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SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 401k Plan overview

Plan NameSHASHA INTERNATIONAL INC PROFIT SHARING PLAN
Plan identification number 001

SHASHA INTERNATIONAL INC PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).

401k Sponsoring company profile

SHASHA INTERNATIONAL INC has sponsored the creation of one or more 401k plans.

Company Name:SHASHA INTERNATIONAL INC
Employer identification number (EIN):112981970
NAIC Classification:423990
NAIC Description:Other Miscellaneous Durable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHASHA INTERNATIONAL INC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-04-01
0012018-04-01
0012017-04-01
0012016-04-01
0012015-04-01SHARDA BHATIA
0012014-04-01SHARDA BHATIA
0012013-04-01SHARDA BHATIA
0012012-04-01GENC LALAJ
0012011-04-01GENC LALAJ
0012010-04-01GENC LALAJ
0012009-04-012010-10-08
0012008-04-01

Plan Statistics for SHASHA INTERNATIONAL INC PROFIT SHARING PLAN

401k plan membership statisitcs for SHASHA INTERNATIONAL INC PROFIT SHARING PLAN

Measure Date Value
2019: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-013
Total number of active participants reported on line 7a of the Form 55002019-04-011
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-012
Total of all active and inactive participants2019-04-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-04-010
Total participants2019-04-013
Number of participants with account balances2019-04-013
2018: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-013
Total number of active participants reported on line 7a of the Form 55002018-04-011
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-012
Total of all active and inactive participants2018-04-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-04-010
Total participants2018-04-013
Number of participants with account balances2018-04-013
2017: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-013
Total number of active participants reported on line 7a of the Form 55002017-04-011
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-012
Total of all active and inactive participants2017-04-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-013
Number of participants with account balances2017-04-013
2016: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-013
Total number of active participants reported on line 7a of the Form 55002016-04-012
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-012
Total of all active and inactive participants2016-04-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-011
Total participants2016-04-015
Number of participants with account balances2016-04-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-014
Total number of active participants reported on line 7a of the Form 55002015-04-012
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-012
Total of all active and inactive participants2015-04-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-014
Number of participants with account balances2015-04-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-014
2014: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-014
Total number of active participants reported on line 7a of the Form 55002014-04-012
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-012
Total of all active and inactive participants2014-04-014
Total participants2014-04-014
Number of participants with account balances2014-04-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-014
2013: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-014
Total number of active participants reported on line 7a of the Form 55002013-04-012
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-012
Total of all active and inactive participants2013-04-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-014
Number of participants with account balances2013-04-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-014
2012: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-014
Total number of active participants reported on line 7a of the Form 55002012-04-012
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-012
Total of all active and inactive participants2012-04-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-014
Number of participants with account balances2012-04-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-014
2011: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-014
Total number of active participants reported on line 7a of the Form 55002011-04-012
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-012
Total of all active and inactive participants2011-04-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-014
Number of participants with account balances2011-04-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-014
2010: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-014
Total number of active participants reported on line 7a of the Form 55002010-04-012
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-012
Total of all active and inactive participants2010-04-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-04-010
Total participants2010-04-014
Number of participants with account balances2010-04-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-04-014
2009: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-014
Total number of active participants reported on line 7a of the Form 55002009-04-012
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-012
Total of all active and inactive participants2009-04-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-014
Number of participants with account balances2009-04-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010
Number of employers contributing to the scheme2009-04-014

