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DONALD LAMEY MONEY PURCHASE PLAN 401k Plan overview

Plan NameDONALD LAMEY MONEY PURCHASE PLAN
Plan identification number 001

DONALD LAMEY MONEY PURCHASE PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • Profit-sharing
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

DONALD LAMEY STATE FARM has sponsored the creation of one or more 401k plans.

Company Name:DONALD LAMEY STATE FARM
Employer identification number (EIN):640592582
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DONALD LAMEY MONEY PURCHASE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01DONALD LAMEY2015-06-11
0012013-01-01DONALD LAMEY2014-06-26
0012012-01-01DONALD LAMEY2013-10-09
0012011-01-01DONALD LAMEY DONALD LAMEY2013-02-08
0012010-01-01DONALD LAMEY DONALD LAMEY2013-02-08
0012009-01-01DONALD LAMEY DONALD LAMEY2013-02-01
0012009-01-01DONALD LAMEY DONALD LAMEY2013-02-08
0012008-01-01DONALD LAMEY DONALD LAMEY2013-02-08
0012007-01-01DONALD LAMEY DONALD LAMEY2013-02-08
0012006-01-01DONALD LAMEY DONALD LAMEY2013-02-08
0012005-01-01DONALD LAMEY DONALD LAMEY2013-02-08
0012004-01-01DONALD LAMEY DONALD LAMEY2013-02-08
0012003-01-01DONALD LAMEY DONALD LAMEY2013-02-08

Plan Statistics for DONALD LAMEY MONEY PURCHASE PLAN

401k plan membership statisitcs for DONALD LAMEY MONEY PURCHASE PLAN

Measure Date Value
2011: DONALD LAMEY MONEY PURCHASE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012
Total number of active participants reported on line 7a of the Form 55002011-01-012
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-013
Number of participants with account balances2011-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: DONALD LAMEY MONEY PURCHASE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012
Total number of active participants reported on line 7a of the Form 55002010-01-011
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-012
Number of participants with account balances2010-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
Number of employers contributing to the scheme2010-01-010
2009: DONALD LAMEY MONEY PURCHASE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012
Total number of active participants reported on line 7a of the Form 55002009-01-011
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-012
Number of participants with account balances2009-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010
2008: DONALD LAMEY MONEY PURCHASE PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-012
Total number of active participants reported on line 7a of the Form 55002008-01-011
Number of retired or separated participants receiving benefits2008-01-010
Number of other retired or separated participants entitled to future benefits2008-01-011
Total of all active and inactive participants2008-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-01-010
Total participants2008-01-012
Number of participants with account balances2008-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-01-010
2007: DONALD LAMEY MONEY PURCHASE PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-012
Total number of active participants reported on line 7a of the Form 55002007-01-011
Number of retired or separated participants receiving benefits2007-01-010
Number of other retired or separated participants entitled to future benefits2007-01-011
Total of all active and inactive participants2007-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-010
Total participants2007-01-012
Number of participants with account balances2007-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-010
2006: DONALD LAMEY MONEY PURCHASE PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-012
Total number of active participants reported on line 7a of the Form 55002006-01-012
Number of retired or separated participants receiving benefits2006-01-010
Number of other retired or separated participants entitled to future benefits2006-01-010
Total of all active and inactive participants2006-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2006-01-010
Total participants2006-01-012
Number of participants with account balances2006-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2006-01-010
2005: DONALD LAMEY MONEY PURCHASE PLAN 2005 401k membership
Total participants, beginning-of-year2005-01-012
Total number of active participants reported on line 7a of the Form 55002005-01-012
Number of retired or separated participants receiving benefits2005-01-010
Number of other retired or separated participants entitled to future benefits2005-01-010
Total of all active and inactive participants2005-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2005-01-010
Total participants2005-01-012
Number of participants with account balances2005-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2005-01-010
2004: DONALD LAMEY MONEY PURCHASE PLAN 2004 401k membership
Total participants, beginning-of-year2004-01-012
Total number of active participants reported on line 7a of the Form 55002004-01-012
Number of retired or separated participants receiving benefits2004-01-010
Number of other retired or separated participants entitled to future benefits2004-01-010
Total of all active and inactive participants2004-01-012
Total participants2004-01-012
Number of participants with account balances2004-01-012
2003: DONALD LAMEY MONEY PURCHASE PLAN 2003 401k membership
Total participants, beginning-of-year2003-01-012
Total number of active participants reported on line 7a of the Form 55002003-01-012
Number of retired or separated participants receiving benefits2003-01-010
Number of other retired or separated participants entitled to future benefits2003-01-010
Total of all active and inactive participants2003-01-012
Total participants2003-01-012

