401k Plan data: ICSO 401K SAVINGS PLAN plan

ICSO 401K SAVINGS PLAN 401k Plan overview

Plan Name	ICSO 401K SAVINGS PLAN
Plan identification number	002

ICSO 401K SAVINGS 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

AMERICAN INSURANCE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN INSURANCE ASSOCIATION

Employer identification number (EIN): 133173374

NAIC Classification: 525100
NAIC Description: Insurance and Employee Benefit Funds

Additional information about AMERICAN INSURANCE ASSOCIATION

Jurisdiction of Incorporation: District of Columbia Corporations Division

Incorporation Date:

Company Identification Number: 840590

More information about AMERICAN INSURANCE ASSOCIATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ICSO 401K SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2019-01-01 CHARLES P. KWOLEK 2019-11-14 NORMA OCONNOR 2019-11-13
002 2018-01-01 CHARLES P. KWOLEK JR. 2019-07-10 NORMA OCONNOR 2019-06-28
002 2017-01-01 CHARLES P. KWOLEK JR. 2018-05-24 NORMA OCONNOR 2018-05-22
002 2016-01-01 CHARLES P. KWOLEK, JR. 2017-07-12 NORMA OCONNOR 2017-07-10
002 2015-01-01 CHARLES KWOLEK 2016-09-27 CHRISTINE M TAMPIO 2016-09-27
002 2014-01-01 CHARLES P. KWOLEK, JR. 2015-10-15
002 2014-01-01 CHRISTINE M TAMPIO 2015-10-13 CHRISTINE M TAMPIO 2015-10-13
002 2013-01-01 CHARLES P KWOLEK JR 2014-10-08 CHRISTINE TAMPIO 2014-10-07
002 2012-01-01 CHARLES P. KWOLEK, JR. 2013-08-27 CHRISTINE TAMPIO 2013-08-27
002 2011-01-01 CHARLES P. KWOLEK, JR. CHRISTINE TAMPIO 2012-10-02
002 2010-01-01 JOHN GOLEMBESKI CHRISTINE TAMPIO 2011-10-03
002 2009-01-01 JOHN GOLEMBESKI CHRISTINE TAMPIO 2010-10-07
002 2008-01-01 JOHN GOLEMBESKI
002 2007-01-01 JOHN GOLEMBESKI
002 2006-01-01 JOHN GOLEMBESKI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2019-01-01	CHARLES P. KWOLEK	2019-11-14	NORMA OCONNOR	2019-11-13
002	2018-01-01	CHARLES P. KWOLEK JR.	2019-07-10	NORMA OCONNOR	2019-06-28
002	2017-01-01	CHARLES P. KWOLEK JR.	2018-05-24	NORMA OCONNOR	2018-05-22
002	2016-01-01	CHARLES P. KWOLEK, JR.	2017-07-12	NORMA OCONNOR	2017-07-10
002	2015-01-01	CHARLES KWOLEK	2016-09-27	CHRISTINE M TAMPIO	2016-09-27
002	2014-01-01	CHARLES P. KWOLEK, JR.	2015-10-15
002	2014-01-01	CHRISTINE M TAMPIO	2015-10-13	CHRISTINE M TAMPIO	2015-10-13
002	2013-01-01	CHARLES P KWOLEK JR	2014-10-08	CHRISTINE TAMPIO	2014-10-07
002	2012-01-01	CHARLES P. KWOLEK, JR.	2013-08-27	CHRISTINE TAMPIO	2013-08-27
002	2011-01-01	CHARLES P. KWOLEK, JR.		CHRISTINE TAMPIO	2012-10-02
002	2010-01-01	JOHN GOLEMBESKI		CHRISTINE TAMPIO	2011-10-03
002	2009-01-01	JOHN GOLEMBESKI		CHRISTINE TAMPIO	2010-10-07
002	2008-01-01	JOHN GOLEMBESKI
002	2007-01-01	JOHN GOLEMBESKI
002	2006-01-01	JOHN GOLEMBESKI

