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CENTRAL SAVINGS BANK 401(K) PLAN 401k Plan overview

Plan NameCENTRAL SAVINGS BANK 401(K) PLAN
Plan identification number 001

CENTRAL SAVINGS BANK 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

CENTRAL SAVINGS BANK has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL SAVINGS BANK
Employer identification number (EIN):380409810
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL SAVINGS BANK 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MARK SAVOIE2023-09-25
0012021-01-01MARK SAVOIE2022-10-03
0012020-01-01
0012019-01-01
0012018-01-01RONALD MEISTER
0012017-01-01RONALD MEISTER
0012016-01-01RONALD MEISTER
0012015-01-01RONALD MEISTER
0012014-01-01W.W. LAJOIE
0012013-01-01W.W. LAJOIE W.W. LAJOIE2014-06-03
0012012-01-01W.W. LAJOIE
0012011-01-01W.W. LAJOIE
0012010-01-01W.W. LAJOIE
0012009-01-01W.W. LAJOIE

Plan Statistics for CENTRAL SAVINGS BANK 401(K) PLAN

401k plan membership statisitcs for CENTRAL SAVINGS BANK 401(K) PLAN

Measure Date Value
2022: CENTRAL SAVINGS BANK 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0119
Total number of active participants reported on line 7a of the Form 55002022-01-0113
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-016
Total of all active and inactive participants2022-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0119
Number of participants with account balances2022-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: CENTRAL SAVINGS BANK 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0170
Total number of active participants reported on line 7a of the Form 55002021-01-0111
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-018
Total of all active and inactive participants2021-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0119
Number of participants with account balances2021-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: CENTRAL SAVINGS BANK 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0184
Total number of active participants reported on line 7a of the Form 55002020-01-0158
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0128
Total of all active and inactive participants2020-01-0186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0186
Number of participants with account balances2020-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-013
2019: CENTRAL SAVINGS BANK 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0177
Total number of active participants reported on line 7a of the Form 55002019-01-0155
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0125
Total of all active and inactive participants2019-01-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0180
Number of participants with account balances2019-01-0180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: CENTRAL SAVINGS BANK 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0181
Total number of active participants reported on line 7a of the Form 55002018-01-0156
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0120
Total of all active and inactive participants2018-01-0176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0176
Number of participants with account balances2018-01-0176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-014
2017: CENTRAL SAVINGS BANK 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0179
Total number of active participants reported on line 7a of the Form 55002017-01-0162
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0119
Total of all active and inactive participants2017-01-0181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0181
Number of participants with account balances2017-01-0178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: CENTRAL SAVINGS BANK 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0178
Total number of active participants reported on line 7a of the Form 55002016-01-0162
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0116
Total of all active and inactive participants2016-01-0178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0178
Number of participants with account balances2016-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CENTRAL SAVINGS BANK 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0185
Total number of active participants reported on line 7a of the Form 55002015-01-0158
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0117
Total of all active and inactive participants2015-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0175
Number of participants with account balances2015-01-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012
2014: CENTRAL SAVINGS BANK 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0184
Total number of active participants reported on line 7a of the Form 55002014-01-0158
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0125
Total of all active and inactive participants2014-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0183
Number of participants with account balances2014-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CENTRAL SAVINGS BANK 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0185
Total number of active participants reported on line 7a of the Form 55002013-01-0156
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0127
Total of all active and inactive participants2013-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0183
Number of participants with account balances2013-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-015
2012: CENTRAL SAVINGS BANK 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0183
Total number of active participants reported on line 7a of the Form 55002012-01-0160
Number of other retired or separated participants entitled to future benefits2012-01-0123
Total of all active and inactive participants2012-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0183
Number of participants with account balances2012-01-0181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: CENTRAL SAVINGS BANK 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0188
Total number of active participants reported on line 7a of the Form 55002011-01-0161
Number of retired or separated participants receiving benefits2011-01-0122
Total of all active and inactive participants2011-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0183
Number of participants with account balances2011-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2010: CENTRAL SAVINGS BANK 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0187
Total number of active participants reported on line 7a of the Form 55002010-01-0159
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0128
Total of all active and inactive participants2010-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0187
Number of participants with account balances2010-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-015
2009: CENTRAL SAVINGS BANK 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0192
Total number of active participants reported on line 7a of the Form 55002009-01-0162
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0124
Total of all active and inactive participants2009-01-0186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0186
Number of participants with account balances2009-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-016

