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KEYSAVINGS BANK DEFINED BENEFIT PLAN 401k Plan overview

Plan NameKEYSAVINGS BANK DEFINED BENEFIT PLAN
Plan identification number 001

KEYSAVINGS BANK DEFINED BENEFIT PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • 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

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

Company Name:KEYSAVINGS BANK
Employer identification number (EIN):390715533
NAIC Classification:522120
NAIC Description:Savings Institutions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KEYSAVINGS BANK DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-12-16
0012019-12-16BRUCE ROKKE2021-06-18 BRUCE ROKKE2021-06-18
0012018-12-16
0012018-12-16
0012017-12-16
0012016-12-16BRUCE ROKKE BRUCE ROKKE2018-04-24
0012015-12-16BRUCE ROKKE BRUCE ROKKE2017-07-17
0012014-12-16BRUCE ROKKE BRUCE ROKKE2016-06-22
0012013-12-16LAWRENCE SCHMICK LAWRENCE SCHMICK2015-05-08
0012012-12-16LAWRENCE SCHMICK LAWRENCE SCHMICK2014-03-31
0012011-12-16LAWRENCE SCHMICK LAWRENCE SCHMICK2013-02-08
0012010-12-16LAWRENCE SCHMICK LAWRENCE SCHMICK2012-07-18
0012009-12-16LAWRENCE SCHMICK
0012008-12-16

Plan Statistics for KEYSAVINGS BANK DEFINED BENEFIT PLAN

401k plan membership statisitcs for KEYSAVINGS BANK DEFINED BENEFIT PLAN

Measure Date Value
2019: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-1613
Total number of active participants reported on line 7a of the Form 55002019-12-1611
Number of retired or separated participants receiving benefits2019-12-160
Number of other retired or separated participants entitled to future benefits2019-12-161
Total of all active and inactive participants2019-12-1612
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-12-160
Total participants2019-12-1612
2018: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-1613
Total number of active participants reported on line 7a of the Form 55002018-12-1611
Number of retired or separated participants receiving benefits2018-12-160
Number of other retired or separated participants entitled to future benefits2018-12-161
Total of all active and inactive participants2018-12-1612
Total participants2018-12-1612
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-12-160
2017: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-1613
Total number of active participants reported on line 7a of the Form 55002017-12-1612
Number of retired or separated participants receiving benefits2017-12-160
Number of other retired or separated participants entitled to future benefits2017-12-161
Total of all active and inactive participants2017-12-1613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-12-160
Total participants2017-12-1613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-12-160
2016: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-1617
Total number of active participants reported on line 7a of the Form 55002016-12-1612
Number of retired or separated participants receiving benefits2016-12-160
Number of other retired or separated participants entitled to future benefits2016-12-161
Total of all active and inactive participants2016-12-1613
Total participants2016-12-1613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-12-162
2015: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-1618
Total number of active participants reported on line 7a of the Form 55002015-12-1614
Number of retired or separated participants receiving benefits2015-12-160
Number of other retired or separated participants entitled to future benefits2015-12-162
Total of all active and inactive participants2015-12-1616
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-12-160
Total participants2015-12-1616
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-12-162
2014: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-1614
Total number of active participants reported on line 7a of the Form 55002014-12-1617
Number of retired or separated participants receiving benefits2014-12-160
Number of other retired or separated participants entitled to future benefits2014-12-161
Total of all active and inactive participants2014-12-1618
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-12-160
Total participants2014-12-1618
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-12-161
2013: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-1614
Total number of active participants reported on line 7a of the Form 55002013-12-1612
Number of retired or separated participants receiving benefits2013-12-160
Number of other retired or separated participants entitled to future benefits2013-12-162
Total of all active and inactive participants2013-12-1614
Total participants2013-12-1614
2012: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-1617
Total number of active participants reported on line 7a of the Form 55002012-12-1612
Number of retired or separated participants receiving benefits2012-12-160
Number of other retired or separated participants entitled to future benefits2012-12-162
Total of all active and inactive participants2012-12-1614
Total participants2012-12-1614
2011: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-1616
Total number of active participants reported on line 7a of the Form 55002011-12-1617
Total of all active and inactive participants2011-12-1617
Total participants2011-12-1617
2010: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-1615
Total number of active participants reported on line 7a of the Form 55002010-12-1616
Total of all active and inactive participants2010-12-1616
Total participants2010-12-1616
2009: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-1616
Total number of active participants reported on line 7a of the Form 55002009-12-1615
Number of retired or separated participants receiving benefits2009-12-160
Number of other retired or separated participants entitled to future benefits2009-12-160
Total of all active and inactive participants2009-12-1615
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-12-160
Total participants2009-12-1615
Number of participants with account balances2009-12-160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-12-161