Plan Statistics for ICSO 401K SAVINGS PLAN

401k plan membership statisitcs for ICSO 401K SAVINGS PLAN

Measure Date Value
2011: ICSO 401K SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 96
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 43
Number of retired or separated participants receiving benefits 2011-01-01 4
Number of other retired or separated participants entitled to future benefits 2011-01-01 38
Total of all active and inactive participants 2011-01-01 85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 85
Number of participants with account balances 2011-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2010: ICSO 401K SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 49
Number of retired or separated participants receiving benefits 2010-01-01 3
Number of other retired or separated participants entitled to future benefits 2010-01-01 44
Total of all active and inactive participants 2010-01-01 96
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 96
Number of participants with account balances 2010-01-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: ICSO 401K SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 70
Number of retired or separated participants receiving benefits 2009-01-01 3
Number of other retired or separated participants entitled to future benefits 2009-01-01 35
Total of all active and inactive participants 2009-01-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 108
Number of participants with account balances 2009-01-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4
2008: ICSO 401K SAVINGS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 80
Number of retired or separated participants receiving benefits 2008-01-01 3
Number of other retired or separated participants entitled to future benefits 2008-01-01 30
Total of all active and inactive participants 2008-01-01 113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 113
Number of participants with account balances 2008-01-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 2
2007: ICSO 401K SAVINGS PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 75
Number of retired or separated participants receiving benefits 2007-01-01 3
Number of other retired or separated participants entitled to future benefits 2007-01-01 34
Total of all active and inactive participants 2007-01-01 112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-01-01 0
Total participants 2007-01-01 112
Number of participants with account balances 2007-01-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 6
2006: ICSO 401K SAVINGS PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 81
Number of retired or separated participants receiving benefits 2006-01-01 3
Number of other retired or separated participants entitled to future benefits 2006-01-01 39
Total of all active and inactive participants 2006-01-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-01-01 0
Total participants 2006-01-01 123
Number of participants with account balances 2006-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2006-01-01 0

Measure	Date	Value
2011: ICSO 401K SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	96
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	43
Number of retired or separated participants receiving benefits	2011-01-01	4
Number of other retired or separated participants entitled to future benefits	2011-01-01	38
Total of all active and inactive participants	2011-01-01	85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	85
Number of participants with account balances	2011-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2010: ICSO 401K SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	49
Number of retired or separated participants receiving benefits	2010-01-01	3
Number of other retired or separated participants entitled to future benefits	2010-01-01	44
Total of all active and inactive participants	2010-01-01	96
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	96
Number of participants with account balances	2010-01-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: ICSO 401K SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	70
Number of retired or separated participants receiving benefits	2009-01-01	3
Number of other retired or separated participants entitled to future benefits	2009-01-01	35
Total of all active and inactive participants	2009-01-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	108
Number of participants with account balances	2009-01-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4
2008: ICSO 401K SAVINGS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	80
Number of retired or separated participants receiving benefits	2008-01-01	3
Number of other retired or separated participants entitled to future benefits	2008-01-01	30
Total of all active and inactive participants	2008-01-01	113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	113
Number of participants with account balances	2008-01-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	2
2007: ICSO 401K SAVINGS PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	75
Number of retired or separated participants receiving benefits	2007-01-01	3
Number of other retired or separated participants entitled to future benefits	2007-01-01	34
Total of all active and inactive participants	2007-01-01	112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	112
Number of participants with account balances	2007-01-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	6
2006: ICSO 401K SAVINGS PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	81
Number of retired or separated participants receiving benefits	2006-01-01	3
Number of other retired or separated participants entitled to future benefits	2006-01-01	39
Total of all active and inactive participants	2006-01-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-01-01	0
Total participants	2006-01-01	123
Number of participants with account balances	2006-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2006-01-01	0