Financial Data on SHASHA INTERNATIONAL INC PROFIT SHARING PLAN

Measure Date Value
2020 : SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-03-31$-22,871
Expenses. Total of all expenses incurred2020-03-31$0
Total plan assets at end of year2020-03-31$672,277
Total plan assets at beginning of year2020-03-31$695,148
Other income received2020-03-31$-22,871
Net income (gross income less expenses)2020-03-31$-22,871
Net plan assets at end of year (total assets less liabilities)2020-03-31$672,277
Net plan assets at beginning of year (total assets less liabilities)2020-03-31$695,148
2019 : SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-03-31$27,050
Expenses. Total of all expenses incurred2019-03-31$0
Total plan assets at end of year2019-03-31$695,148
Total plan assets at beginning of year2019-03-31$668,098
Other income received2019-03-31$27,050
Net income (gross income less expenses)2019-03-31$27,050
Net plan assets at end of year (total assets less liabilities)2019-03-31$695,148
Net plan assets at beginning of year (total assets less liabilities)2019-03-31$668,098
2016 : SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-03-31$-34,655
Expenses. Total of all expenses incurred2016-03-31$0
Total plan assets at end of year2016-03-31$521,013
Total plan assets at beginning of year2016-03-31$555,668
Other income received2016-03-31$-34,655
Net income (gross income less expenses)2016-03-31$-34,655
Net plan assets at end of year (total assets less liabilities)2016-03-31$521,013
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$555,668
2015 : SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-03-31$78,007
Expenses. Total of all expenses incurred2015-03-31$0
Total plan assets at end of year2015-03-31$555,668
Total plan assets at beginning of year2015-03-31$477,661
Other income received2015-03-31$78,007
Net income (gross income less expenses)2015-03-31$78,007
Net plan assets at end of year (total assets less liabilities)2015-03-31$555,668
Net plan assets at beginning of year (total assets less liabilities)2015-03-31$477,661
2014 : SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-03-31$93,033
Expenses. Total of all expenses incurred2014-03-31$0
Total plan assets at end of year2014-03-31$477,661
Total plan assets at beginning of year2014-03-31$384,628
Other income received2014-03-31$93,033
Net income (gross income less expenses)2014-03-31$93,033
Net plan assets at end of year (total assets less liabilities)2014-03-31$477,661
Net plan assets at beginning of year (total assets less liabilities)2014-03-31$384,628
2013 : SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-03-31$52,853
Total plan assets at end of year2013-03-31$384,628
Total plan assets at beginning of year2013-03-31$331,795
Other income received2013-03-31$52,853
Net income (gross income less expenses)2013-03-31$52,853
Net plan assets at end of year (total assets less liabilities)2013-03-31$384,628
Net plan assets at beginning of year (total assets less liabilities)2013-03-31$331,795
2012 : SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-03-31$20,624
Total plan assets at end of year2012-03-31$331,775
Total plan assets at beginning of year2012-03-31$311,151
Other income received2012-03-31$20,624
Net income (gross income less expenses)2012-03-31$20,624
Net plan assets at end of year (total assets less liabilities)2012-03-31$331,775
Net plan assets at beginning of year (total assets less liabilities)2012-03-31$311,151
2011 : SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-03-31$30,036
Total plan assets at end of year2011-03-31$311,151
Total plan assets at beginning of year2011-03-31$281,115
Other income received2011-03-31$30,036
Net income (gross income less expenses)2011-03-31$30,036
Net plan assets at end of year (total assets less liabilities)2011-03-31$311,151
Net plan assets at beginning of year (total assets less liabilities)2011-03-31$281,115

Form 5500 Responses for SHASHA INTERNATIONAL INC PROFIT SHARING PLAN

2019: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2018: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan funding arrangement – General assets of the sponsorYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2018-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2016: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan funding arrangement – General assets of the sponsorYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2016-04-01Plan benefit arrangement – General assets of the sponsorYes
2015: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2010: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – TrustYes
2010-04-01Plan funding arrangement – General assets of the sponsorYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement - TrustYes
2010-04-01Plan benefit arrangement – General assets of the sponsorYes
2009: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan funding arrangement – General assets of the sponsorYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes
2009-04-01Plan benefit arrangement – General assets of the sponsorYes
2008: SHASHA INTERNATIONAL INC PROFIT SHARING PLAN 2008 form 5500 responses
2008-04-01Type of plan entitySingle employer plan
2008-04-01Submission has been amendedNo
2008-04-01This submission is the final filingNo
2008-04-01This return/report is a short plan year return/report (less than 12 months)No
2008-04-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

COLUMBIAN MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 62103 )
Policy contract numberA010108920
Policy instance 1
Insurance contract or identification numberA010108920
Number of Individuals Covered1
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 fees0
Insurance broker organization code?3
COLUMBIAN MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 62103 )
Policy contract numberA010108920
Policy instance 1
Insurance contract or identification numberA010108920
Number of Individuals Covered1
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 fees0
Insurance broker organization code?3
COLUMBIAN MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 62103 )
Policy contract number1
Policy instance 1
Insurance contract or identification number1
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
COLUMBIAN MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 62103 )
Policy contract numberA010108920
Policy instance 1
Insurance contract or identification numberA010108920
Number of Individuals Covered1
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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
Insurance broker organization code?3
Insurance broker nameAGENTS SUPPORT SERVICES INC
COLUMBIAN MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 62103 )
Policy contract numberA010108920
Policy instance 1
Insurance contract or identification numberA010108920
Number of Individuals Covered1
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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
Insurance broker organization code?3
Insurance broker nameAGENT SUPPORT SERVICES INC
COLUMBIAN MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 62103 )
Policy contract numberA010108920
Policy instance 1
Insurance contract or identification numberA010108920
Number of Individuals Covered1
Insurance policy start date2012-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameAGENTS SUPPORT SERVICES INC
COLUMBIAN MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 62103 )
Policy contract numberA010108920
Policy instance 1
Insurance contract or identification numberA010108920
Number of Individuals Covered1
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLUMBIAN MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 62103 )
Policy contract numberA010108920
Policy instance 1
Insurance contract or identification numberA010108920
Number of Individuals Covered1
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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