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RONALD P. SOEFER PROFIT SHARING PLAN 401k Plan overview

Plan NameRONALD P. SOEFER PROFIT SHARING PLAN
Plan identification number 001

RONALD P. SOEFER PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

RONALD P. SOEFER, M.D. has sponsored the creation of one or more 401k plans.

Company Name:RONALD P. SOEFER, M.D.
Employer identification number (EIN):741882039
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RONALD P. SOEFER PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01RONALD P. SOEFER, M.D.
0012018-01-01RONALD P. SOEFER, M.D.
0012017-01-01RONALD P. SOEFER, M.D.
0012016-01-01RONALD P. SOEFER, M.D.
0012015-01-01RONALD P. SOEFER, M.D.
0012014-01-01RONALD P. SOEFER, M.D.
0012013-01-01RONALD P. SOEFER, M.D.
0012012-01-01RONALD P. SOEFER, M.D.
0012011-01-01RONALD P. SOEFER, M.D.
0012009-01-01RONALD SOEFER

Plan Statistics for RONALD P. SOEFER PROFIT SHARING PLAN

401k plan membership statisitcs for RONALD P. SOEFER PROFIT SHARING PLAN

Measure Date Value
2019: RONALD P. SOEFER PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: RONALD P. SOEFER PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013
Total number of active participants reported on line 7a of the Form 55002018-01-013
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-014
Number of participants with account balances2018-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: RONALD P. SOEFER PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014
Total number of active participants reported on line 7a of the Form 55002017-01-013
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-013
Number of participants with account balances2017-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: RONALD P. SOEFER PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-013
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-014
Number of participants with account balances2016-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: RONALD P. SOEFER PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014
Total number of active participants reported on line 7a of the Form 55002015-01-013
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-014
Number of participants with account balances2015-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: RONALD P. SOEFER PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-013
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-014
Number of participants with account balances2014-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: RONALD P. SOEFER PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-015
Total number of active participants reported on line 7a of the Form 55002013-01-013
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-014
Number of participants with account balances2013-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: RONALD P. SOEFER PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013
Total number of active participants reported on line 7a of the Form 55002012-01-012
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-013
Total of all active and inactive participants2012-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-015
Number of participants with account balances2012-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: RONALD P. SOEFER PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-015
Total number of active participants reported on line 7a of the Form 55002011-01-013
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
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
2009: RONALD P. SOEFER PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-014
Total number of active participants reported on line 7a of the Form 55002009-01-013
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-015
Number of participants with account balances2009-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on RONALD P. SOEFER PROFIT SHARING PLAN