Financial Data on ICSO 401K SAVINGS PLAN

Measure	Date	Value
2011 : ICSO 401K SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
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	$835,816
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$3,590,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,590,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$716,893
Value of total assets at end of year	2011-12-31	$14,224,425
Value of total assets at beginning of year	2011-12-31	$16,979,605
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$153
Total interest from all sources	2011-12-31	$167,139
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$77,727
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$77,727
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$514,446
Participant contributions at end of year	2011-12-31	$101,166
Participant contributions at beginning of year	2011-12-31	$147,550
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$12,897
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$14,304
Other income not declared elsewhere	2011-12-31	$-1,408
Administrative expenses (other) incurred	2011-12-31	$153
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-2,755,180
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$14,224,425
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$16,979,605
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$5,947,467
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$7,427,592
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,676,034
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$4,681,381
Interest on participant loans	2011-12-31	$4,978
Interest earned on other investments	2011-12-31	$162,161
Value of interest in common/collective trusts at end of year	2011-12-31	$4,486,861
Value of interest in common/collective trusts at beginning of year	2011-12-31	$4,708,778
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-242,110
Net investment gain/loss from pooled separate accounts	2011-12-31	$-4,581
Net investment gain or loss from common/collective trusts	2011-12-31	$122,156
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$202,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$3,590,843
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	THOMAS HOWELL FERGUSON PA
Accountancy firm EIN	2011-12-31	593186310
2010 : ICSO 401K SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$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	$2,710,218
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,118,933
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,118,633
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$945,932
Value of total assets at end of year	2010-12-31	$16,979,605
Value of total assets at beginning of year	2010-12-31	$15,388,320
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$300
Total interest from all sources	2010-12-31	$182,351
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$83,625
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$83,625
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$598,478
Participant contributions at end of year	2010-12-31	$147,550
Participant contributions at beginning of year	2010-12-31	$126,171
Participant contributions at beginning of year	2010-12-31	$28,234
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$14,304
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$14,260
Other income not declared elsewhere	2010-12-31	$50,991
Administrative expenses (other) incurred	2010-12-31	$300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,591,285
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$16,979,605
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$15,388,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$7,427,592
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,851,321
Value of interest in pooled separate accounts at end of year	2010-12-31	$4,681,381
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$4,137,347
Interest on participant loans	2010-12-31	$5,685
Interest earned on other investments	2010-12-31	$176,666
Value of interest in common/collective trusts at end of year	2010-12-31	$4,708,778
Value of interest in common/collective trusts at beginning of year	2010-12-31	$4,213,304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$604,687
Net investment gain/loss from pooled separate accounts	2010-12-31	$589,584
Net investment gain or loss from common/collective trusts	2010-12-31	$253,048
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$347,454
Employer contributions (assets) at beginning of year	2010-12-31	$17,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,118,633
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	THOMAS HOWELL FERGUSON PA
Accountancy firm EIN	2010-12-31	593186310
2009 : ICSO 401K SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for ICSO 401K SAVINGS PLAN

2011: ICSO 401K SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: ICSO 401K SAVINGS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: ICSO 401K SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2008: ICSO 401K SAVINGS PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes
2007: ICSO 401K SAVINGS PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	Yes
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes
2006: ICSO 401K SAVINGS PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	Yes
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan funding arrangement – Trust	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

008012

Policy instance

Insurance contract or identification number	008012
Number of Individuals Covered	85
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

062082

Policy instance

Insurance contract or identification number	062082
Number of Individuals Covered	85
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

008012

Policy instance

Insurance contract or identification number	008012
Number of Individuals Covered	96
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

062082

Policy instance

Insurance contract or identification number	062082
Number of Individuals Covered	96
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	AMERICAN INSURANCE ASSOCIATION
Employer identification number (EIN):	133173374
NAIC Classification:	525100
NAIC Description:	Insurance and Employee Benefit Funds

Jurisdiction of Incorporation:	District of Columbia Corporations Division
Incorporation Date:
Company Identification Number:	840590