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I.T.C. 401(K) PLAN 401k Plan overview

Plan NameI.T.C. 401(K) PLAN
Plan identification number 001

I.T.C. 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.
  • 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

INTER-TRIBAL COUNCIL OF MICHIGAN, INC. has sponsored the creation of one or more 401k plans.

Company Name:INTER-TRIBAL COUNCIL OF MICHIGAN, INC.
Employer identification number (EIN):381893519
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan I.T.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-10-01WENDY BELLEAU2023-07-16
0012020-10-01WENDY BELLEAU2022-07-10
0012019-10-01
0012018-10-01
0012018-10-01
0012017-10-01
0012017-10-01
0012016-10-01WENDY BELLEAU
0012015-10-01WENDY BELLEAU
0012014-10-01WENDY BELLEAU
0012013-10-01DIANE M ROGERS2014-12-16
0012012-10-01DIANE M ROGERS2014-01-09
0012011-10-01DIANE ROGERS2013-01-08
0012010-10-01DIANE M ROGERS2012-01-09

Plan Statistics for I.T.C. 401(K) PLAN

401k plan membership statisitcs for I.T.C. 401(K) PLAN

Measure Date Value
2021: I.T.C. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01128
Total number of active participants reported on line 7a of the Form 55002021-10-0195
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-0130
Total of all active and inactive participants2021-10-01125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-011
Total participants2021-10-01126
Number of participants with account balances2021-10-01126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-017
2020: I.T.C. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01145
Total number of active participants reported on line 7a of the Form 55002020-10-01105
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-0123
Total of all active and inactive participants2020-10-01128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-01128
Number of participants with account balances2020-10-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-016
2019: I.T.C. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01127
Total number of active participants reported on line 7a of the Form 55002019-10-01113
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-0123
Total of all active and inactive participants2019-10-01136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-01136
Number of participants with account balances2019-10-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-011
2018: I.T.C. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01138
Total number of active participants reported on line 7a of the Form 55002018-10-01102
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-0119
Total of all active and inactive participants2018-10-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01121
Number of participants with account balances2018-10-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-018
2017: I.T.C. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01141
Total number of active participants reported on line 7a of the Form 55002017-10-01120
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-0112
Total of all active and inactive participants2017-10-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01132
Number of participants with account balances2017-10-01124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-013
2016: I.T.C. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01139
Total number of active participants reported on line 7a of the Form 55002016-10-01119
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-0117
Total of all active and inactive participants2016-10-01136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-01136
Number of participants with account balances2016-10-01135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-016
2015: I.T.C. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01133
Total number of active participants reported on line 7a of the Form 55002015-10-01116
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-0114
Total of all active and inactive participants2015-10-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-011
Total participants2015-10-01131
Number of participants with account balances2015-10-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-010
2014: I.T.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01141
Total number of active participants reported on line 7a of the Form 55002014-10-01118
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-0111
Total of all active and inactive participants2014-10-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-011
Total participants2014-10-01130
Number of participants with account balances2014-10-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-010

Financial Data on I.T.C. 401(K) PLAN

Measure Date Value
2022 : I.T.C. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$875
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total income from all sources (including contributions)2022-09-30$-234,697
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$478,972
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$402,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$1,013,610
Value of total assets at end of year2022-09-30$6,000,407
Value of total assets at beginning of year2022-09-30$6,713,201
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$76,157
Total interest from all sources2022-09-30$9,675
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$353,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$353,071
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30Yes
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$316,668
Income. Received or receivable in cash from other sources (including rollovers)2022-09-30$17,195
Liabilities. Value of operating payables at end of year2022-09-30$75
Total non interest bearing cash at end of year2022-09-30$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-713,669
Value of net assets at end of year (total assets less liabilities)2022-09-30$5,999,532
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$6,713,201
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$5,482,413
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$6,202,503
Interest earned on other investments2022-09-30$9,675
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$517,993
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$510,698
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-1,611,053
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30Yes
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$679,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$402,815
Contract administrator fees2022-09-30$76,157
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-09-30Yes
Liabilities. Value of benefit claims payable at end of year2022-09-30$800
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30ANDERSON TACKMAN & COMPANY PLC
Accountancy firm EIN2022-09-30381977929
2021 : I.T.C. 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total income from all sources (including contributions)2021-09-30$2,089,292
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$463,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$413,721
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$1,002,368
Value of total assets at end of year2021-09-30$6,713,201
Value of total assets at beginning of year2021-09-30$5,087,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$49,656
Total interest from all sources2021-09-30$24,995
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$400,000
If this is an individual account plan, was there a blackout period2021-09-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$319,967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$1,625,915
Value of net assets at end of year (total assets less liabilities)2021-09-30$6,713,201
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$5,087,286
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$6,202,503
Value of interest in pooled separate accounts at beginning of year2021-09-30$4,668,518
Interest earned on other investments2021-09-30$24,995
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-09-30$510,698
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-09-30$418,768
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$954,404
Net investment gain or loss from common/collective trusts2021-09-30$107,525
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30Yes
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$682,401
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$413,721
Contract administrator fees2021-09-30$49,656
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-09-30Yes
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30ANDERSON TACKMAN & COMPANY PLC
Accountancy firm EIN2021-09-30381977929
2020 : I.T.C. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total income from all sources (including contributions)2020-09-30$1,290,501
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$391,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$353,715
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$933,638
Value of total assets at end of year2020-09-30$5,087,286
Value of total assets at beginning of year2020-09-30$4,188,179
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$37,679
Total interest from all sources2020-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$418,818
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$285,201
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$294
Other income not declared elsewhere2020-09-30$6,957
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$899,107
Value of net assets at end of year (total assets less liabilities)2020-09-30$5,087,286
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$4,188,179
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest in pooled separate accounts at end of year2020-09-30$4,668,518
Value of interest in pooled separate accounts at beginning of year2020-09-30$3,939,723
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-09-30$418,768
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-09-30$248,456
Net investment gain/loss from pooled separate accounts2020-09-30$349,906
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$648,143
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$353,715
Contract administrator fees2020-09-30$37,679
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30ANDERSON TACKMAN & COMPANY FACILITY
Accountancy firm EIN2020-09-30381977929
2019 : I.T.C. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$840,589
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$628,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$594,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$722,999
Value of total assets at end of year2019-09-30$4,188,179
Value of total assets at beginning of year2019-09-30$3,975,741
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$33,563
Total interest from all sources2019-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$397,574
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$226,957
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$294
Other income not declared elsewhere2019-09-30$5,068
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$212,438
Value of net assets at end of year (total assets less liabilities)2019-09-30$4,188,179
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$3,975,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in pooled separate accounts at end of year2019-09-30$3,939,723
Value of interest in pooled separate accounts at beginning of year2019-09-30$3,827,944
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$248,456
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$147,797
Net investment gain/loss from pooled separate accounts2019-09-30$112,522
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$495,748
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$594,588
Contract administrator fees2019-09-30$33,563
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30ANDERSON TACKMAN & COMPANY FACILITY
Accountancy firm EIN2019-09-30381977929
2018 : I.T.C. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total income from all sources (including contributions)2018-09-30$774,342
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$734,759
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$703,526
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$496,329
Value of total assets at end of year2018-09-30$3,975,741
Value of total assets at beginning of year2018-09-30$3,936,158
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$31,233
Total interest from all sources2018-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$410,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$216,459
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$739
Other income not declared elsewhere2018-09-30$1,877
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$39,583
Value of net assets at end of year (total assets less liabilities)2018-09-30$3,975,741
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$3,936,158
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in pooled separate accounts at end of year2018-09-30$3,827,944
Value of interest in pooled separate accounts at beginning of year2018-09-30$3,903,798
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$147,797
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$32,360
Net investment gain/loss from pooled separate accounts2018-09-30$276,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$279,131
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$703,526
Contract administrator fees2018-09-30$31,233
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30ANDERSON TACKMAN & COMPANY FACILITY
Accountancy firm EIN2018-09-30381977929
2017 : I.T.C. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total income from all sources (including contributions)2017-09-30$848,419
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$288,129
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$262,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$462,827
Value of total assets at end of year2017-09-30$3,936,158
Value of total assets at beginning of year2017-09-30$3,375,868
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$25,212
Total interest from all sources2017-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$350,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$182,783
Other income not declared elsewhere2017-09-30$2,502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$560,290
Value of net assets at end of year (total assets less liabilities)2017-09-30$3,936,158
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$3,375,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest in pooled separate accounts at end of year2017-09-30$3,903,798
Value of interest in pooled separate accounts at beginning of year2017-09-30$3,072,839
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$32,360
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$303,029
Net investment gain/loss from pooled separate accounts2017-09-30$383,090
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$280,044
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$262,917
Contract administrator fees2017-09-30$25,212
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30ANDERSON TACKMAN & COMPANY FACILITY
Accountancy firm EIN2017-09-30381977929
2016 : I.T.C. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$807,460
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$501,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$479,087
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$535,748
Value of total assets at end of year2016-09-30$3,375,868
Value of total assets at beginning of year2016-09-30$3,069,702
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$22,207
Total interest from all sources2016-09-30$4,743
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$350,000
If this is an individual account plan, was there a blackout period2016-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$160,164
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$106,658
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$306,166
Value of net assets at end of year (total assets less liabilities)2016-09-30$3,375,868
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$3,069,702
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Investment advisory and management fees2016-09-30$19,505
Value of interest in pooled separate accounts at end of year2016-09-30$3,072,839
Value of interest in pooled separate accounts at beginning of year2016-09-30$2,919,907
Interest earned on other investments2016-09-30$4,743
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$303,029
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$149,795
Net investment gain/loss from pooled separate accounts2016-09-30$266,969
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$268,926
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$479,087
Contract administrator fees2016-09-30$2,702
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30ANDERSON, TACKMAN & COMPANY, PLC
Accountancy firm EIN2016-09-30381977929
2015 : I.T.C. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$341,354
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$252,325
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$228,721
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$429,616
Value of total assets at end of year2015-09-30$3,069,702
Value of total assets at beginning of year2015-09-30$2,980,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$23,604
Total interest from all sources2015-09-30$2,760
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$300,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$153,422
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$690
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$89,029
Value of net assets at end of year (total assets less liabilities)2015-09-30$3,069,702
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$2,980,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Investment advisory and management fees2015-09-30$20,305
Value of interest in pooled separate accounts at end of year2015-09-30$2,919,907
Value of interest in pooled separate accounts at beginning of year2015-09-30$2,865,888
Interest earned on other investments2015-09-30$2,760
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$149,795
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$114,785
Net investment gain/loss from pooled separate accounts2015-09-30$-91,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$275,504
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$228,721
Contract administrator fees2015-09-30$3,299
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30ANDERSON, TACKMAN & COMPANY, PLC
Accountancy firm EIN2015-09-30381977929

