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SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 401k Plan overview

Plan NameSAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN
Plan identification number 507

SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SAMSON INVESTMENT COMPANY has sponsored the creation of one or more 401k plans.

Company Name:SAMSON INVESTMENT COMPANY
Employer identification number (EIN):731281091
NAIC Classification:211110
NAIC Description: Oil and Gas Extraction, Oil

Additional information about SAMSON INVESTMENT COMPANY

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 1986-06-26
Company Identification Number: 19861011915
Legal Registered Office Address: 701 S CARSON ST STE 200

CARSON CITY
United States of America (USA)
89701

More information about SAMSON INVESTMENT COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072014-01-01KIM HARDING
5072013-01-01KIM HARDING KIM HARDING2014-10-03
5072012-01-01KIM HARDING KIM HARDING2013-07-26
5072011-01-01DARRELL MAYFIELD
5072010-01-01KEVIN MORRIS DREW PHILLIPS2011-07-21
5072009-01-01KEVIN MORRIS DREW PHILLIPS2010-07-15

Plan Statistics for SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN

401k plan membership statisitcs for SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN

Measure Date Value
2014: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,124
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-010
2013: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,089
Total number of active participants reported on line 7a of the Form 55002013-01-011,003
Number of retired or separated participants receiving benefits2013-01-01121
Total of all active and inactive participants2013-01-011,124
Total participants2013-01-011,124
2012: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,023
Total number of active participants reported on line 7a of the Form 55002012-01-011,086
Total of all active and inactive participants2012-01-011,086
Total participants2012-01-011,086
2011: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,257
Total number of active participants reported on line 7a of the Form 55002011-01-011,335
Total of all active and inactive participants2011-01-011,335
Total participants2011-01-011,335
2010: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,224
Total number of active participants reported on line 7a of the Form 55002010-01-011,257
Total of all active and inactive participants2010-01-011,257
Total participants2010-01-011,257
2009: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,272
Total number of active participants reported on line 7a of the Form 55002009-01-011,204
Total of all active and inactive participants2009-01-011,204
Total participants2009-01-011,204

Form 5500 Responses for SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN

2014: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingYes
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2010: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2009: SAMSON INVESTMENT COMPANY GROUP LIFE AND ADD 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961793
Policy instance 1
Insurance contract or identification numberOK961793
Number of Individuals Covered1029
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $696,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961793
Policy instance 1
Insurance contract or identification numberOK961793
Number of Individuals Covered1124
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $497
Total amount of fees paid to insurance companyUSD $-245
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $45,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees252
Additional information about fees paid to insurance brokerSALES & SERVICE SUPP. COMMISSION & OVERRIDE
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961686
Policy instance 2
Insurance contract or identification numberFLX961686
Number of Individuals Covered1124
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $5,486
Total amount of fees paid to insurance companyUSD $-2,726
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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 BenefitNo
Life Insurance Welfare BenefitYes
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 $580,982
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2760
Additional information about fees paid to insurance brokerSALES & SERVICE SUPP. COMMISSION & OVERRIDE
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961793
Policy instance 1
Insurance contract or identification numberOK961793
Number of Individuals Covered1086
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $777
Total amount of fees paid to insurance companyUSD $245
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $54,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1022
Additional information about fees paid to insurance brokerSALES & SERVICE SUPP. COMMISSION & OVERRIDE
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961686
Policy instance 2
Insurance contract or identification numberFLX961686
Number of Individuals Covered1086
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $8,496
Total amount of fees paid to insurance companyUSD $2,726
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $611,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11222
Additional information about fees paid to insurance brokerSALES & SERVICE SUPP. COMMISSION & OVERRIDE
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961793
Policy instance 1
Insurance contract or identification numberOK961793
Number of Individuals Covered1335
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $1,421
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $53,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961686
Policy instance 2
Insurance contract or identification numberFLX961686
Number of Individuals Covered1335
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $15,659
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $583,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961793
Policy instance 1
Insurance contract or identification numberOK961793
Number of Individuals Covered1257
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $793
Total amount of fees paid to insurance companyUSD $466
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $53,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees793
Additional information about fees paid to insurance brokerSALES & SERVICE SUPP. COMMISSION
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL GROUP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961686
Policy instance 2
Insurance contract or identification numberFLX961686
Number of Individuals Covered1257
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $8,212
Total amount of fees paid to insurance companyUSD $4,263
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $580,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees8212
Additional information about fees paid to insurance brokerSALES & SERVICE SUPP. COMMISSION
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL GROUP

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