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403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 401k Plan overview

Plan Name403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC.
Plan identification number 001

403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • 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

GIRL SCOUTS OF CENTRAL TEXAS, INC. has sponsored the creation of one or more 401k plans.

Company Name:GIRL SCOUTS OF CENTRAL TEXAS, INC.
Employer identification number (EIN):741109644
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about GIRL SCOUTS OF CENTRAL TEXAS, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1946-05-06
Company Identification Number: 0008683101
Legal Registered Office Address: 12012 PARK THIRTY FIVE CIR

AUSTIN
United States of America (USA)
78753

More information about GIRL SCOUTS OF CENTRAL TEXAS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01VIKKI WHORTON2023-07-25
0012021-01-01VIKKI WHORTON2022-07-15
0012020-01-01VIKKI WHORTON2021-07-20
0012019-01-01KELLY SHARPE2020-07-28
0012018-01-01KELLY SHARPE2019-07-31
0012017-01-01PAMELA CARROLL PAMELA CARROLL2018-07-17
0012016-01-01JODIE GAY
0012016-01-01
0012015-01-01JODIE GAY
0012014-01-01PAMELA CARROLL PAMELA CARROLL2015-04-07
0012013-01-01PAMELA CARROLL PAMELA CARROLL2014-04-24
0012012-01-01PAMELA CARROLL PAMELA CARROLL2013-05-03
0012011-01-01JOEL FRANKLIN2012-07-25 JOEL FRANKLIN2012-07-25
0012010-01-01JOEL FRANKLIN2011-07-01 JOEL FRANKLIN2011-07-01

Plan Statistics for 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC.

401k plan membership statisitcs for 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC.

Measure Date Value
2017: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2017 401k membership
Total participants, beginning-of-year2017-01-01118
Total number of active participants reported on line 7a of the Form 55002017-01-0186
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0126
Total of all active and inactive participants2017-01-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01112
Number of participants with account balances2017-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-01114
Total number of active participants reported on line 7a of the Form 55002016-01-0190
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0128
Total of all active and inactive participants2016-01-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01118
Number of participants with account balances2016-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-01113
Total number of active participants reported on line 7a of the Form 55002015-01-0188
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0126
Total of all active and inactive participants2015-01-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01114
Number of participants with account balances2015-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-013
2014: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-01114
Total number of active participants reported on line 7a of the Form 55002014-01-0189
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0124
Total of all active and inactive participants2014-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01113
Number of participants with account balances2014-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-01105
Total number of active participants reported on line 7a of the Form 55002013-01-0193
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0121
Total of all active and inactive participants2013-01-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01114
Number of participants with account balances2013-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-013
2012: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-01108
Total number of active participants reported on line 7a of the Form 55002012-01-0187
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0118
Total of all active and inactive participants2012-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01105
Number of participants with account balances2012-01-0141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011

Financial Data on 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC.

