401k Plan data: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST plan

ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 401k Plan overview

Plan Name	ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST
Plan identification number	001

ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.

401k Sponsoring company profile

ANDERSON, RASOR & PARTNERS, LLP has sponsored the creation of one or more 401k plans.

Company Name: ANDERSON, RASOR & PARTNERS, LLP

Employer identification number (EIN): 364359138

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 MARY HUMPHREY 2023-09-19 MARY HUMPHREY 2023-09-19
001 2021-01-01 MARY HUMPHREY 2022-07-28
001 2020-01-01 MARY HUMPHREY 2021-08-20 MARY HUMPHREY 2021-08-20
001 2019-01-01 MARY HUMPHREY 2020-07-29 MARY HUMPHREY 2020-07-29
001 2018-01-01 MARY HUMPHREY 2019-09-10 MARY HUMPHREY 2019-09-10
001 2017-01-01 MARY HUMPHREY 2018-07-10
001 2016-01-01 MARY HUMPHREY 2017-09-01 MARY HUMPHREY 2017-09-01
001 2015-01-01 MARY HUMPHREY
001 2014-01-01 KAREN SEWICK KAREN SEWICK 2015-07-22
001 2013-01-01 MARY HUMPHREY
001 2012-01-01 MARY HUMPHEY
001 2011-01-01 MARY HUMPHREY
001 2009-01-01 MARY HUMPHREY MARY HUMPHREY 2010-07-14
001 2009-01-01 MARY HUMPHREY MARY HUMPHREY 2010-07-14
001 2009-01-01 MARY HUMPHREY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	MARY HUMPHREY	2023-09-19	MARY HUMPHREY	2023-09-19
001	2021-01-01	MARY HUMPHREY	2022-07-28
001	2020-01-01	MARY HUMPHREY	2021-08-20	MARY HUMPHREY	2021-08-20
001	2019-01-01	MARY HUMPHREY	2020-07-29	MARY HUMPHREY	2020-07-29
001	2018-01-01	MARY HUMPHREY	2019-09-10	MARY HUMPHREY	2019-09-10
001	2017-01-01	MARY HUMPHREY	2018-07-10
001	2016-01-01	MARY HUMPHREY	2017-09-01	MARY HUMPHREY	2017-09-01
001	2015-01-01	MARY HUMPHREY
001	2014-01-01	KAREN SEWICK		KAREN SEWICK	2015-07-22
001	2013-01-01	MARY HUMPHREY
001	2012-01-01	MARY HUMPHEY
001	2011-01-01	MARY HUMPHREY
001	2009-01-01	MARY HUMPHREY		MARY HUMPHREY	2010-07-14
001	2009-01-01	MARY HUMPHREY		MARY HUMPHREY	2010-07-14
001	2009-01-01	MARY HUMPHREY

Plan Statistics for ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST

401k plan membership statisitcs for ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST

Measure Date Value
2015: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 62
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 33
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 25
Total of all active and inactive participants 2015-01-01 58
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 58
Number of participants with account balances 2015-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 7
2014: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 53
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 9
Total of all active and inactive participants 2014-01-01 62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 62
Number of participants with account balances 2014-01-01 61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 61
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 51
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 8
Total of all active and inactive participants 2013-01-01 59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 59
Number of participants with account balances 2013-01-01 57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 60
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 51
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 61
Number of participants with account balances 2012-01-01 55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 60
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 51
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 9
Total of all active and inactive participants 2011-01-01 60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 60
Number of participants with account balances 2011-01-01 55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 52
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 8
Total of all active and inactive participants 2009-01-01 60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 60
Number of participants with account balances 2009-01-01 55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	62
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	33
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	25
Total of all active and inactive participants	2015-01-01	58
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	58
Number of participants with account balances	2015-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	7
2014: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	53
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	9
Total of all active and inactive participants	2014-01-01	62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	62
Number of participants with account balances	2014-01-01	61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	61
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	51
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	8
Total of all active and inactive participants	2013-01-01	59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	59
Number of participants with account balances	2013-01-01	57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	60
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	51
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	61
Number of participants with account balances	2012-01-01	55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	60
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	51
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	9
Total of all active and inactive participants	2011-01-01	60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	60
Number of participants with account balances	2011-01-01	55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	52
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	8
Total of all active and inactive participants	2009-01-01	60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	60
Number of participants with account balances	2009-01-01	55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST

Measure	Date	Value
2015 : ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$804,364
Expenses. Total of all expenses incurred	2015-12-31	$2,072,098
Benefits paid (including direct rollovers)	2015-12-31	$2,070,997
Total plan assets at end of year	2015-12-31	$9,379,915
Total plan assets at beginning of year	2015-12-31	$10,647,649
Value of fidelity bond covering the plan	2015-12-31	$1,000,000
Total contributions received or receivable from participants	2015-12-31	$239,854
Other income received	2015-12-31	$95,503
Net income (gross income less expenses)	2015-12-31	$-1,267,734
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$9,379,915
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$10,647,649
Assets. Value of participant loans	2015-12-31	$83,088
Total contributions received or receivable from employer(s)	2015-12-31	$469,007
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$1,101
2014 : ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$1,383,801
Expenses. Total of all expenses incurred	2014-12-31	$255,569
Benefits paid (including direct rollovers)	2014-12-31	$255,144
Total plan assets at end of year	2014-12-31	$10,647,649
Total plan assets at beginning of year	2014-12-31	$9,519,417
Value of fidelity bond covering the plan	2014-12-31	$1,000,000
Total contributions received or receivable from participants	2014-12-31	$364,716
Expenses. Other expenses not covered elsewhere	2014-12-31	$425
Other income received	2014-12-31	$584,929
Net income (gross income less expenses)	2014-12-31	$1,128,232
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$10,647,649
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$9,519,417
Assets. Value of participant loans	2014-12-31	$107,046
Total contributions received or receivable from employer(s)	2014-12-31	$434,156
2013 : ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2013 401k financial data
Transfers to/from the plan	2013-12-31	$21,440
Total income from all sources	2013-12-31	$2,517,191
Expenses. Total of all expenses incurred	2013-12-31	$42,154
Benefits paid (including direct rollovers)	2013-12-31	$41,879
Total plan assets at end of year	2013-12-31	$9,519,417
Total plan assets at beginning of year	2013-12-31	$7,022,940
Value of fidelity bond covering the plan	2013-12-31	$1,000,000
Total contributions received or receivable from participants	2013-12-31	$338,871
Contributions received from other sources (not participants or employers)	2013-12-31	$490,648
Other income received	2013-12-31	$1,245,578
Net income (gross income less expenses)	2013-12-31	$2,475,037
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$9,519,417
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$7,022,940
Assets. Value of participant loans	2013-12-31	$104,640
Total contributions received or receivable from employer(s)	2013-12-31	$442,094
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$275
2012 : ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$1,479,626
Expenses. Total of all expenses incurred	2012-12-31	$371,948
Benefits paid (including direct rollovers)	2012-12-31	$371,598
Total plan assets at end of year	2012-12-31	$7,022,940
Total plan assets at beginning of year	2012-12-31	$5,915,262
Value of fidelity bond covering the plan	2012-12-31	$1,000,000
Total contributions received or receivable from participants	2012-12-31	$291,856
Other income received	2012-12-31	$777,713
Net income (gross income less expenses)	2012-12-31	$1,107,678
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$7,022,940
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,915,262
Assets. Value of participant loans	2012-12-31	$72,080
Total contributions received or receivable from employer(s)	2012-12-31	$410,057
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$350
2011 : ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$678,298
Expenses. Total of all expenses incurred	2011-12-31	$432,064
Benefits paid (including direct rollovers)	2011-12-31	$385,336
Total plan assets at end of year	2011-12-31	$5,915,262
Total plan assets at beginning of year	2011-12-31	$5,669,028
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$407,163
Expenses. Other expenses not covered elsewhere	2011-12-31	$500
Other income received	2011-12-31	$-147,936
Net income (gross income less expenses)	2011-12-31	$246,234
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,915,262
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$5,669,028
Assets. Value of participant loans	2011-12-31	$26,517
Total contributions received or receivable from employer(s)	2011-12-31	$419,071
Value of certain deemed distributions of participant loans	2011-12-31	$46,228
2010 : ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$1,389,170
Expenses. Total of all expenses incurred	2010-12-31	$446,817
Benefits paid (including direct rollovers)	2010-12-31	$446,040
Total plan assets at end of year	2010-12-31	$5,669,028
Total plan assets at beginning of year	2010-12-31	$4,726,675
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$321,142
Contributions received from other sources (not participants or employers)	2010-12-31	$10,354
Other income received	2010-12-31	$635,573
Net income (gross income less expenses)	2010-12-31	$942,353
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$5,669,028
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,726,675
Assets. Value of participant loans	2010-12-31	$10,152
Total contributions received or receivable from employer(s)	2010-12-31	$422,101
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$777

Form 5500 Responses for ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST

2015: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 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: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ANDERSON, RASOR & PARTNERS PROFIT SHARING AND 401K PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

932749

Policy instance

Insurance contract or identification number	932749
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $17,827
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

932749

Policy instance

Insurance contract or identification number	932749
Number of Individuals Covered	58
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $15,735
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,735
Insurance broker organization code?	4
Insurance broker name	MORGAN STANLEY SMITH BARNEY LLC

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Company Name:	ANDERSON, RASOR & PARTNERS, LLP
Employer identification number (EIN):	364359138
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers