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CATCH THE WIND INC 401(K) PLAN 401k Plan overview

Plan NameCATCH THE WIND INC 401(K) PLAN
Plan identification number 001

CATCH THE WIND INC 401(K) 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CATCH THE WIND INC has sponsored the creation of one or more 401k plans.

Company Name:CATCH THE WIND INC
Employer identification number (EIN):204104435
NAIC Classification:531310

Additional information about CATCH THE WIND INC

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0819706

More information about CATCH THE WIND INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CATCH THE WIND INC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01DONALD BUTTON DONALD BUTTON2017-10-15
0012015-01-01DONALD BUTTON DONALD BUTTON2016-12-26
0012014-01-01DONALD BUTTON DONALD BUTTON2015-09-15
0012013-01-01DONALD BUTTON
0012012-01-01DONALD BUTTON
0012011-01-01DONALD BUTTON
0012009-01-01DONALD BUTTON DONALD BUTTON2010-10-11
0012009-01-01DONALD BUTTON DONALD BUTTON2010-10-13

Plan Statistics for CATCH THE WIND INC 401(K) PLAN

401k plan membership statisitcs for CATCH THE WIND INC 401(K) PLAN

Measure Date Value
2019: CATCH THE WIND INC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013
Total of all active and inactive participants2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
2018: CATCH THE WIND INC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013
Total number of active participants reported on line 7a of the Form 55002018-01-012
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012
Total participants2018-01-012
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
Number of employers contributing to the scheme2018-01-012
2017: CATCH THE WIND INC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013
Total number of active participants reported on line 7a of the Form 55002017-01-012
Number of retired or separated participants receiving benefits2017-01-011
Total of all active and inactive participants2017-01-013
Total participants2017-01-013
Number of participants with account balances2017-01-013
2016: CATCH THE WIND INC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012
Total number of active participants reported on line 7a of the Form 55002016-01-013
Total of all active and inactive participants2016-01-013
Total participants2016-01-013
Number of participants with account balances2016-01-014
Number of employers contributing to the scheme2016-01-011
2015: CATCH THE WIND INC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014
Total number of active participants reported on line 7a of the Form 55002015-01-012
Total of all active and inactive participants2015-01-012
Total participants2015-01-012
Number of participants with account balances2015-01-013
2014: CATCH THE WIND INC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-013
Total of all active and inactive participants2014-01-013
Total participants2014-01-013
Number of participants with account balances2014-01-014
Number of employers contributing to the scheme2014-01-011
2013: CATCH THE WIND INC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013
Total of all active and inactive participants2013-01-010
Total participants2013-01-010
2012: CATCH THE WIND INC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013
Total number of active participants reported on line 7a of the Form 55002012-01-013
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-013
Total participants2012-01-013
Number of participants with account balances2012-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
Number of employers contributing to the scheme2012-01-012
2011: CATCH THE WIND INC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-014
Total number of active participants reported on line 7a of the Form 55002011-01-013
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-013
Number of participants with account balances2011-01-014
Number of employers contributing to the scheme2011-01-012
2009: CATCH THE WIND INC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-016
Total number of active participants reported on line 7a of the Form 55002009-01-013
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-013
Number of participants with account balances2009-01-015
Number of employers contributing to the scheme2009-01-012