Form 5500 Responses for I.T.C. 401(K) PLAN

2021: I.T.C. 401(K) PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: I.T.C. 401(K) PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: I.T.C. 401(K) PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: I.T.C. 401(K) PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedYes
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: I.T.C. 401(K) PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: I.T.C. 401(K) PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: I.T.C. 401(K) PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: I.T.C. 401(K) PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number814203
Policy instance 1
Insurance contract or identification number814203
Number of Individuals Covered128
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
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 Administration1
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number379-00052
Policy instance 1
Insurance contract or identification number379-00052
Number of Individuals Covered0
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number814203
Policy instance 2
Insurance contract or identification number814203
Number of Individuals Covered128
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 Administration1
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number379-00052
Policy instance 1
Insurance contract or identification number379-00052
Number of Individuals Covered113
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number379-00052
Policy instance 1
Insurance contract or identification number379-00052
Number of Individuals Covered102
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number379-00052
Policy instance 1
Insurance contract or identification number379-00052
Number of Individuals Covered132
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number379-00052
Policy instance 1
Insurance contract or identification number379-00052
Number of Individuals Covered130
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $12,791
Total amount of fees paid to insurance companyUSD $1,027
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,791
Insurance broker organization code?4
Amount paid for insurance broker fees1027
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEES
Insurance broker nameBELL FINANCIAL SERVICES COMPANY

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