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GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan NameGREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN
Plan identification number 001

GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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

WESTMINSTER VILLAGE GREENWOOD, INC. has sponsored the creation of one or more 401k plans.

Company Name:WESTMINSTER VILLAGE GREENWOOD, INC.
Employer identification number (EIN):351516199
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01PAUL PFAFF2024-03-26
0012021-07-01PAUL PFAFF2023-03-22
0012020-07-01JENNIFER EVANS2022-04-05
0012019-07-01JENNIFER EVANS2021-03-28
0012018-07-01JANICE MERRIS2020-02-10
0012017-07-01
0012017-07-01JANICE MERRIS2019-03-20
0012016-07-01
0012015-07-01JANICE MERRIS
0012014-07-01JANICE MERRIS
0012013-07-01JANICE MERRIS
0012012-07-01JANICE MERRIS
0012011-07-01JANICE MERRIS
0012009-07-01JANICE MERRIS

Financial Data on GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN

Measure Date Value
2023 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total income from all sources (including contributions)2023-06-30$888,587
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$344,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$319,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$473,934
Value of total assets at end of year2023-06-30$4,443,495
Value of total assets at beginning of year2023-06-30$3,899,485
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$25,185
Total interest from all sources2023-06-30$7,964
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$1,000,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$308,494
Income. Received or receivable in cash from other sources (including rollovers)2023-06-30$37,382
Total non interest bearing cash at end of year2023-06-30$4,567
Total non interest bearing cash at beginning of year2023-06-30$4,078
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$544,010
Value of net assets at end of year (total assets less liabilities)2023-06-30$4,443,495
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$3,899,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-06-30$3,900,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-06-30$3,390,452
Interest earned on other investments2023-06-30$7,964
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-06-30$538,634
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-06-30$504,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-06-30$406,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30No
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$128,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$319,392
Contract administrator fees2023-06-30$25,185
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30BLUE & CO.
Accountancy firm EIN2023-06-30351178661
2022 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-07-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-01$0
Total income from all sources (including contributions)2022-07-01$888,587
Total loss/gain on sale of assets2022-07-01$0
Total of all expenses incurred2022-07-01$344,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-07-01$319,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-07-01$473,934
Value of total assets at end of year2022-07-01$4,443,495
Value of total assets at beginning of year2022-07-01$3,899,485
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-07-01$25,185
Total interest from all sources2022-07-01$7,964
Total dividends received (eg from common stock, registered investment company shares)2022-07-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-07-01No
Was this plan covered by a fidelity bond2022-07-01Yes
Value of fidelity bond cover2022-07-01$1,000,000
If this is an individual account plan, was there a blackout period2022-07-01No
Were there any nonexempt tranactions with any party-in-interest2022-07-01No
Contributions received from participants2022-07-01$308,494
Income. Received or receivable in cash from other sources (including rollovers)2022-07-01$37,382
Total non interest bearing cash at end of year2022-07-01$4,567
Total non interest bearing cash at beginning of year2022-07-01$4,078
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-01No
Value of net income/loss2022-07-01$544,010
Value of net assets at end of year (total assets less liabilities)2022-07-01$4,443,495
Value of net assets at beginning of year (total assets less liabilities)2022-07-01$3,899,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-07-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-07-01No
Were any leases to which the plan was party in default or uncollectible2022-07-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-07-01$3,900,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-07-01$3,390,452
Interest earned on other investments2022-07-01$7,964
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-07-01$538,634
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-07-01$504,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-07-01$406,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-07-01No
Was there a failure to transmit to the plan any participant contributions2022-07-01No
Has the plan failed to provide any benefit when due under the plan2022-07-01No
Contributions received in cash from employer2022-07-01$128,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-07-01$319,392
Contract administrator fees2022-07-01$25,185
Did the plan have assets held for investment2022-07-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-07-01No
Opinion of an independent qualified public accountant for this plan2022-07-011
Accountancy firm name2022-07-01BLUE & CO.
Accountancy firm EIN2022-07-01351178661
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$-198,784
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$422,774
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$390,714
Value of total corrective distributions2022-06-30$1,570
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$409,153
Value of total assets at end of year2022-06-30$3,899,485
Value of total assets at beginning of year2022-06-30$4,521,043
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$30,490
Total interest from all sources2022-06-30$8,717
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$1,000,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$266,205
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$16,517
Total non interest bearing cash at end of year2022-06-30$4,078
Total non interest bearing cash at beginning of year2022-06-30$4,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-621,558
Value of net assets at end of year (total assets less liabilities)2022-06-30$3,899,485
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$4,521,043
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$3,390,452
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$3,892,138
Interest earned on other investments2022-06-30$8,717
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$504,955
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$624,783
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-616,654
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$126,431
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$390,714
Contract administrator fees2022-06-30$30,490
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30BLUE & CO.
Accountancy firm EIN2022-06-30351178661
2021 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$1,345,495
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$402,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$374,163
Value of total corrective distributions2021-06-30$1,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$355,401
Value of total assets at end of year2021-06-30$4,521,043
Value of total assets at beginning of year2021-06-30$3,577,613