Financial Data on CATCH THE WIND INC 401(K) PLAN

Measure Date Value
2019 : CATCH THE WIND INC 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$-205,145
Total income from all sources2019-12-31$18,222
Expenses. Total of all expenses incurred2019-12-31$0
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$186,923
Other income received2019-12-31$18,222
Net income (gross income less expenses)2019-12-31$18,222
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$186,923
2018 : CATCH THE WIND INC 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$65,377
Expenses. Total of all expenses incurred2018-12-31$0
Total plan assets at end of year2018-12-31$186,923
Total plan assets at beginning of year2018-12-31$121,546
Total contributions received or receivable from participants2018-12-31$76,920
Other income received2018-12-31$-15,760
Net income (gross income less expenses)2018-12-31$65,377
Net plan assets at end of year (total assets less liabilities)2018-12-31$186,923
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$121,546
Total contributions received or receivable from employer(s)2018-12-31$4,217
2016 : CATCH THE WIND INC 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$26,780
Expenses. Total of all expenses incurred2016-12-31$18,407
Benefits paid (including direct rollovers)2016-12-31$18,407
Total plan assets at end of year2016-12-31$77,034
Total plan assets at beginning of year2016-12-31$68,661
Total contributions received or receivable from participants2016-12-31$12,462
Contributions received from other sources (not participants or employers)2016-12-31$4,000
Other income received2016-12-31$6,789
Net income (gross income less expenses)2016-12-31$8,373
Net plan assets at end of year (total assets less liabilities)2016-12-31$77,034
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$68,661
Total contributions received or receivable from employer(s)2016-12-31$3,529
2015 : CATCH THE WIND INC 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$21,579
Expenses. Total of all expenses incurred2015-12-31$273,842
Benefits paid (including direct rollovers)2015-12-31$273,842
Total plan assets at end of year2015-12-31$68,661
Total plan assets at beginning of year2015-12-31$320,924
Total contributions received or receivable from participants2015-12-31$21,972
Contributions received from other sources (not participants or employers)2015-12-31$6,000
Other income received2015-12-31$-10,633
Net income (gross income less expenses)2015-12-31$-252,263
Net plan assets at end of year (total assets less liabilities)2015-12-31$68,661
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$320,924
Total contributions received or receivable from employer(s)2015-12-31$4,240
2014 : CATCH THE WIND INC 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$40,137
Expenses. Total of all expenses incurred2014-12-31$0
Total plan assets at end of year2014-12-31$320,924
Total plan assets at beginning of year2014-12-31$280,787
Total contributions received or receivable from participants2014-12-31$25,057
Other income received2014-12-31$7,765
Net income (gross income less expenses)2014-12-31$40,137
Net plan assets at end of year (total assets less liabilities)2014-12-31$320,924
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$280,787
Assets. Value of employer securities2014-12-31$73,352
Total contributions received or receivable from employer(s)2014-12-31$7,315
2013 : CATCH THE WIND INC 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$78,360
Expenses. Total of all expenses incurred2013-12-31$0
Total plan assets at end of year2013-12-31$280,787
Total plan assets at beginning of year2013-12-31$202,427
Value of fidelity bond covering the plan2013-12-31$10,000
Total contributions received or receivable from participants2013-12-31$51,695
Other income received2013-12-31$21,599
Net income (gross income less expenses)2013-12-31$78,360
Net plan assets at end of year (total assets less liabilities)2013-12-31$280,787
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$202,427
Assets. Value of employer securities2013-12-31$65,714
Total contributions received or receivable from employer(s)2013-12-31$5,066
2012 : CATCH THE WIND INC 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$22,315
Total plan assets at end of year2012-12-31$202,427
Total plan assets at beginning of year2012-12-31$180,113
Total contributions received or receivable from participants2012-12-31$31,946
Other income received2012-12-31$-14,235
Net income (gross income less expenses)2012-12-31$22,315
Net plan assets at end of year (total assets less liabilities)2012-12-31$202,427
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$180,113
Assets. Value of employer securities2012-12-31$61,649
Total contributions received or receivable from employer(s)2012-12-31$4,604
2011 : CATCH THE WIND INC 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$31,248
Total plan assets at end of year2011-12-31$180,113
Total plan assets at beginning of year2011-12-31$148,865
Total contributions received or receivable from participants2011-12-31$29,277
Other income received2011-12-31$-1,900
Net income (gross income less expenses)2011-12-31$31,248
Net plan assets at end of year (total assets less liabilities)2011-12-31$180,113
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$148,865
Total contributions received or receivable from employer(s)2011-12-31$3,871
2010 : CATCH THE WIND INC 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$35,319
Expenses. Total of all expenses incurred2010-12-31$1,446
Benefits paid (including direct rollovers)2010-12-31$1,446
Total plan assets at end of year2010-12-31$148,865
Total plan assets at beginning of year2010-12-31$114,992
Total contributions received or receivable from participants2010-12-31$24,437
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$5,705
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$33,873
Net plan assets at end of year (total assets less liabilities)2010-12-31$148,865
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$114,992
Assets. Value of employer securities2010-12-31$85,742
Total contributions received or receivable from employer(s)2010-12-31$5,177
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0

Form 5500 Responses for CATCH THE WIND INC 401(K) PLAN

2019: CATCH THE WIND INC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: CATCH THE WIND INC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CATCH THE WIND INC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CATCH THE WIND INC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CATCH THE WIND INC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CATCH THE WIND INC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CATCH THE WIND INC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple 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 benefit arrangement - TrustYes
2012: CATCH THE WIND INC 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-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 planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CATCH THE WIND INC 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-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 planYes
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: CATCH THE WIND INC 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CATCH THE WIND INC 401(K) PLAN (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119111
Policy instance 1
Insurance contract or identification numberLP1119111
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $275
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
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
Commission paid to Insurance BrokerUSD $275
Additional information about fees paid to insurance brokerA.U.M/B.T.C 3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119111
Policy instance 1
Insurance contract or identification numberLP1119111
Number of Individuals Covered3
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $762
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
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
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119111
Policy instance 1
Insurance contract or identification numberLP1119111
Number of Individuals Covered3
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,384
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
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 $1,384
Additional information about fees paid to insurance brokerA.U.M/B.T.C 3
Insurance broker nameDONALD BUTTON
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119111
Policy instance 1
Insurance contract or identification numberLP1119111
Number of Individuals Covered4
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,559
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
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 $1,559
Additional information about fees paid to insurance brokerA.U.M/B.T.C 3
Insurance broker nameDONALD BUTTON
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119111
Policy instance 1
Insurance contract or identification numberLP1119111
Number of Individuals Covered4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,428
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?Yes
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 $1,428
Additional information about fees paid to insurance brokerA.U.M./B.T.C. 3
Insurance broker nameDONALD BUTTON
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119111
Policy instance 1
Insurance contract or identification numberLP1119111
Number of Individuals Covered4
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $956
Are there contracts with allocated funds for group deferred annuity?Yes
Commission paid to Insurance BrokerUSD $956
Additional information about fees paid to insurance brokerA.U.M./B.T.C. 3
Insurance broker nameDONALD BUTTON
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119111
Policy instance 1
Insurance contract or identification numberLP1119111
Number of Individuals Covered4
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $700
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119111
Policy instance 1
Insurance contract or identification numberLP1119111
Number of Individuals Covered4
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $448
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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