401k Plan data: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN plan

CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN
Plan identification number	001

CERITAS ENERGY II, LLC RETIREMENT 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CERITAS ENERGY II, LLC has sponsored the creation of one or more 401k plans.

Company Name: CERITAS ENERGY II, LLC

Employer identification number (EIN): 331203320

NAIC Classification: 213110
NAIC Description: Support Activities for Mining

Additional information about CERITAS ENERGY II, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4501659

More information about CERITAS ENERGY II, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 ELIZABETH SCHAFFER
001 2016-01-01 ELIZABETH SCHAFFER
001 2015-01-01 ELIZABETH SCHAFFER
001 2014-01-01 ELIZABETH SCHAFFER

Plan Statistics for CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN

Measure Date Value
2020: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 13
Total of all active and inactive participants 2020-01-01 15
Total participants 2020-01-01 15
Number of participants with account balances 2020-01-01 14
2019: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 35
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 20
Total of all active and inactive participants 2019-01-01 23
Total participants 2019-01-01 23
Number of participants with account balances 2019-01-01 22
2018: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 24
Number of other retired or separated participants entitled to future benefits 2018-01-01 11
Total of all active and inactive participants 2018-01-01 35
Total participants 2018-01-01 35
Number of participants with account balances 2018-01-01 35
2017: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 26
Number of other retired or separated participants entitled to future benefits 2017-01-01 11
Total of all active and inactive participants 2017-01-01 37
Total participants 2017-01-01 37
Number of participants with account balances 2017-01-01 36
2016: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 24
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 12
Total of all active and inactive participants 2016-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 36
Number of participants with account balances 2016-01-01 36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 20
Number of other retired or separated participants entitled to future benefits 2015-01-01 13
Total of all active and inactive participants 2015-01-01 33
Total participants 2015-01-01 33
Number of participants with account balances 2015-01-01 33
2014: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 16
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 13
Total of all active and inactive participants 2014-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 29
Number of participants with account balances 2014-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2020: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	13
Total of all active and inactive participants	2020-01-01	15
Total participants	2020-01-01	15
Number of participants with account balances	2020-01-01	14
2019: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	35
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	20
Total of all active and inactive participants	2019-01-01	23
Total participants	2019-01-01	23
Number of participants with account balances	2019-01-01	22
2018: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	24
Number of other retired or separated participants entitled to future benefits	2018-01-01	11
Total of all active and inactive participants	2018-01-01	35
Total participants	2018-01-01	35
Number of participants with account balances	2018-01-01	35
2017: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	26
Number of other retired or separated participants entitled to future benefits	2017-01-01	11
Total of all active and inactive participants	2017-01-01	37
Total participants	2017-01-01	37
Number of participants with account balances	2017-01-01	36
2016: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	24
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	12
Total of all active and inactive participants	2016-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	36
Number of participants with account balances	2016-01-01	36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	20
Number of other retired or separated participants entitled to future benefits	2015-01-01	13
Total of all active and inactive participants	2015-01-01	33
Total participants	2015-01-01	33
Number of participants with account balances	2015-01-01	33
2014: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	16
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	13
Total of all active and inactive participants	2014-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	29
Number of participants with account balances	2014-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN