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$26,759
Total interest from all sources2021-06-30$10,274
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$1,000,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$249,107
Total non interest bearing cash at end of year2021-06-30$4,122
Total non interest bearing cash at beginning of year2021-06-30$14,622
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$943,430
Value of net assets at end of year (total assets less liabilities)2021-06-30$4,521,043
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$3,577,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$3,892,138
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$2,947,195
Interest earned on other investments2021-06-30$10,274
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$624,783
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$615,796
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$979,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$106,294
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$374,163
Contract administrator fees2021-06-30$26,759
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30BLUE & CO.
Accountancy firm EIN2021-06-30351178661
2020 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$402,979
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$195,076
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$173,338
Value of total corrective distributions2020-06-30$1,589
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$314,084
Value of total assets at end of year2020-06-30$3,577,613
Value of total assets at beginning of year2020-06-30$3,369,710
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$20,149
Total interest from all sources2020-06-30$8,834
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$5,000,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$212,742
Participant contributions at end of year2020-06-30$0
Participant contributions at beginning of year2020-06-30$6,803
Total non interest bearing cash at end of year2020-06-30$14,622
Total non interest bearing cash at beginning of year2020-06-30$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$207,903
Value of net assets at end of year (total assets less liabilities)2020-06-30$3,577,613
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$3,369,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$2,947,195
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$2,721,345
Interest earned on other investments2020-06-30$8,834
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$615,796
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$637,799
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$80,061
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$101,342
Employer contributions (assets) at end of year2020-06-30$0
Employer contributions (assets) at beginning of year2020-06-30$3,760
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$173,338
Contract administrator fees2020-06-30$20,149
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30BLUE & CO.
Accountancy firm EIN2020-06-30351178661
2019 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$478,586
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$175,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$155,233
Value of total corrective distributions2019-06-30$1,798
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$284,402
Value of total assets at end of year2019-06-30$3,369,710
Value of total assets at beginning of year2019-06-30$3,066,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$18,489
Total interest from all sources2019-06-30$8,988
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$5,000,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$189,915
Participant contributions at end of year2019-06-30$6,803
Participant contributions at beginning of year2019-06-30$7,495
Total non interest bearing cash at end of year2019-06-30$3
Total non interest bearing cash at beginning of year2019-06-30$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$303,066
Value of net assets at end of year (total assets less liabilities)2019-06-30$3,369,710
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$3,066,644
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$2,721,345
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$2,542,655
Interest earned on other investments2019-06-30$8,988
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$637,799
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$512,930
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$185,196
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$94,487
Employer contributions (assets) at end of year2019-06-30$3,760
Employer contributions (assets) at beginning of year2019-06-30$3,562
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$155,233
Contract administrator fees2019-06-30$18,489
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30BLUE & CO.
Accountancy firm EIN2019-06-30351178661
2018 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$503,609
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$318,424
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$299,011
Value of total corrective distributions2018-06-30$1,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$272,541
Value of total assets at end of year2018-06-30$3,066,644
Value of total assets at beginning of year2018-06-30$2,881,459
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$17,896
Total interest from all sources2018-06-30$8,156
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$5,000,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$182,301
Participant contributions at end of year2018-06-30$7,495
Participant contributions at beginning of year2018-06-30$5,594
Total non interest bearing cash at end of year2018-06-30$2
Total non interest bearing cash at beginning of year2018-06-30$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$185,185
Value of net assets at end of year (total assets less liabilities)2018-06-30$3,066,644
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$2,881,459
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$2,542,655
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$2,193,062
Interest earned on other investments2018-06-30$8,156
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$512,930
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$679,642
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$222,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$90,240
Employer contributions (assets) at end of year2018-06-30$3,562
Employer contributions (assets) at beginning of year2018-06-30$3,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$299,011
Contract administrator fees2018-06-30$17,896
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30BLUE & CO.
Accountancy firm EIN2018-06-30351178661
2017 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$557,738
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$329,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$310,523
Value of total corrective distributions2017-06-30$890
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$271,247
Value of total assets at end of year2017-06-30$2,881,459
Value of total assets at beginning of year2017-06-30$2,653,054
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$17,920
Total interest from all sources2017-06-30$10,256
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$5,000,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$151,002
Participant contributions at end of year2017-06-30$5,594
Participant contributions at beginning of year2017-06-30$84
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$44,335
Total non interest bearing cash at end of year2017-06-30$2
Total non interest bearing cash at beginning of year2017-06-30$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$228,405
