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WELHAVEN MUSIC PROFIT SHARING PLAN 401k Plan overview

Plan NameWELHAVEN MUSIC PROFIT SHARING PLAN
Plan identification number 001

WELHAVEN MUSIC PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • 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.

401k Sponsoring company profile

WELHAVEN MUSIC INC has sponsored the creation of one or more 401k plans.

Company Name:WELHAVEN MUSIC INC
Employer identification number (EIN):205261752
NAIC Classification:451140
NAIC Description:Musical Instrument and Supplies Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WELHAVEN MUSIC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01JOHN WELHAVEN
0012016-01-01JOHN WELHAVEN
0012015-01-01JOHN WELHAVEN
0012014-01-01JOHN WELHAVEN
0012013-01-01JOHN WELHAVEN
0012012-01-01JOHN WELHAVEN
0012011-01-01JOHN WELHAVEN
0012009-01-01JOHN WELHAVEN

Plan Statistics for WELHAVEN MUSIC PROFIT SHARING PLAN

401k plan membership statisitcs for WELHAVEN MUSIC PROFIT SHARING PLAN

Measure Date Value
2019: WELHAVEN MUSIC PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: WELHAVEN MUSIC PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013
Total number of active participants reported on line 7a of the Form 55002018-01-013
Number of retired or separated participants receiving benefits2018-01-011
Total of all active and inactive participants2018-01-014
Total participants2018-01-014
Number of participants with account balances2018-01-013
2017: WELHAVEN MUSIC PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-010
Total number of active participants reported on line 7a of the Form 55002017-01-014
Number of retired or separated participants receiving benefits2017-01-011
Total of all active and inactive participants2017-01-015
Total participants2017-01-015
Number of participants with account balances2017-01-013
2016: WELHAVEN MUSIC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-010
Total number of active participants reported on line 7a of the Form 55002016-01-012
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-015
Total participants2016-01-015
Number of participants with account balances2016-01-014
2015: WELHAVEN MUSIC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-010
Total number of active participants reported on line 7a of the Form 55002015-01-015
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-017
Total participants2015-01-017
Number of participants with account balances2015-01-015
2014: WELHAVEN MUSIC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total number of active participants reported on line 7a of the Form 55002014-01-015
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-017
Total participants2014-01-017
Number of participants with account balances2014-01-015
2013: WELHAVEN MUSIC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-014
Total number of active participants reported on line 7a of the Form 55002013-01-014
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-015
Total participants2013-01-015
Number of participants with account balances2013-01-015
2012: WELHAVEN MUSIC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-014
Number of retired or separated participants receiving benefits2012-01-011
Total of all active and inactive participants2012-01-015
Total participants2012-01-015
Number of participants with account balances2012-01-014
2011: WELHAVEN MUSIC PROFIT SHARING 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 benefits2011-01-011
Total of all active and inactive participants2011-01-014
Total participants2011-01-014
Number of participants with account balances2011-01-014
2009: WELHAVEN MUSIC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013
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 benefits2009-01-011
Total of all active and inactive participants2009-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-014
Number of participants with account balances2009-01-014

Financial Data on WELHAVEN MUSIC PROFIT SHARING PLAN

Measure Date Value
2019 : WELHAVEN MUSIC PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$0
Expenses. Total of all expenses incurred2019-12-31$547,807
Benefits paid (including direct rollovers)2019-12-31$547,807
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$547,807
Net income (gross income less expenses)2019-12-31$-547,807
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$547,807
2018 : WELHAVEN MUSIC PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-30,733
Expenses. Total of all expenses incurred2018-12-31$22,936
Benefits paid (including direct rollovers)2018-12-31$20,737
Total plan assets at end of year2018-12-31$547,807
Total plan assets at beginning of year2018-12-31$601,476
Other income received2018-12-31$-33,745
Net income (gross income less expenses)2018-12-31$-53,669
Net plan assets at end of year (total assets less liabilities)2018-12-31$547,807
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$601,476
Total contributions received or receivable from employer(s)2018-12-31$3,012
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$2,199
2017 : WELHAVEN MUSIC PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$65,138
Expenses. Total of all expenses incurred2017-12-31$19,962
Benefits paid (including direct rollovers)2017-12-31$19,766
Total plan assets at end of year2017-12-31$601,476
Total plan assets at beginning of year2017-12-31$556,300
Other income received2017-12-31$62,774
Net income (gross income less expenses)2017-12-31$45,176
Net plan assets at end of year (total assets less liabilities)2017-12-31$601,476
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$556,300
Total contributions received or receivable from employer(s)2017-12-31$2,364
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$196
2016 : WELHAVEN MUSIC PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$47,141
Expenses. Total of all expenses incurred2016-12-31$40,826
Benefits paid (including direct rollovers)2016-12-31$40,559
Total plan assets at end of year2016-12-31$556,300
Total plan assets at beginning of year2016-12-31$549,985
Other income received2016-12-31$44,267
Net income (gross income less expenses)2016-12-31$6,315
Net plan assets at end of year (total assets less liabilities)2016-12-31$556,300
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$549,985
Total contributions received or receivable from employer(s)2016-12-31$2,874
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$267
2015 : WELHAVEN MUSIC PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,588
Expenses. Total of all expenses incurred2015-12-31$151,152
Benefits paid (including direct rollovers)2015-12-31$150,045
Total plan assets at end of year2015-12-31$549,985
Total plan assets at beginning of year2015-12-31$699,549
Other income received2015-12-31$-380
Net income (gross income less expenses)2015-12-31$-149,564
Net plan assets at end of year (total assets less liabilities)2015-12-31$549,985
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$699,549
Total contributions received or receivable from employer(s)2015-12-31$1,968
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,107
2014 : WELHAVEN MUSIC PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$36,259
Expenses. Total of all expenses incurred2014-12-31$16,527
Benefits paid (including direct rollovers)2014-12-31$15,414
Total plan assets at end of year2014-12-31$699,549
Total plan assets at beginning of year2014-12-31$679,817
Other income received2014-12-31$33,632
Net income (gross income less expenses)2014-12-31$19,732
Net plan assets at end of year (total assets less liabilities)2014-12-31$699,549
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$679,817
Total contributions received or receivable from employer(s)2014-12-31$2,627
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,113
2013 : WELHAVEN MUSIC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$31,505
Expenses. Total of all expenses incurred2013-12-31$135,737
Benefits paid (including direct rollovers)2013-12-31$134,118
Total plan assets at end of year2013-12-31$679,817
Total plan assets at beginning of year2013-12-31$784,049
Other income received2013-12-31$29,781
Net income (gross income less expenses)2013-12-31$-104,232
Net plan assets at end of year (total assets less liabilities)2013-12-31$679,817
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$784,049
Total contributions received or receivable from employer(s)2013-12-31$1,724
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,619
2012 : WELHAVEN MUSIC PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$44,476
Expenses. Total of all expenses incurred2012-12-31$2,250
Total plan assets at end of year2012-12-31$784,049
Total plan assets at beginning of year2012-12-31$741,823
Other income received2012-12-31$39,310
Net income (gross income less expenses)2012-12-31$42,226
Net plan assets at end of year (total assets less liabilities)2012-12-31$784,049
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$741,823
Total contributions received or receivable from employer(s)2012-12-31$5,166
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$2,250
2011 : WELHAVEN MUSIC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$43,438
Expenses. Total of all expenses incurred2011-12-31$885
Total plan assets at end of year2011-12-31$741,823
Total plan assets at beginning of year2011-12-31$699,270
Other income received2011-12-31$37,966
Net income (gross income less expenses)2011-12-31$42,553
Net plan assets at end of year (total assets less liabilities)2011-12-31$741,823
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$699,270
Total contributions received or receivable from employer(s)2011-12-31$5,472
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$885
2010 : WELHAVEN MUSIC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$77,433
Expenses. Total of all expenses incurred2010-12-31$49,182
Benefits paid (including direct rollovers)2010-12-31$48,149
Total plan assets at end of year2010-12-31$699,270
Total plan assets at beginning of year2010-12-31$671,019
Other income received2010-12-31$71,961
Net income (gross income less expenses)2010-12-31$28,251
Net plan assets at end of year (total assets less liabilities)2010-12-31$699,270
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$671,019
Total contributions received or receivable from employer(s)2010-12-31$5,472
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$1,033

Form 5500 Responses for WELHAVEN MUSIC PROFIT SHARING PLAN

2019: WELHAVEN MUSIC PROFIT SHARING 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 – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: WELHAVEN MUSIC PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2018-01-01Plan benefit arrangement - TrustYes
2017: WELHAVEN MUSIC PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2017-01-01Plan benefit arrangement - TrustYes
2016: WELHAVEN MUSIC PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2016-01-01Plan benefit arrangement - TrustYes
2015: WELHAVEN MUSIC PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2015-01-01Plan benefit arrangement - TrustYes
2014: WELHAVEN MUSIC PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2014-01-01Plan benefit arrangement - TrustYes
2013: WELHAVEN MUSIC PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2013-01-01Plan benefit arrangement - TrustYes
2012: WELHAVEN MUSIC PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2012-01-01Plan benefit arrangement - TrustYes
2011: WELHAVEN MUSIC PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2011-01-01Plan benefit arrangement - TrustYes
2009: WELHAVEN MUSIC PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

FIDELITY (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract numberB3S585971
Policy instance 4
Insurance contract or identification numberB3S585971
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711617016
Policy instance 3
Insurance contract or identification number711617016
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameDANIEL L KUTZKE
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711516041
Policy instance 2
Insurance contract or identification number711516041
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameDANIEL L KUTZKE
FIDELITY (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract numberB3S585971
Policy instance 1
Insurance contract or identification numberB3S585971
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711617016
Policy instance 3
Insurance contract or identification number711617016
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameDANIEL L KUTZKE
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711516041
Policy instance 2
Insurance contract or identification number711516041
Total amount of commissions paid to insurance brokerUSD $1,107
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,107
Insurance broker organization code?3
Insurance broker nameDANIEL L KUTZKE
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract numberB3S585971
Policy instance 1
Insurance contract or identification numberB3S585971
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711516041
Policy instance 2
Insurance contract or identification number711516041
Total amount of commissions paid to insurance brokerUSD $867
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $867
Insurance broker organization code?3
Insurance broker nameDANIEL L KUTZKE
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711617016
Policy instance 3
Insurance contract or identification number711617016
Total amount of commissions paid to insurance brokerUSD $59
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59
Insurance broker organization code?3
Insurance broker nameDANIEL L KUTZKE
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number14827205
Policy instance 1
Insurance contract or identification number14827205
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711617016
Policy instance 3
Insurance contract or identification number711617016
Total amount of commissions paid to insurance brokerUSD $799
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $799
Insurance broker organization code?3
Insurance broker nameDANIEL L KITZKE
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711516041
Policy instance 2
Insurance contract or identification number711516041
Total amount of commissions paid to insurance brokerUSD $820
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $820
Insurance broker organization code?3
Insurance broker nameDANIEL L KUTZKE
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number14827205
Policy instance 1
Insurance contract or identification number14827205
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711516041
Policy instance 2
Insurance contract or identification number711516041
Total amount of commissions paid to insurance brokerUSD $1,468
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,468
Insurance broker organization code?3
Insurance broker nameDANIEL L KUTZKE
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number14827205
Policy instance 3
Insurance contract or identification number14827205
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711617016
Policy instance 1
Insurance contract or identification number711617016
Total amount of commissions paid to insurance brokerUSD $782
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $782
Insurance broker organization code?3
Insurance broker nameDANIEL L KITZKE
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711516041
Policy instance 2
Insurance contract or identification number711516041
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $566
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number14827205
Policy instance 3
Insurance contract or identification number14827205
Number of Individuals Covered1
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )
Policy contract number711617016
Policy instance 1
Insurance contract or identification number711617016
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $319
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract numberP8721
Policy instance 2
Insurance contract or identification numberP8721
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number711516041
Policy instance 1
Insurance contract or identification number711516041
Number of Individuals Covered2
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,033
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,033
Insurance broker nameWOODBURY FINANCIAL SERVICES INC

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