Financial Data on CENTRAL SAVINGS BANK 401(K) PLAN

Measure Date Value
2022 : CENTRAL SAVINGS BANK 401(K) PLAN 2022 401k financial data
Total income from all sources2022-12-31$-174,298
Expenses. Total of all expenses incurred2022-12-31$0
Total plan assets at end of year2022-12-31$1,663,133
Total plan assets at beginning of year2022-12-31$1,837,431
Value of fidelity bond covering the plan2022-12-31$3,500,000
Other income received2022-12-31$-174,298
Net income (gross income less expenses)2022-12-31$-174,298
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,663,133
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,837,431
Assets. Value of employer securities2022-12-31$1,411,712
2021 : CENTRAL SAVINGS BANK 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$-5,471,978
Total income from all sources2021-12-31$311,900
Expenses. Total of all expenses incurred2021-12-31$0
Total plan assets at end of year2021-12-31$1,837,431
Total plan assets at beginning of year2021-12-31$6,997,509
Value of fidelity bond covering the plan2021-12-31$3,500,000
Other income received2021-12-31$311,900
Net income (gross income less expenses)2021-12-31$311,900
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,837,431
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$6,997,509
Assets. Value of participant loans2021-12-31$0
Assets. Value of employer securities2021-12-31$1,837,431
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : CENTRAL SAVINGS BANK 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$862,015
Expenses. Total of all expenses incurred2020-12-31$734,627
Benefits paid (including direct rollovers)2020-12-31$718,449
Total plan assets at end of year2020-12-31$6,997,509
Total plan assets at beginning of year2020-12-31$6,870,121
Value of fidelity bond covering the plan2020-12-31$3,500,000
Total contributions received or receivable from participants2020-12-31$185,820
Other income received2020-12-31$555,635
Net income (gross income less expenses)2020-12-31$127,388
Net plan assets at end of year (total assets less liabilities)2020-12-31$6,997,509
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$6,870,121
Assets. Value of participant loans2020-12-31$138,860
Assets. Value of employer securities2020-12-31$1,525,531
Total contributions received or receivable from employer(s)2020-12-31$120,560
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$16,178
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : CENTRAL SAVINGS BANK 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$1,572,475
Expenses. Total of all expenses incurred2019-12-31$164,833
Benefits paid (including direct rollovers)2019-12-31$153,086
Total plan assets at end of year2019-12-31$6,870,121
Total plan assets at beginning of year2019-12-31$5,462,479
Value of fidelity bond covering the plan2019-12-31$3,500,000
Total contributions received or receivable from participants2019-12-31$158,999
Contributions received from other sources (not participants or employers)2019-12-31$45,003
Other income received2019-12-31$1,252,558
Net income (gross income less expenses)2019-12-31$1,407,642
Net plan assets at end of year (total assets less liabilities)2019-12-31$6,870,121
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$5,462,479
Assets. Value of participant loans2019-12-31$135,799
Assets. Value of employer securities2019-12-31$1,784,933
Total contributions received or receivable from employer(s)2019-12-31$115,915
Value of corrective distributions2019-12-31$6,823
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$4,924
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : CENTRAL SAVINGS BANK 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$310,319
Expenses. Total of all expenses incurred2018-12-31$438,045
Benefits paid (including direct rollovers)2018-12-31$431,408
Total plan assets at end of year2018-12-31$5,462,479
Total plan assets at beginning of year2018-12-31$5,590,205
Value of fidelity bond covering the plan2018-12-31$3,500,000
Total contributions received or receivable from participants2018-12-31$162,642
Contributions received from other sources (not participants or employers)2018-12-31$2,964
Other income received2018-12-31$29,735
Net income (gross income less expenses)2018-12-31$-127,726
Net plan assets at end of year (total assets less liabilities)2018-12-31$5,462,479
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$5,590,205
Assets. Value of participant loans2018-12-31$142,389
Assets. Value of employer securities2018-12-31$1,500,305
Total contributions received or receivable from employer(s)2018-12-31$114,978
Value of corrective distributions2018-12-31$1,253
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$5,384
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : CENTRAL SAVINGS BANK 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$935,444
Expenses. Total of all expenses incurred2017-12-31$397,420
Benefits paid (including direct rollovers)2017-12-31$394,381
Total plan assets at end of year2017-12-31$5,590,205
Total plan assets at beginning of year2017-12-31$5,052,181
Value of fidelity bond covering the plan2017-12-31$3,500,000
Total contributions received or receivable from participants2017-12-31$140,511
Contributions received from other sources (not participants or employers)2017-12-31$1,810
Other income received2017-12-31$690,172
Net income (gross income less expenses)2017-12-31$538,024
Net plan assets at end of year (total assets less liabilities)2017-12-31$5,590,205
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$5,052,181
Assets. Value of participant loans2017-12-31$162,455
Assets. Value of employer securities2017-12-31$1,310,094
Total contributions received or receivable from employer(s)2017-12-31$102,951
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$3,039
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CENTRAL SAVINGS BANK 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$813,566
Expenses. Total of all expenses incurred2016-12-31$123,819
Benefits paid (including direct rollovers)2016-12-31$120,325
Total plan assets at end of year2016-12-31$5,052,181
Total plan assets at beginning of year2016-12-31$4,362,434
Value of fidelity bond covering the plan2016-12-31$3,500,000
Total contributions received or receivable from participants2016-12-31$124,861
Contributions received from other sources (not participants or employers)2016-12-31$35,956
Other income received2016-12-31$551,599
Net income (gross income less expenses)2016-12-31$689,747
Net plan assets at end of year (total assets less liabilities)2016-12-31$5,052,181
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,362,434
Assets. Value of participant loans2016-12-31$225,027
Assets. Value of employer securities2016-12-31$1,136,621
Total contributions received or receivable from employer(s)2016-12-31$101,150
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$3,494
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : CENTRAL SAVINGS BANK 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$195,728
Expenses. Total of all expenses incurred2015-12-31$168,364
Benefits paid (including direct rollovers)2015-12-31$162,919
Total plan assets at end of year2015-12-31$4,362,434
Total plan assets at beginning of year2015-12-31$4,335,070
Value of fidelity bond covering the plan2015-12-31$3,500,000
Total contributions received or receivable from participants2015-12-31$123,355
Other income received2015-12-31$-25,906
Net income (gross income less expenses)2015-12-31$27,364
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,362,434
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,335,070
Assets. Value of participant loans2015-12-31$189,502
Assets. Value of employer securities2015-12-31$747,803
Total contributions received or receivable from employer(s)2015-12-31$98,279
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$5,445
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CENTRAL SAVINGS BANK 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$469,486
Expenses. Total of all expenses incurred2014-12-31$99,515
Benefits paid (including direct rollovers)2014-12-31$93,895
Total plan assets at end of year2014-12-31$4,335,070
Total plan assets at beginning of year2014-12-31$3,965,099
Value of fidelity bond covering the plan2014-12-31$3,500,000
Total contributions received or receivable from participants2014-12-31$130,523
Other income received2014-12-31$242,460
Net income (gross income less expenses)2014-12-31$369,971
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,335,070
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,965,099
Assets. Value of participant loans2014-12-31$147,574
Assets. Value of employer securities2014-12-31$777,676
Total contributions received or receivable from employer(s)2014-12-31$96,503
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$5,620
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CENTRAL SAVINGS BANK 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$632,164
Expenses. Total of all expenses incurred2013-12-31$129,923
Benefits paid (including direct rollovers)2013-12-31$123,788
Total plan assets at end of year2013-12-31$3,965,099
Total plan assets at beginning of year2013-12-31$3,462,858
Value of fidelity bond covering the plan2013-12-31$3,500,000
Total contributions received or receivable from participants2013-12-31$126,870
Other income received2013-12-31$410,503
Net income (gross income less expenses)2013-12-31$502,241
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,965,099
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,462,858
Assets. Value of participant loans2013-12-31$153,180
Assets. Value of employer securities2013-12-31$689,007
Total contributions received or receivable from employer(s)2013-12-31$94,791
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$6,135
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : CENTRAL SAVINGS BANK 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$389,078
Expenses. Total of all expenses incurred2012-12-31$55,856
Benefits paid (including direct rollovers)2012-12-31$47,912
Total plan assets at end of year2012-12-31$3,462,858
Total plan assets at beginning of year2012-12-31$3,129,636
Value of fidelity bond covering the plan2012-12-31$3,500,000
Total contributions received or receivable from participants2012-12-31$128,005
Other income received2012-12-31$164,616
Net income (gross income less expenses)2012-12-31$333,222
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,462,858
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,129,636
Assets. Value of participant loans2012-12-31$124,922
Assets. Value of employer securities2012-12-31$650,973
Total contributions received or receivable from employer(s)2012-12-31$96,457
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$7,944
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CENTRAL SAVINGS BANK 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$346,443
Expenses. Total of all expenses incurred2011-12-31$189,913
Benefits paid (including direct rollovers)2011-12-31$177,453
Total plan assets at end of year2011-12-31$3,129,636
Total plan assets at beginning of year2011-12-31$2,973,106
Value of fidelity bond covering the plan2011-12-31$3,500,000
Total contributions received or receivable from participants2011-12-31$108,988
Other income received2011-12-31$145,434
Net income (gross income less expenses)2011-12-31$156,530
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,129,636
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,973,106
Assets. Value of participant loans2011-12-31$107,672
Assets. Value of employer securities2011-12-31$743,290
Total contributions received or receivable from employer(s)2011-12-31$92,021
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$12,460
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CENTRAL SAVINGS BANK 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$387,960
Expenses. Total of all expenses incurred2010-12-31$37,780
Benefits paid (including direct rollovers)2010-12-31$14,626
Total plan assets at end of year2010-12-31$2,973,106
Total plan assets at beginning of year2010-12-31$2,622,926
Value of fidelity bond covering the plan2010-12-31$3,500,000
Total contributions received or receivable from participants2010-12-31$99,365
Other income received2010-12-31$199,301
Net income (gross income less expenses)2010-12-31$350,180
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,973,106
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,622,926
Assets. Value of participant loans2010-12-31$71,133
Assets. Value of employer securities2010-12-31$662,595
Total contributions received or receivable from employer(s)2010-12-31$89,294
Value of certain deemed distributions of participant loans2010-12-31$8,927
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$14,227
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : CENTRAL SAVINGS BANK 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CENTRAL SAVINGS BANK 401(K) PLAN

2022: CENTRAL SAVINGS BANK 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CENTRAL SAVINGS BANK 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CENTRAL SAVINGS BANK 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CENTRAL SAVINGS BANK 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CENTRAL SAVINGS BANK 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CENTRAL SAVINGS BANK 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CENTRAL SAVINGS BANK 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CENTRAL SAVINGS BANK 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CENTRAL SAVINGS BANK 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CENTRAL SAVINGS BANK 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CENTRAL SAVINGS BANK 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CENTRAL SAVINGS BANK 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CENTRAL SAVINGS BANK 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CENTRAL SAVINGS BANK 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 1
Insurance contract or identification number102482
Number of Individuals Covered86
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $16,794
Total amount of fees paid to insurance companyUSD $2,391
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,794
Insurance broker organization code?3
Amount paid for insurance broker fees2391
Additional information about fees paid to insurance brokerTPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 1
Insurance contract or identification number102482
Number of Individuals Covered82
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $17,222
Total amount of fees paid to insurance companyUSD $4,153
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $17,222
Insurance broker organization code?3
Amount paid for insurance broker fees4153
Additional information about fees paid to insurance brokerTPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 1
Insurance contract or identification number102482
Number of Individuals Covered77
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $16,203
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $16,203
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 1
Insurance contract or identification number102482
Number of Individuals Covered75
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $14,662
Total amount of fees paid to insurance companyUSD $896
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $14,662
Insurance broker organization code?3
Amount paid for insurance broker fees896
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameBEENE GARTER LLP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 1
Insurance contract or identification number102482
Number of Individuals Covered66
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $11,999
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $11,999
Insurance broker organization code?3
Insurance broker nameAMERIPRISE FINANCIAL SERVICES INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 1
Insurance contract or identification number102482
Number of Individuals Covered77
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $12,180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $12,180
Insurance broker organization code?3
Insurance broker nameAMERIPRISE FINANCIAL SERVICES INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 1
Insurance contract or identification number102482
Number of Individuals Covered76
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,791
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $11,791
Insurance broker organization code?3
Insurance broker nameAMERIPRISE FINANCIAL SERVICES INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 1
Insurance contract or identification number102482
Number of Individuals Covered81
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,687
Total amount of fees paid to insurance companyUSD $82
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $5,687
Insurance broker organization code?3
Amount paid for insurance broker fees82
Additional information about fees paid to insurance brokerADMINISTRATION
Insurance broker nameBEENE GARTER LLP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102482
Policy instance 2
Insurance contract or identification number102482
Number of Individuals Covered81
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $18,197
Total amount of fees paid to insurance companyUSD $234
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-JX87
Policy instance 1
Insurance contract or identification numberGAP-52-JX87
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $6,180
Total amount of fees paid to insurance companyUSD $1,128
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-JX87
Policy instance 1
Insurance contract or identification numberGAP-52-JX87
Number of Individuals Covered85
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $7,816
Total amount of fees paid to insurance companyUSD $1,331
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $7,816
Amount paid for insurance broker fees1331
Additional information about fees paid to insurance brokerADMINISTRATION
Insurance broker organization code?3
Insurance broker nameAMERIPRISE FINANCIAL SERVICES

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