Financial Data on DONALD LAMEY MONEY PURCHASE PLAN

Measure Date Value
2011 : DONALD LAMEY MONEY PURCHASE PLAN 2011 401k financial data
Total income from all sources2011-12-31$36,247
Total plan assets at end of year2011-12-31$523,729
Total plan assets at beginning of year2011-12-31$487,482
Other income received2011-12-31$9,168
Net income (gross income less expenses)2011-12-31$36,247
Net plan assets at end of year (total assets less liabilities)2011-12-31$523,729
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$487,482
Total contributions received or receivable from employer(s)2011-12-31$27,079
2010 : DONALD LAMEY MONEY PURCHASE PLAN 2010 401k financial data
Total income from all sources2010-12-31$56,225
Total plan assets at end of year2010-12-31$487,482
Total plan assets at beginning of year2010-12-31$431,257
Other income received2010-12-31$30,141
Net income (gross income less expenses)2010-12-31$56,225
Net plan assets at end of year (total assets less liabilities)2010-12-31$487,482
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$431,257
Total contributions received or receivable from employer(s)2010-12-31$26,084
2008 : DONALD LAMEY MONEY PURCHASE PLAN 2008 401k financial data
Total income from all sources2008-12-31$-81,802
Total plan assets at end of year2008-12-31$383,126
Total plan assets at beginning of year2008-12-31$464,928
Total contributions received or receivable from participants2008-12-31$0
Contributions received from other sources (not participants or employers)2008-12-31$0
Other income received2008-12-31$-106,017
Net income (gross income less expenses)2008-12-31$-81,802
Net plan assets at end of year (total assets less liabilities)2008-12-31$383,126
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$464,928
Total contributions received or receivable from employer(s)2008-12-31$24,215
2007 : DONALD LAMEY MONEY PURCHASE PLAN 2007 401k financial data
Total income from all sources2007-12-31$52,335
Total plan assets at end of year2007-12-31$464,928
Total plan assets at beginning of year2007-12-31$412,593
Total contributions received or receivable from participants2007-12-31$0
Contributions received from other sources (not participants or employers)2007-12-31$0
Other income received2007-12-31$28,251
Net income (gross income less expenses)2007-12-31$52,335
Net plan assets at end of year (total assets less liabilities)2007-12-31$464,928
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$412,593
Total contributions received or receivable from employer(s)2007-12-31$24,084
2006 : DONALD LAMEY MONEY PURCHASE PLAN 2006 401k financial data
Total income from all sources2006-12-31$58,443
Total plan assets at end of year2006-12-31$412,593
Total plan assets at beginning of year2006-12-31$354,150
Total contributions received or receivable from participants2006-12-31$0
Contributions received from other sources (not participants or employers)2006-12-31$0
Other income received2006-12-31$33,593
Net income (gross income less expenses)2006-12-31$58,443
Net plan assets at end of year (total assets less liabilities)2006-12-31$412,593
Net plan assets at beginning of year (total assets less liabilities)2006-12-31$354,150
Total contributions received or receivable from employer(s)2006-12-31$24,850
2005 : DONALD LAMEY MONEY PURCHASE PLAN 2005 401k financial data
Total income from all sources2005-12-31$39,734
Total plan assets at end of year2005-12-31$354,150
Total plan assets at beginning of year2005-12-31$314,415
Total contributions received or receivable from participants2005-12-31$0
Contributions received from other sources (not participants or employers)2005-12-31$0
Other income received2005-12-31$15,884
Net income (gross income less expenses)2005-12-31$39,734
Net plan assets at end of year (total assets less liabilities)2005-12-31$354,150
Net plan assets at beginning of year (total assets less liabilities)2005-12-31$314,415
Total contributions received or receivable from employer(s)2005-12-31$23,850
2004 : DONALD LAMEY MONEY PURCHASE PLAN 2004 401k financial data
Total income from all sources2004-12-31$50,644
Total plan assets at end of year2004-12-31$314,415
Total plan assets at beginning of year2004-12-31$263,771
Total contributions received or receivable from participants2004-12-31$0
Contributions received from other sources (not participants or employers)2004-12-31$0
Other income received2004-12-31$27,927
Net income (gross income less expenses)2004-12-31$50,644
Net plan assets at end of year (total assets less liabilities)2004-12-31$314,415
Net plan assets at beginning of year (total assets less liabilities)2004-12-31$263,771
Total contributions received or receivable from employer(s)2004-12-31$22,717
2003 : DONALD LAMEY MONEY PURCHASE PLAN 2003 401k financial data
Total income from all sources2003-12-31$61,321
Total plan assets at end of year2003-12-31$263,771
Total plan assets at beginning of year2003-12-31$202,450
Total contributions received or receivable from participants2003-12-31$0
Contributions received from other sources (not participants or employers)2003-12-31$0
Other income received2003-12-31$35,492
Net income (gross income less expenses)2003-12-31$61,321
Net plan assets at end of year (total assets less liabilities)2003-12-31$263,771
Net plan assets at beginning of year (total assets less liabilities)2003-12-31$202,450
Total contributions received or receivable from employer(s)2003-12-31$25,829

