401k Plan data: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN plan

POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 401k Plan overview

Plan Name	POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN
Plan identification number	004

POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN Benefits

401k Plan Type

Defined 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

POWER SERVICE PRODUCTS, INC. has sponsored the creation of one or more 401k plans.

Company Name: POWER SERVICE PRODUCTS, INC.

Employer identification number (EIN): 751526963

NAIC Classification: 325900
NAIC Description: Other Chemical Product and Preparation Manufacturing

Additional information about POWER SERVICE PRODUCTS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2009-03-26

Company Identification Number: P09000027530

Legal Registered Office Address: 6262 BIRD ROAD

MIAMI

33155

More information about POWER SERVICE PRODUCTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2024-01-01 AMANDA STORM
004 2023-01-01
004 2023-01-01 AMANDA STORM
004 2022-01-01
004 2022-01-01 RUTH SWAIN
004 2021-01-01
004 2021-01-01 RUTH SWAIN
004 2020-01-01
004 2019-01-01
004 2018-01-01
004 2017-01-01 RUTH SWAIN
004 2016-01-01 RUTH SWAIN
004 2015-01-01 RUTH SWAIN
004 2014-01-01 RUTH SWAIN 2015-05-05 RUTH SWAIN 2015-05-05
004 2013-01-01 RUTH SWAIN 2014-05-01 RUTH SWAIN 2014-05-01
004 2012-01-01 RUTH SWAIN 2013-04-10 RUTH SWAIN 2013-04-10
004 2011-01-01 RUTH SWAIN 2012-03-30 RUTH SWAIN 2012-03-30
004 2010-01-01 RUTH SWAIN 2011-10-06 RUTH SWAIN 2011-10-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
004	2024-01-01	AMANDA STORM
004	2023-01-01
004	2023-01-01	AMANDA STORM
004	2022-01-01
004	2022-01-01	RUTH SWAIN
004	2021-01-01
004	2021-01-01	RUTH SWAIN
004	2020-01-01
004	2019-01-01
004	2018-01-01
004	2017-01-01	RUTH SWAIN
004	2016-01-01	RUTH SWAIN
004	2015-01-01	RUTH SWAIN
004	2014-01-01	RUTH SWAIN	2015-05-05	RUTH SWAIN	2015-05-05
004	2013-01-01	RUTH SWAIN	2014-05-01	RUTH SWAIN	2014-05-01
004	2012-01-01	RUTH SWAIN	2013-04-10	RUTH SWAIN	2013-04-10
004	2011-01-01	RUTH SWAIN	2012-03-30	RUTH SWAIN	2012-03-30
004	2010-01-01	RUTH SWAIN	2011-10-06	RUTH SWAIN	2011-10-06