Measure	Date	Value
2020 : CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$46,667
Expenses. Total of all expenses incurred	2020-12-31	$307,400
Benefits paid (including direct rollovers)	2020-12-31	$302,432
Total plan assets at end of year	2020-12-31	$661,923
Total plan assets at beginning of year	2020-12-31	$922,656
Value of fidelity bond covering the plan	2020-12-31	$300,000
Assets. Value of tangible personal property	2020-12-31	$0
Total contributions received or receivable from participants	2020-12-31	$0
Assets. Value of loans (other than to participants)	2020-12-31	$0
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$46,667
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$-260,733
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$661,923
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$922,656
Assets. Value of participant loans	2020-12-31	$6,820
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$0
Assets. Value of real-estate (other than employer real property)	2020-12-31	$0
Assets. Value of employer securities	2020-12-31	$0
Assets. Value of employer real property	2020-12-31	$0
Total contributions received or receivable from employer(s)	2020-12-31	$0
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$4,968
2019 : CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$449,482
Expenses. Total of all expenses incurred	2019-12-31	$1,711,691
Benefits paid (including direct rollovers)	2019-12-31	$1,681,225
Total plan assets at end of year	2019-12-31	$922,656
Total plan assets at beginning of year	2019-12-31	$2,184,865
Value of fidelity bond covering the plan	2019-12-31	$300,000
Total contributions received or receivable from participants	2019-12-31	$45,085
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$317,082
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$-1,262,209
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$922,656
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,184,865
Assets. Value of participant loans	2019-12-31	$6,603
Total contributions received or receivable from employer(s)	2019-12-31	$87,315
Value of certain deemed distributions of participant loans	2019-12-31	$16,849
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$13,617
2018 : CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$17,554
Expenses. Total of all expenses incurred	2018-12-31	$456,759
Benefits paid (including direct rollovers)	2018-12-31	$451,793
Total plan assets at end of year	2018-12-31	$2,184,865
Total plan assets at beginning of year	2018-12-31	$2,624,070
Value of fidelity bond covering the plan	2018-12-31	$300,000
Total contributions received or receivable from participants	2018-12-31	$86,579
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-115,171
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-439,205
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,184,865
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,624,070
Assets. Value of participant loans	2018-12-31	$33,101
Total contributions received or receivable from employer(s)	2018-12-31	$46,146
Value of certain deemed distributions of participant loans	2018-12-31	$-7,619
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$12,585
2017 : CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$581,414
Expenses. Total of all expenses incurred	2017-12-31	$218,599
Benefits paid (including direct rollovers)	2017-12-31	$195,785
Total plan assets at end of year	2017-12-31	$2,624,070
Total plan assets at beginning of year	2017-12-31	$2,261,255
Value of fidelity bond covering the plan	2017-12-31	$300,000
Total contributions received or receivable from participants	2017-12-31	$142,890
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$369,635
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$362,815
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,624,070
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,261,255
Assets. Value of participant loans	2017-12-31	$77,355
Total contributions received or receivable from employer(s)	2017-12-31	$68,889
Value of certain deemed distributions of participant loans	2017-12-31	$12,698
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$10,116
2016 : CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$369,594
Expenses. Total of all expenses incurred	2016-12-31	$85,361
Benefits paid (including direct rollovers)	2016-12-31	$75,093
Total plan assets at end of year	2016-12-31	$2,261,255
Total plan assets at beginning of year	2016-12-31	$1,977,022
Value of fidelity bond covering the plan	2016-12-31	$300,000
Total contributions received or receivable from participants	2016-12-31	$130,421
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$179,022
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$284,233
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,261,255
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,977,022
Assets. Value of participant loans	2016-12-31	$40,427
Total contributions received or receivable from employer(s)	2016-12-31	$60,151
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$10,268
2015 : CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$224,230
Expenses. Total of all expenses incurred	2015-12-31	$109,729
Benefits paid (including direct rollovers)	2015-12-31	$99,644
Total plan assets at end of year	2015-12-31	$1,977,022
Total plan assets at beginning of year	2015-12-31	$1,862,521
Value of fidelity bond covering the plan	2015-12-31	$300,000
Total contributions received or receivable from participants	2015-12-31	$135,469
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$33,124
Other income received	2015-12-31	$-17,012
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$114,501
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,977,022
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,862,521
Assets. Value of participant loans	2015-12-31	$50,103
Total contributions received or receivable from employer(s)	2015-12-31	$72,649
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$10,085
2014 : CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$209,269
Expenses. Total of all expenses incurred	2014-12-31	$62,861
Benefits paid (including direct rollovers)	2014-12-31	$60,024
Total plan assets at end of year	2014-12-31	$1,862,521
Total plan assets at beginning of year	2014-12-31	$1,716,113
Value of fidelity bond covering the plan	2014-12-31	$300,000
Total contributions received or receivable from participants	2014-12-31	$31,608
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$159,960
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$146,408
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,862,521
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,716,113
Assets. Value of participant loans	2014-12-31	$8,977
Total contributions received or receivable from employer(s)	2014-12-31	$17,701
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$1,263
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,574

Form 5500 Responses for CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN

2020: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CERITAS ENERGY II, LLC RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G33723

Policy instance

Insurance contract or identification number	G33723
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $6,658
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
Commission paid to Insurance Broker	USD $6,658
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	NORTHWESTERN MUTUAL INVESTMENT

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Company Name:	CERITAS ENERGY II, LLC
Employer identification number (EIN):	331203320
NAIC Classification:	213110
NAIC Description:	Support Activities for Mining

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4501659