Measure Date Value
2017 : 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$118,863
Expenses. Total of all expenses incurred2017-12-31$108,679
Benefits paid (including direct rollovers)2017-12-31$108,357
Total plan assets at end of year2017-12-31$577,349
Total plan assets at beginning of year2017-12-31$567,165
Value of fidelity bond covering the plan2017-12-31$100,000
Total contributions received or receivable from participants2017-12-31$33,695
Expenses. Other expenses not covered elsewhere2017-12-31$322
Contributions received from other sources (not participants or employers)2017-12-31$6,865
Other income received2017-12-31$72,997
Net income (gross income less expenses)2017-12-31$10,184
Net plan assets at end of year (total assets less liabilities)2017-12-31$577,349
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$567,165
Assets. Value of participant loans2017-12-31$4,550
Total contributions received or receivable from employer(s)2017-12-31$5,306
Value of certain deemed distributions of participant loans2017-12-31$0
2016 : 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$88,970
Expenses. Total of all expenses incurred2016-12-31$45,874
Benefits paid (including direct rollovers)2016-12-31$45,328
Total plan assets at end of year2016-12-31$595,119
Total plan assets at beginning of year2016-12-31$552,023
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$46,584
Expenses. Other expenses not covered elsewhere2016-12-31$546
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$38,605
Net income (gross income less expenses)2016-12-31$43,096
Net plan assets at end of year (total assets less liabilities)2016-12-31$595,119
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$552,023
Assets. Value of participant loans2016-12-31$5,123
Total contributions received or receivable from employer(s)2016-12-31$3,781
Value of certain deemed distributions of participant loans2016-12-31$0
2015 : 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$78,817
Expenses. Total of all expenses incurred2015-12-31$14,178
Benefits paid (including direct rollovers)2015-12-31$13,839
Total plan assets at end of year2015-12-31$520,281
Total plan assets at beginning of year2015-12-31$455,642
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$63,326
Expenses. Other expenses not covered elsewhere2015-12-31$339
Contributions received from other sources (not participants or employers)2015-12-31$16,521
Other income received2015-12-31$-7,137
Net income (gross income less expenses)2015-12-31$64,639
Net plan assets at end of year (total assets less liabilities)2015-12-31$520,281
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$455,642
Assets. Value of participant loans2015-12-31$5,765
Total contributions received or receivable from employer(s)2015-12-31$6,107
Value of certain deemed distributions of participant loans2015-12-31$0
2014 : 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$129,483
Expenses. Total of all expenses incurred2014-12-31$131,670
Benefits paid (including direct rollovers)2014-12-31$131,633
Total plan assets at end of year2014-12-31$492,825
Total plan assets at beginning of year2014-12-31$495,012
Value of fidelity bond covering the plan2014-12-31$100,000
Total contributions received or receivable from participants2014-12-31$46,851
Expenses. Other expenses not covered elsewhere2014-12-31$37
Contributions received from other sources (not participants or employers)2014-12-31$55,343
Other income received2014-12-31$22,622
Net income (gross income less expenses)2014-12-31$-2,187
Net plan assets at end of year (total assets less liabilities)2014-12-31$492,825
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$495,012
Assets. Value of participant loans2014-12-31$8,305
Total contributions received or receivable from employer(s)2014-12-31$4,667
Value of certain deemed distributions of participant loans2014-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$94,595
Expenses. Total of all expenses incurred2013-12-31$74,554
Benefits paid (including direct rollovers)2013-12-31$74,504
Total plan assets at end of year2013-12-31$495,012
Total plan assets at beginning of year2013-12-31$474,971
Value of fidelity bond covering the plan2013-12-31$300,000
Total contributions received or receivable from participants2013-12-31$27,344
Expenses. Other expenses not covered elsewhere2013-12-31$50
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$61,891
Net income (gross income less expenses)2013-12-31$20,041
Net plan assets at end of year (total assets less liabilities)2013-12-31$495,012
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$474,971
Assets. Value of participant loans2013-12-31$9,059
Total contributions received or receivable from employer(s)2013-12-31$5,360
Value of certain deemed distributions of participant loans2013-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$99,057
Expenses. Total of all expenses incurred2012-12-31$142,248
Benefits paid (including direct rollovers)2012-12-31$142,248
Total plan assets at end of year2012-12-31$474,971
Total plan assets at beginning of year2012-12-31$518,162
Value of fidelity bond covering the plan2012-12-31$300,000
Total contributions received or receivable from participants2012-12-31$41,065
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$11,757
Other income received2012-12-31$39,729
Net income (gross income less expenses)2012-12-31$-43,191
Net plan assets at end of year (total assets less liabilities)2012-12-31$474,971
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$518,162
Assets. Value of participant loans2012-12-31$470
Total contributions received or receivable from employer(s)2012-12-31$6,506
Value of certain deemed distributions of participant loans2012-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0

Form 5500 Responses for 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC.

2017: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 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 filingNo
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: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 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: 403(B) THRIFT PLAN OF GIRL SCOUTS OF CENTRAL TEXAS, INC. 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

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number069581F
Policy instance 1
Insurance contract or identification number069581F
Number of Individuals Covered46
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $76
Are there contracts with allocated funds for individual policies?0
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 fees76
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameHOUSTON REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number069581F
Policy instance 1
Insurance contract or identification number069581F
Number of Individuals Covered50
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $146
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 fees146
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameHOUSTON REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number069581F
Policy instance 1
Insurance contract or identification number069581F
Number of Individuals Covered47
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 $45
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 fees45
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameHOUSTON REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number069581F
Policy instance 1
Insurance contract or identification number069581F
Number of Individuals Covered40
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 $197
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 fees197
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameHOUSTON REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number069581F
Policy instance 1
Insurance contract or identification number069581F
Number of Individuals Covered41
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 $83
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 fees34
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameTRACEY SMITH

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