Financial Data on POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN

Measure	Date	Value
2023 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2023 401k financial data
Transfers to/from the plan	2023-12-31	$0
Total plan liabilities at end of year	2023-12-31	$0
Total plan liabilities at beginning of year	2023-12-31	$0
Total income from all sources	2023-12-31	$3,446,473
Expenses. Total of all expenses incurred	2023-12-31	$831,731
Benefits paid (including direct rollovers)	2023-12-31	$821,880
Total plan assets at end of year	2023-12-31	$18,348,362
Total plan assets at beginning of year	2023-12-31	$15,733,620
Value of fidelity bond covering the plan	2023-12-31	$500,000
Assets. Value of tangible personal property	2023-12-31	$0
Total contributions received or receivable from participants	2023-12-31	$529,876
Assets. Value of loans (other than to participants)	2023-12-31	$0
Expenses. Other expenses not covered elsewhere	2023-12-31	$0
Contributions received from other sources (not participants or employers)	2023-12-31	$0
Other income received	2023-12-31	$2,469,420
Noncash contributions received	2023-12-31	$0
Net income (gross income less expenses)	2023-12-31	$2,614,742
Net plan assets at end of year (total assets less liabilities)	2023-12-31	$18,348,362
Net plan assets at beginning of year (total assets less liabilities)	2023-12-31	$15,733,620
Assets. Value of participant loans	2023-12-31	$300,060
Assets. Value of assets in partnership/joint-venture interests	2023-12-31	$0
Assets. Value of real-estate (other than employer real property)	2023-12-31	$0
Assets. Value of employer securities	2023-12-31	$0
Assets. Value of employer real property	2023-12-31	$0
Total contributions received or receivable from employer(s)	2023-12-31	$447,177
Value of certain deemed distributions of participant loans	2023-12-31	$0
Value of corrective distributions	2023-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2023-12-31	$9,851
2022 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-1,807,270
Expenses. Total of all expenses incurred	2022-12-31	$2,790,579
Benefits paid (including direct rollovers)	2022-12-31	$2,778,367
Total plan assets at end of year	2022-12-31	$15,733,620
Total plan assets at beginning of year	2022-12-31	$20,331,469
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$477,012
Expenses. Other expenses not covered elsewhere	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$-2,671,283
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-4,597,849
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$15,733,620
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$20,331,469
Assets. Value of participant loans	2022-12-31	$286,356
Total contributions received or receivable from employer(s)	2022-12-31	$387,001
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$12,212
2021 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$2,870,561
Expenses. Total of all expenses incurred	2021-12-31	$468,578
Benefits paid (including direct rollovers)	2021-12-31	$451,686
Total plan assets at end of year	2021-12-31	$20,331,469
Total plan assets at beginning of year	2021-12-31	$17,929,486
Value of fidelity bond covering the plan	2021-12-31	$500,000
Assets. Value of tangible personal property	2021-12-31	$0
Total contributions received or receivable from participants	2021-12-31	$445,475
Assets. Value of loans (other than to participants)	2021-12-31	$0
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$2,049,304
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$2,401,983
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$20,331,469
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$17,929,486
Assets. Value of participant loans	2021-12-31	$224,104
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$0
Assets. Value of real-estate (other than employer real property)	2021-12-31	$0
Assets. Value of employer securities	2021-12-31	$0
Assets. Value of employer real property	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$375,782
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$16,892
2020 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$3,095,717
Expenses. Total of all expenses incurred	2020-12-31	$289,037
Benefits paid (including direct rollovers)	2020-12-31	$268,527
Total plan assets at end of year	2020-12-31	$17,929,486
Total plan assets at beginning of year	2020-12-31	$15,122,806
Value of fidelity bond covering the plan	2020-12-31	$500,000
Assets. Value of tangible personal property	2020-12-31	$0
Total contributions received or receivable from participants	2020-12-31	$442,702
Assets. Value of loans (other than to participants)	2020-12-31	$0
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$2,272,850
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$2,806,680
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$17,929,486
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$15,122,806
Assets. Value of participant loans	2020-12-31	$298,081
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$0
Assets. Value of real-estate (other than employer real property)	2020-12-31	$0
Assets. Value of employer securities	2020-12-31	$0
Assets. Value of employer real property	2020-12-31	$0
Total contributions received or receivable from employer(s)	2020-12-31	$380,165
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$20,510
2019 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$3,357,768
Expenses. Total of all expenses incurred	2019-12-31	$286,271
Benefits paid (including direct rollovers)	2019-12-31	$265,792
Total plan assets at end of year	2019-12-31	$15,122,806
Total plan assets at beginning of year	2019-12-31	$12,051,309
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$391,082
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$2,590,394
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$3,071,497
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$15,122,806
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$12,051,309
Assets. Value of participant loans	2019-12-31	$272,791
Total contributions received or receivable from employer(s)	2019-12-31	$376,292
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$20,479
2018 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$203,080
Expenses. Total of all expenses incurred	2018-12-31	$1,069,871
Benefits paid (including direct rollovers)	2018-12-31	$1,050,221
Total plan assets at end of year	2018-12-31	$12,051,309
Total plan assets at beginning of year	2018-12-31	$12,918,100
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$409,437
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$1,085
Other income received	2018-12-31	$-557,623
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-866,791
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$12,051,309
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$12,918,100
Assets. Value of participant loans	2018-12-31	$270,839
Total contributions received or receivable from employer(s)	2018-12-31	$350,181
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$19,650
2017 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$2,563,420
Expenses. Total of all expenses incurred	2017-12-31	$277,869
Benefits paid (including direct rollovers)	2017-12-31	$256,398
Total plan assets at end of year	2017-12-31	$12,918,100
Total plan assets at beginning of year	2017-12-31	$10,632,549
Value of fidelity bond covering the plan	2017-12-31	$500,000
Assets. Value of tangible personal property	2017-12-31	$0
Total contributions received or receivable from participants	2017-12-31	$370,782
Assets. Value of loans (other than to participants)	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$90,958
Other income received	2017-12-31	$1,797,757
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$2,285,551
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$12,918,100
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$10,632,549
Assets. Value of participant loans	2017-12-31	$285,108
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Assets. Value of real-estate (other than employer real property)	2017-12-31	$0
Assets. Value of employer securities	2017-12-31	$0
Assets. Value of employer real property	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$303,923
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$21,471
2016 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$1,266,633
Expenses. Total of all expenses incurred	2016-12-31	$123,322
Benefits paid (including direct rollovers)	2016-12-31	$116,405
Total plan assets at end of year	2016-12-31	$10,632,549
Total plan assets at beginning of year	2016-12-31	$9,489,238
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$347,889
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$619,948
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$1,143,311
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$10,632,549
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$9,489,238
Assets. Value of participant loans	2016-12-31	$199,021
Total contributions received or receivable from employer(s)	2016-12-31	$298,796
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$6,917
2015 : POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$738,503
Expenses. Total of all expenses incurred	2015-12-31	$23,317
Benefits paid (including direct rollovers)	2015-12-31	$733
Total plan assets at end of year	2015-12-31	$9,489,238
Total plan assets at beginning of year	2015-12-31	$8,774,052
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$357,845
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$30,345
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$715,186
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$9,489,238
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$8,774,052
Assets. Value of participant loans	2015-12-31	$209,495
Total contributions received or receivable from employer(s)	2015-12-31	$350,313
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$22,584

Form 5500 Responses for POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN

2023: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	This submission is the final filing	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: POWER SERVICE PRODUCTS, INC. EMPLOYEE RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	11666
Policy instance	1

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Company Name:	POWER SERVICE PRODUCTS, INC.
Employer identification number (EIN):	751526963
NAIC Classification:	325900
NAIC Description:	Other Chemical Product and Preparation Manufacturing

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2009-03-26
Company Identification Number:	P09000027530
Legal Registered Office Address:	6262 BIRD ROAD MIAMI 33155