Measure Date Value
2019 : RONALD P. SOEFER PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-05-31$200,863
Expenses. Total of all expenses incurred2019-05-31$1,615,292
Benefits paid (including direct rollovers)2019-05-31$1,605,168
Total plan assets at end of year2019-05-31$0
Total plan assets at beginning of year2019-05-31$1,414,429
Value of fidelity bond covering the plan2019-05-31$200,000
Other income received2019-05-31$200,863
Net income (gross income less expenses)2019-05-31$-1,414,429
Net plan assets at end of year (total assets less liabilities)2019-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-05-31$1,414,429
Expenses. Administrative service providers (salaries,fees and commissions)2019-05-31$10,124
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-05-31$0
2018 : RONALD P. SOEFER PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-78,222
Expenses. Total of all expenses incurred2018-12-31$20,416
Total plan assets at end of year2018-12-31$1,414,429
Total plan assets at beginning of year2018-12-31$1,513,067
Value of fidelity bond covering the plan2018-12-31$200,000
Other income received2018-12-31$-78,222
Net income (gross income less expenses)2018-12-31$-98,638
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,414,429
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,513,067
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$20,416
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : RONALD P. SOEFER PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$273,224
Expenses. Total of all expenses incurred2017-12-31$0
Total plan assets at end of year2017-12-31$1,513,067
Total plan assets at beginning of year2017-12-31$1,239,843
Value of fidelity bond covering the plan2017-12-31$200,000
Total contributions received or receivable from participants2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$273,224
Net income (gross income less expenses)2017-12-31$273,224
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,513,067
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,239,843
Total contributions received or receivable from employer(s)2017-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : RONALD P. SOEFER PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$56,197
Expenses. Total of all expenses incurred2016-12-31$15,364
Total plan assets at end of year2016-12-31$1,239,843
Total plan assets at beginning of year2016-12-31$1,199,010
Value of fidelity bond covering the plan2016-12-31$200,000
Other income received2016-12-31$56,197
Net income (gross income less expenses)2016-12-31$40,833
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,239,843
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,199,010
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$15,364
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : RONALD P. SOEFER PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$-86,320
Expenses. Total of all expenses incurred2015-12-31$17,445
Total plan assets at end of year2015-12-31$1,199,010
Total plan assets at beginning of year2015-12-31$1,302,775
Value of fidelity bond covering the plan2015-12-31$200,000
Other income received2015-12-31$-90,099
Net income (gross income less expenses)2015-12-31$-103,765
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,199,010
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,302,775
Total contributions received or receivable from employer(s)2015-12-31$3,779
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$17,445
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : RONALD P. SOEFER PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$80,223
Expenses. Total of all expenses incurred2014-12-31$24,230
Benefits paid (including direct rollovers)2014-12-31$8,001
Total plan assets at end of year2014-12-31$1,302,775
Total plan assets at beginning of year2014-12-31$1,246,782
Value of fidelity bond covering the plan2014-12-31$200,000
Expenses. Other expenses not covered elsewhere2014-12-31$16,229
Other income received2014-12-31$39,224
Net income (gross income less expenses)2014-12-31$55,993
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,302,775
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,246,782
Total contributions received or receivable from employer(s)2014-12-31$40,999
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : RONALD P. SOEFER PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$246,066
Expenses. Total of all expenses incurred2013-12-31$17,532
Benefits paid (including direct rollovers)2013-12-31$3,606
Total plan assets at end of year2013-12-31$1,246,782
Total plan assets at beginning of year2013-12-31$1,018,248
Value of fidelity bond covering the plan2013-12-31$200,000
Other income received2013-12-31$216,066
Net income (gross income less expenses)2013-12-31$228,534
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,246,782
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,018,248
Total contributions received or receivable from employer(s)2013-12-31$30,000
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$13,926
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : RONALD P. SOEFER PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$74,978
Expenses. Total of all expenses incurred2012-12-31$13,685
Benefits paid (including direct rollovers)2012-12-31$2,659
Total plan assets at end of year2012-12-31$1,018,248
Total plan assets at beginning of year2012-12-31$956,955
Value of fidelity bond covering the plan2012-12-31$200,000
Other income received2012-12-31$74,978
Net income (gross income less expenses)2012-12-31$61,293
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,018,248
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$956,955
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$11,026
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : RONALD P. SOEFER PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$31,055
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at end of year2011-12-31$956,955
Total plan assets at beginning of year2011-12-31$925,900
Value of fidelity bond covering the plan2011-12-31$200,000
Other income received2011-12-31$12,926
Net income (gross income less expenses)2011-12-31$31,055
Net plan assets at end of year (total assets less liabilities)2011-12-31$956,955
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$925,900
Total contributions received or receivable from employer(s)2011-12-31$18,129
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : RONALD P. SOEFER PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$118,144
Expenses. Total of all expenses incurred2010-12-31$169
Total plan assets at end of year2010-12-31$925,900
Total plan assets at beginning of year2010-12-31$807,925
Value of fidelity bond covering the plan2010-12-31$200,000
Expenses. Other expenses not covered elsewhere2010-12-31$169
Other income received2010-12-31$100,443
Net income (gross income less expenses)2010-12-31$117,975
Net plan assets at end of year (total assets less liabilities)2010-12-31$925,900
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$807,925
Total contributions received or receivable from employer(s)2010-12-31$17,701
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : RONALD P. SOEFER PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for RONALD P. SOEFER PROFIT SHARING PLAN

2019: RONALD P. SOEFER PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RONALD P. SOEFER PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RONALD P. SOEFER PROFIT SHARING PLAN 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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RONALD P. SOEFER PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
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 funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RONALD P. SOEFER PROFIT SHARING PLAN 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 funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RONALD P. SOEFER PROFIT SHARING 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 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 funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RONALD P. SOEFER PROFIT SHARING 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 funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RONALD P. SOEFER PROFIT SHARING 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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: RONALD P. SOEFER PROFIT SHARING 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 funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: RONALD P. SOEFER PROFIT SHARING 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 – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number7800-092531
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number7800-092531
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number7800-092531
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number7800-092531
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number7800-092531
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number7800-092531
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number7800-092531
Policy instance 1

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