering the plan2020-12-31$500,000
Other income received2020-12-31$3,316,239
Net income (gross income less expenses)2020-12-31$3,952,706
Net plan assets at end of year (total assets less liabilities)2020-12-31$20,878,834
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$16,926,128
Total contributions received or receivable from employer(s)2020-12-31$684,000
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$47,533
2019 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$3,937,774
Expenses. Total of all expenses incurred2019-12-31$4,058,194
Benefits paid (including direct rollovers)2019-12-31$4,015,637
Total plan assets at end of year2019-12-31$16,926,128
Total plan assets at beginning of year2019-12-31$17,046,548
Value of fidelity bond covering the plan2019-12-31$500,000
Other income received2019-12-31$3,265,774
Net income (gross income less expenses)2019-12-31$-120,420
Net plan assets at end of year (total assets less liabilities)2019-12-31$16,926,128
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$17,046,548
Total contributions received or receivable from employer(s)2019-12-31$672,000
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$42,557
2018 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-534,768
Expenses. Total of all expenses incurred2018-12-31$3,656,163
Benefits paid (including direct rollovers)2018-12-31$3,598,964
Total plan assets at end of year2018-12-31$17,046,548
Total plan assets at beginning of year2018-12-31$21,237,479
Value of fidelity bond covering the plan2018-12-31$500,000
Other income received2018-12-31$-1,249,768
Net income (gross income less expenses)2018-12-31$-4,190,931
Net plan assets at end of year (total assets less liabilities)2018-12-31$17,046,548
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$21,237,479
Total contributions received or receivable from employer(s)2018-12-31$715,000
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$57,199
2017 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$3,555,666
Expenses. Total of all expenses incurred2017-12-31$19,891
Total plan assets at end of year2017-12-31$21,237,479
Total plan assets at beginning of year2017-12-31$17,701,704
Value of fidelity bond covering the plan2017-12-31$500,000
Other income received2017-12-31$2,799,666
Net income (gross income less expenses)2017-12-31$3,535,775
Net plan assets at end of year (total assets less liabilities)2017-12-31$21,237,479
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$17,701,704
Total contributions received or receivable from employer(s)2017-12-31$756,000
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$19,891
2016 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$2,703,597
Expenses. Total of all expenses incurred2016-12-31$2,547,181
Benefits paid (including direct rollovers)2016-12-31$2,526,605
Total plan assets at end of year2016-12-31$17,701,704
Total plan assets at beginning of year2016-12-31$17,545,288
Value of fidelity bond covering the plan2016-12-31$500,000
Other income received2016-12-31$2,067,597
Net income (gross income less expenses)2016-12-31$156,416
Net plan assets at end of year (total assets less liabilities)2016-12-31$17,701,704
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$17,545,288
Total contributions received or receivable from employer(s)2016-12-31$636,000
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$20,576
2015 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$910,405
Expenses. Total of all expenses incurred2015-12-31$32,910
Benefits paid (including direct rollovers)2015-12-31$1,012
Total plan assets at end of year2015-12-31$17,545,288
Total plan assets at beginning of year2015-12-31$16,667,793
Value of fidelity bond covering the plan2015-12-31$500,000
Other income received2015-12-31$168,405
Net income (gross income less expenses)2015-12-31$877,495
Net plan assets at end of year (total assets less liabilities)2015-12-31$17,545,288
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$16,667,793
Total contributions received or receivable from employer(s)2015-12-31$742,000
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$31,898
2014 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$2,176,903
Expenses. Total of all expenses incurred2014-12-31$522,120
Benefits paid (including direct rollovers)2014-12-31$493,493
Total plan assets at end of year2014-12-31$16,667,793
Total plan assets at beginning of year2014-12-31$15,013,010
Value of fidelity bond covering the plan2014-12-31$500,000
Other income received2014-12-31$1,500,903
Net income (gross income less expenses)2014-12-31$1,654,783
Net plan assets at end of year (total assets less liabilities)2014-12-31$16,667,793
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$15,013,010
Total contributions received or receivable from employer(s)2014-12-31$676,000
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$28,627
2013 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$3,389,996
Expenses. Total of all expenses incurred2013-12-31$3,497,679
Benefits paid (including direct rollovers)2013-12-31$3,442,216
Total plan assets at end of year2013-12-31$15,013,010
Total plan assets at beginning of year2013-12-31$15,120,693
Value of fidelity bond covering the plan2013-12-31$500,000
Other income received2013-12-31$2,709,351
Net income (gross income less expenses)2013-12-31$-107,683
Net plan assets at end of year (total assets less liabilities)2013-12-31$15,013,010
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$15,120,693
Total contributions received or receivable from employer(s)2013-12-31$680,645
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$55,463
2012 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$2,196,133
Expenses. Total of all expenses incurred2012-12-31$3,680,990
Benefits paid (including direct rollovers)2012-12-31$3,642,249
Total plan assets at end of year2012-12-31$15,120,693
Total plan assets at beginning of year2012-12-31$16,605,550
Value of fidelity bond covering the plan2012-12-31$500,000
Other income received2012-12-31$1,530,915
Net income (gross income less expenses)2012-12-31$-1,484,857
Net plan assets at end of year (total assets less liabilities)2012-12-31$15,120,693
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$16,605,550
Total contributions received or receivable from employer(s)2012-12-31$665,218
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$38,741
2011 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$665,266
Expenses. Total of all expenses incurred2011-12-31$66,036
Total plan assets at end of year2011-12-31$16,605,550
Total plan assets at beginning of year2011-12-31$16,006,320
Value of fidelity bond covering the plan2011-12-31$500,000
Other income received2011-12-31$13,464
Net income (gross income less expenses)2011-12-31$599,230
Net plan assets at end of year (total assets less liabilities)2011-12-31$16,605,550
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$16,006,320
Total contributions received or receivable from employer(s)2011-12-31$651,802
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$66,036
2010 : RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$2,190,493
Expenses. Total of all expenses incurred2010-12-31$58,559
Total plan assets at end of year2010-12-31$16,006,320
Total plan assets at beginning of year2010-12-31$13,874,386
Value of fidelity bond covering the plan2010-12-31$500,000
Other income received2010-12-31$1,539,093
Net income (gross income less expenses)2010-12-31$2,131,934
Net plan assets at end of year (total assets less liabilities)2010-12-31$16,006,320
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$13,874,386
Total contributions received or receivable from employer(s)2010-12-31$651,400
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$58,559

Form 5500 Responses for RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN

2022: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: RADIOLOGY ASSOCIATES OF DOTHAN, P.A. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 )
Policy contract number0115760
Policy instance 1
Insurance contract or identification number0115760
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameJAMES L. COOK, JR.
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 )
Policy contract number0115760
Policy instance 1
Insurance contract or identification number0115760
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameJAMES L. COOK, JR.
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 )
Policy contract number0115760
Policy instance 1
Insurance contract or identification number0115760
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 )
Policy contract number0115760
Policy instance 1
Insurance contract or identification number0115760
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameJAMES L. COOK, JR.

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