Value of net assets at end of year (total assets less liabilities)2017-06-30$2,881,459
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$2,653,054
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$2,193,062
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$1,963,683
Interest earned on other investments2017-06-30$10,256
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-06-30$679,642
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-06-30$689,221
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$276,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30Yes
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$75,910
Employer contributions (assets) at end of year2017-06-30$3,159
Employer contributions (assets) at beginning of year2017-06-30$64
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$310,523
Contract administrator fees2017-06-30$17,920
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30BLUE & CO.
Accountancy firm EIN2017-06-30351178661
2016 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$254,748
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$452,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$432,641
Value of total corrective distributions2016-06-30$857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$233,426
Value of total assets at end of year2016-06-30$2,653,054
Value of total assets at beginning of year2016-06-30$2,850,710
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$18,906
Total interest from all sources2016-06-30$11,203
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$105,721
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$105,721
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$5,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$154,266
Participant contributions at end of year2016-06-30$84
Total non interest bearing cash at end of year2016-06-30$2
Total non interest bearing cash at beginning of year2016-06-30$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-197,656
Value of net assets at end of year (total assets less liabilities)2016-06-30$2,653,054
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$2,850,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$1,963,683
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$2,030,887
Interest earned on other investments2016-06-30$11,203
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-06-30$689,221
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$819,821
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-95,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30Yes
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$79,160
Employer contributions (assets) at end of year2016-06-30$64
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$432,641
Contract administrator fees2016-06-30$18,906
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30BLUE & CO.
Accountancy firm EIN2016-06-30351178661
2015 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$319,959
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$367,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$348,658
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$238,748
Value of total assets at end of year2015-06-30$2,850,710
Value of total assets at beginning of year2015-06-30$2,897,969
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$18,560
Total interest from all sources2015-06-30$12,280
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$5,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$157,263
Total non interest bearing cash at end of year2015-06-30$2
Total non interest bearing cash at beginning of year2015-06-30$643
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-47,259
Value of net assets at end of year (total assets less liabilities)2015-06-30$2,850,710
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$2,897,969
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$2,030,887
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$2,081,720
Interest earned on other investments2015-06-30$12,280
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$819,821
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$815,606
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$68,931
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$81,485
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$348,658
Contract administrator fees2015-06-30$18,560
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30BLUE & CO.
Accountancy firm EIN2015-06-30351178661
2014 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$538,273
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$288,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$270,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$178,591
Value of total assets at end of year2014-06-30$2,897,969
Value of total assets at beginning of year2014-06-30$2,648,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$18,562
Total interest from all sources2014-06-30$12,288
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$5,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$142,142
Total non interest bearing cash at end of year2014-06-30$643
Total non interest bearing cash at beginning of year2014-06-30$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$249,300
Value of net assets at end of year (total assets less liabilities)2014-06-30$2,897,969
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$2,648,669
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$2,081,720
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$1,808,239
Interest earned on other investments2014-06-30$12,288
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$815,606
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$840,429
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$347,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$36,449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$270,411
Contract administrator fees2014-06-30$18,562
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30BLUE & CO.
Accountancy firm EIN2014-06-30351178661
2013 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$27,214
Total unrealized appreciation/depreciation of assets2013-06-30$27,214
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$384,857
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$191,279
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$172,991
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$106,060
Value of total assets at end of year2013-06-30$2,648,669
Value of total assets at beginning of year2013-06-30$2,455,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$18,288
Total interest from all sources2013-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$52,719
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$52,719
Administrative expenses professional fees incurred2013-06-30$18,288
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$5,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$98,502
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$7,558
Total non interest bearing cash at end of year2013-06-30$1
Total non interest bearing cash at beginning of year2013-06-30$9,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$193,578
Value of net assets at end of year (total assets less liabilities)2013-06-30$2,648,669
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$2,455,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$1,808,239
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$1,754,847
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$840,429
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$691,063
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$198,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$172,991
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$0