Form 5500 Responses for DONALD LAMEY MONEY PURCHASE PLAN

2011: DONALD LAMEY MONEY PURCHASE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2011-01-01Plan benefit arrangement - TrustYes
2010: DONALD LAMEY MONEY PURCHASE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2010-01-01Plan benefit arrangement - TrustYes
2009: DONALD LAMEY MONEY PURCHASE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2009-01-01Plan benefit arrangement - TrustYes
2008: DONALD LAMEY MONEY PURCHASE PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedYes
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2008-01-01Plan benefit arrangement - TrustYes
2007: DONALD LAMEY MONEY PURCHASE PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedYes
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement – InsuranceYes
2007-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2007-01-01Plan benefit arrangement - TrustYes
2006: DONALD LAMEY MONEY PURCHASE PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedYes
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 – Section 412(e)(3) insurance ContractsYes
2006-01-01Plan funding arrangement – TrustYes
2006-01-01Plan benefit arrangement – InsuranceYes
2006-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2006-01-01Plan benefit arrangement - TrustYes
2005: DONALD LAMEY MONEY PURCHASE PLAN 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01Submission has been amendedYes
2005-01-01This submission is the final filingNo
2005-01-01This return/report is a short plan year return/report (less than 12 months)No
2005-01-01Plan is a collectively bargained planNo
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2005-01-01Plan funding arrangement – TrustYes
2005-01-01Plan benefit arrangement – InsuranceYes
2005-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2005-01-01Plan benefit arrangement - TrustYes
2004: DONALD LAMEY MONEY PURCHASE PLAN 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Submission has been amendedYes
2004-01-01This submission is the final filingNo
2004-01-01This return/report is a short plan year return/report (less than 12 months)No
2004-01-01Plan is a collectively bargained planNo
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2004-01-01Plan funding arrangement – TrustYes
2004-01-01Plan benefit arrangement – InsuranceYes
2004-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2004-01-01Plan benefit arrangement - TrustYes
2003: DONALD LAMEY MONEY PURCHASE PLAN 2003 form 5500 responses
2003-01-01Type of plan entitySingle employer plan
2003-01-01First time form 5500 has been submittedYes
2003-01-01Submission has been amendedYes
2003-01-01This submission is the final filingNo
2003-01-01This return/report is a short plan year return/report (less than 12 months)No
2003-01-01Plan is a collectively bargained planNo
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2003-01-01Plan funding arrangement – TrustYes
2003-01-01Plan benefit arrangement – InsuranceYes
2003-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2003-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 2
Insurance contract or identification numberLF-0572-1248
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 1
Insurance contract or identification numberLF-1979-0469
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 2
Insurance contract or identification numberLF-0572-1248
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 1
Insurance contract or identification numberLF-1979-0469
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 2
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
Commission paid to Insurance BrokerUSD $0
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameSTATE FARM LIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 1
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerLIFE INSURANCE ANNUITY CONTRACT
Insurance broker organization code?3
Insurance broker nameSTATE FARM INSURANCE COMPANY
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 1
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerLIFE INSURANCE ANNUITY CONTRACT
Insurance broker organization code?3
Insurance broker nameSTATE FARM INSURANCE COMPANY
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 2
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
Commission paid to Insurance BrokerUSD $0
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameSTATE FARM LIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 2
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 1
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 1
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerLIFE INSURANCE ANNUITY CONTRACT
Insurance broker organization code?3
Insurance broker nameSTATE FARM INSURANCE COMPANY
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 1
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 2
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 2
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
Commission paid to Insurance BrokerUSD $0
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameSTATE FARM LIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 2
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
Commission paid to Insurance BrokerUSD $0
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameSTATE FARM LIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 1
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerLIFE INSURANCE ANNUITY CONTRACT
Insurance broker organization code?3
Insurance broker nameSTATE FARM INSURANCE COMPANY
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 1
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerLIFE INSURANCE ANNUITY CONTRACT
Insurance broker organization code?3
Insurance broker nameSTATE FARM INSURANCE COMPANY
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 2
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $2,101,886
Commission paid to Insurance BrokerUSD $0
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
Amount paid for insurance broker fees0
Insurance broker nameSTATE FARM LIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 2
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 1
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 1
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerLIFE INSURANCE ANNUITY CONTRACT
Insurance broker organization code?3
Insurance broker nameSTATE FARM INSURANCE COMPANY
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 2
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE
Commission paid to Insurance BrokerUSD $0
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameSTATE FARM LIFE INSURANCE
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-1979-0469
Policy instance 2
Insurance contract or identification numberLF-1979-0469
Number of Individuals Covered1
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE ANNUITY CONTRACT
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract numberLF-0572-1248
Policy instance 1
Insurance contract or identification numberLF-0572-1248
Number of Individuals Covered1
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
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 types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractLIFE INSURANCE

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