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SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 401k Plan overview

Plan NameSOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN
Plan identification number 001

SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS 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.
  • 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

SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION
Employer identification number (EIN):010285449
NAIC Classification:624410
NAIC Description:Child Day Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01CRISTINA SALOIS2023-03-29 CRISTINA SALOIS2023-03-29
0012021-01-01CRISTINA T. SALOIS2022-03-14 CRISTINA T. SALOIS2022-03-14
0012020-01-01CRISTINA T. SALOIS2021-04-07 CRISTINA T. SALOIS2021-04-07
0012019-01-01CRISTINA SALOIS2020-08-03 CRISTINA SALOIS2020-08-03
0012018-01-01CRISTINA SALOIS2019-04-08 CRISTINA SALOIS2019-04-08
0012017-01-01CRISTINA SALOIS2018-06-27 CRISTINA SALOIS2018-06-27
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01MICHELE PINO MICHELE PINO2013-07-18
0012011-01-01MICHELE PINO MICHELE PINO2012-07-24
0012009-01-01MICHELE PINO MICHELE PINO2010-07-16
0012009-01-01MICHELE PINO MICHELE PINO2010-07-16

Plan Statistics for SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN

401k plan membership statisitcs for SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN

Measure Date Value
2013: SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0192
Total number of active participants reported on line 7a of the Form 55002013-01-0178
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0179
Number of participants with account balances2013-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-017
2012: SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01106
Total number of active participants reported on line 7a of the Form 55002012-01-0185
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0186
Number of participants with account balances2012-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0110
2011: SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01112
Total number of active participants reported on line 7a of the Form 55002011-01-0193
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-016
Total of all active and inactive participants2011-01-0199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0199
Number of participants with account balances2011-01-0199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0110
2009: SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01140
Total number of active participants reported on line 7a of the Form 55002009-01-01109
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-014
Total of all active and inactive participants2009-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01113
Number of participants with account balances2009-01-01111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN

Measure Date Value
2013 : SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$247,235
Total of all expenses incurred2013-12-31$176,213
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$167,434
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$77,424
Value of total assets at end of year2013-12-31$1,034,061
Value of total assets at beginning of year2013-12-31$963,039
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$8,779
Total interest from all sources2013-12-31$2,169
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$10,173
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$10,173
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$250,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$40,565
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Administrative expenses (other) incurred2013-12-31$8,779
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$71,022
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,034,061
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$963,039
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$953,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$888,992
Interest earned on other investments2013-12-31$2,169
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$80,811
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$74,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$157,469
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$36,859
Employer contributions (assets) at beginning of year2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$167,434
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BROOKS & BROOKS CPA
Accountancy firm EIN2013-12-31010447753
2012 : SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$168,268
Total of all expenses incurred2012-12-31$86,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$78,434
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$80,774
Value of total assets at end of year2012-12-31$963,039
Value of total assets at beginning of year2012-12-31$881,650
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$8,445
Total interest from all sources2012-12-31$2,134
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$7,846
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$7,846
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$250,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$37,865
Other income not declared elsewhere2012-12-31$0
Administrative expenses (other) incurred2012-12-31$8,445
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$81,389
Value of net assets at end of year (total assets less liabilities)2012-12-31$963,039
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$881,650
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$888,992
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$794,821
Interest earned on other investments2012-12-31$2,134
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$74,047
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$86,829
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$77,514
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$42,909
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$78,434
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BROOKS & BROOKS CPA
Accountancy firm EIN2012-12-31010447753
2011 : SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 2011 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$65,103
Total of all expenses incurred2011-12-31$150,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$141,879
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$102,982
Value of total assets at end of year2011-12-31$881,650
Value of total assets at beginning of year2011-12-31$967,031
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$8,605
Total interest from all sources2011-12-31$3,098
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$8,747
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$8,747
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$250,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$55,572
Administrative expenses (other) incurred2011-12-31$8,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-85,381
Value of net assets at end of year (total assets less liabilities)2011-12-31$881,650
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$967,031
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$794,821
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$862,788
Interest earned on other investments2011-12-31$3,098
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$86,829
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$103,711
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-49,724
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$47,410
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$532
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$141,879
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BROOKS & BROOKS CPA
Accountancy firm EIN2011-12-31010447753
2010 : SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$194,066
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$77,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$68,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$110,647
Value of total assets at end of year2010-12-31$967,031
Value of total assets at beginning of year2010-12-31$849,994
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$8,335
Total interest from all sources2010-12-31$3,091
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$7,703
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$7,703
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$250,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$72,194
Participant contributions at beginning of year2010-12-31$0
Other income not declared elsewhere2010-12-31$72,625
Administrative expenses (other) incurred2010-12-31$8,335
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$117,037
Value of net assets at end of year (total assets less liabilities)2010-12-31$967,031
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$849,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$862,788
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$758,035
Interest earned on other investments2010-12-31$3,091
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$103,711
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$91,760
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$38,453
Employer contributions (assets) at end of year2010-12-31$532
Employer contributions (assets) at beginning of year2010-12-31$199
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$68,694
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BROOKS & BROOKS CPA
Accountancy firm EIN2010-12-31010447753

Form 5500 Responses for SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS PLAN

2013: SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS 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: SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS 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: SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS 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: SOUTHERN KENNEBEC CHILD DEVELOPMENT CORPORATION 401(K) SAVINGS 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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-ZK91
Policy instance 1
Insurance contract or identification numberGAP-B2-ZK91
Number of Individuals Covered79
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $402
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $402
Insurance broker organization code?3
Insurance broker nameAMERIPRISE FINANCIAL SERVICES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-ZK91
Policy instance 1
Insurance contract or identification numberGAP-B2-ZK91
Number of Individuals Covered86
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $434
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $434
Insurance broker organization code?3
Insurance broker nameAMERIPRISE FINANCIAL SERVICES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-ZK91
Policy instance 1
Insurance contract or identification numberGAP-B2-ZK91
Number of Individuals Covered98
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $523
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-ZK91
Policy instance 1
Insurance contract or identification numberGAP-B2-ZK91
Number of Individuals Covered108
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $508
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $508
Insurance broker organization code?3
Insurance broker nameAMERIPRISE FINANCIAL SERVICES

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