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30BLUE & CO.
Accountancy firm EIN2013-06-30351178661
2012 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$-99,624
Total unrealized appreciation/depreciation of assets2012-06-30$-99,624
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total income from all sources (including contributions)2012-06-30$146,771
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$314,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$298,941
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$123,142
Value of total assets at end of year2012-06-30$2,455,091
Value of total assets at beginning of year2012-06-30$2,622,844
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$15,583
Total interest from all sources2012-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$52,660
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$52,660
Administrative expenses professional fees incurred2012-06-30$15,583
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$5,000,000
If this is an individual account plan, was there a blackout period2012-06-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$110,484
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$8,852
Total non interest bearing cash at end of year2012-06-30$9,181
Total non interest bearing cash at beginning of year2012-06-30$14,938
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-167,753
Value of net assets at end of year (total assets less liabilities)2012-06-30$2,455,091
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$2,622,844
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$1,754,847
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$1,873,347
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$691,063
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$734,559
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$70,593
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$3,806
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$298,941
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30Yes
Liabilities. Value of benefit claims payable at end of year2012-06-30$0
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30BGBC PARTNERS, LLP
Accountancy firm EIN2012-06-30205804172
2011 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$25,661
Total unrealized appreciation/depreciation of assets2011-06-30$25,661
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total income from all sources (including contributions)2011-06-30$553,166
Total loss/gain on sale of assets2011-06-30$36,304
Total of all expenses incurred2011-06-30$217,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$217,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$145,035
Value of total assets at end of year2011-06-30$2,622,844
Value of total assets at beginning of year2011-06-30$2,287,387
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$0
Total interest from all sources2011-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$31,459
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$31,459
Assets. Real estate other than employer real property at end of year2011-06-30$0
Assets. Real estate other than employer real property at beginning of year2011-06-30$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-06-30$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-06-30$0
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$5,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$110,858
Participant contributions at end of year2011-06-30$0
Participant contributions at beginning of year2011-06-30$0
Participant contributions at end of year2011-06-30$0
Participant contributions at beginning of year2011-06-30$0
Assets. Other investments not covered elsewhere at end of year2011-06-30$0
Assets. Other investments not covered elsewhere at beginning of year2011-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$0
Assets. Loans (other than to participants) at end of year2011-06-30$0
Assets. Loans (other than to participants) at beginning of year2011-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$0
Liabilities. Value of operating payables at end of year2011-06-30$0
Liabilities. Value of operating payables at beginning of year2011-06-30$0
Total non interest bearing cash at end of year2011-06-30$14,938
Total non interest bearing cash at beginning of year2011-06-30$4,886
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$335,457
Value of net assets at end of year (total assets less liabilities)2011-06-30$2,622,844
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$2,287,387
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Assets. partnership/joint venture interests at end of year2011-06-30$0
Assets. partnership/joint venture interests at beginning of year2011-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$1,873,347
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$1,513,671
Value of interest in master investment trust accounts at end of year2011-06-30$0
Value of interest in master investment trust accounts at beginning of year2011-06-30$0
Value of interest in common/collective trusts at end of year2011-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$0
Assets. Value of investments in 103.12 investment entities at end of year2011-06-30$0
Assets. Value of investments in 103.12 investment entities at beginning of year2011-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$734,559
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$768,830
Asset value of US Government securities at end of year2011-06-30$0
Asset value of US Government securities at beginning of year2011-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$314,707
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Assets. Invements in employer securities at end of year2011-06-30$0
Assets. Invements in employer securities at beginning of year2011-06-30$0
Assets. Value of employer real property at end of year2011-06-30$0
Assets. Value of employer real property at beginning of year2011-06-30$0
Contributions received in cash from employer2011-06-30$34,177
Employer contributions (assets) at end of year2011-06-30$0
Employer contributions (assets) at beginning of year2011-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$217,709
Asset. Corporate debt instrument preferred debt at end of year2011-06-30$0
Asset. Corporate debt instrument preferred debt at beginning of year2011-06-30$0
Asset. Corporate debt instrument debt (other) at end of year2011-06-30$0
Asset. Corporate debt instrument debt (other) at beginning of year2011-06-30$0
Assets. Corporate common stocks other than exployer securities at end of year2011-06-30$0
Assets. Corporate common stocks other than exployer securities at beginning of year2011-06-30$0
Liabilities. Value of benefit claims payable at end of year2011-06-30$0
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$0
Assets. Value of buildings and other operty used in plan operation at end of year2011-06-30$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-06-30$0
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$631,309
Aggregate carrying amount (costs) on sale of assets2011-06-30$595,005
Liabilities. Value of acquisition indebtedness at end of year2011-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30BGBC PARTNERS, LLP
Accountancy firm EIN2011-06-30205804172
2010 : GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN

2022: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement - TrustYes
2011: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: GREENWOOD VILLAGE SOUTH INTERNAL REVENUE CODE SECTION 403(B) TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69051
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number67861
Policy instance 2
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number67861
Policy instance 1

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