Financial Data on KEYSAVINGS BANK DEFINED BENEFIT PLAN

Measure Date Value
2020 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-12-15$224,467
Expenses. Total of all expenses incurred2020-12-15$224,467
Benefits paid (including direct rollovers)2020-12-15$224,467
Total plan assets at end of year2020-12-15$0
Total plan assets at beginning of year2020-12-15$0
Value of fidelity bond covering the plan2020-12-15$1,000,000
Net income (gross income less expenses)2020-12-15$0
Net plan assets at end of year (total assets less liabilities)2020-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2020-12-15$0
Total contributions received or receivable from employer(s)2020-12-15$224,467
2019 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-12-15$205,049
Expenses. Total of all expenses incurred2019-12-15$205,049
Benefits paid (including direct rollovers)2019-12-15$205,049
Total plan assets at end of year2019-12-15$0
Total plan assets at beginning of year2019-12-15$0
Value of fidelity bond covering the plan2019-12-15$1,000,000
Net income (gross income less expenses)2019-12-15$0
Net plan assets at end of year (total assets less liabilities)2019-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-15$0
Total contributions received or receivable from employer(s)2019-12-15$205,049
2017 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-12-15$189,491
Expenses. Total of all expenses incurred2017-12-15$189,491
Benefits paid (including direct rollovers)2017-12-15$189,491
Total plan assets at end of year2017-12-15$0
Total plan assets at beginning of year2017-12-15$0
Value of fidelity bond covering the plan2017-12-15$1,000,000
Net income (gross income less expenses)2017-12-15$0
Net plan assets at end of year (total assets less liabilities)2017-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-15$0
Total contributions received or receivable from employer(s)2017-12-15$189,491
2016 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-12-15$156,231
Expenses. Total of all expenses incurred2016-12-15$156,231
Benefits paid (including direct rollovers)2016-12-15$156,231
Total plan assets at end of year2016-12-15$0
Total plan assets at beginning of year2016-12-15$0
Value of fidelity bond covering the plan2016-12-15$1,000,000
Net income (gross income less expenses)2016-12-15$0
Net plan assets at end of year (total assets less liabilities)2016-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2016-12-15$0
Total contributions received or receivable from employer(s)2016-12-15$156,231
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-15$0
2015 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-12-15$160,459
Expenses. Total of all expenses incurred2015-12-15$160,459
Benefits paid (including direct rollovers)2015-12-15$160,459
Total plan assets at end of year2015-12-15$0
Total plan assets at beginning of year2015-12-15$0
Value of fidelity bond covering the plan2015-12-15$1,000,000
Net income (gross income less expenses)2015-12-15$0
Net plan assets at end of year (total assets less liabilities)2015-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-15$0
Total contributions received or receivable from employer(s)2015-12-15$160,459
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-15$0
2014 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2014 401k financial data
Total income from all sources2014-12-15$147,142
Expenses. Total of all expenses incurred2014-12-15$147,142
Benefits paid (including direct rollovers)2014-12-15$147,142
Total plan assets at end of year2014-12-15$0
Total plan assets at beginning of year2014-12-15$0
Value of fidelity bond covering the plan2014-12-15$1,000,000
Net income (gross income less expenses)2014-12-15$0
Net plan assets at end of year (total assets less liabilities)2014-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2014-12-15$0
Total contributions received or receivable from employer(s)2014-12-15$147,142
2013 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-12-15$111,129
Expenses. Total of all expenses incurred2013-12-15$111,129
Benefits paid (including direct rollovers)2013-12-15$111,129
Total plan assets at end of year2013-12-15$0
Total plan assets at beginning of year2013-12-15$0
Value of fidelity bond covering the plan2013-12-15$1,000,000
Net income (gross income less expenses)2013-12-15$0
Net plan assets at end of year (total assets less liabilities)2013-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2013-12-15$0
Total contributions received or receivable from employer(s)2013-12-15$111,129
2012 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-12-15$133,414
Expenses. Total of all expenses incurred2012-12-15$133,414
Benefits paid (including direct rollovers)2012-12-15$133,414
Total plan assets at end of year2012-12-15$0
Total plan assets at beginning of year2012-12-15$0
Value of fidelity bond covering the plan2012-12-15$1,000,000
Net income (gross income less expenses)2012-12-15$0
Net plan assets at end of year (total assets less liabilities)2012-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2012-12-15$0
Total contributions received or receivable from employer(s)2012-12-15$133,414
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-15$0
2011 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2011 401k financial data
Total income from all sources2011-12-15$112,815
Expenses. Total of all expenses incurred2011-12-15$114,827
Benefits paid (including direct rollovers)2011-12-15$114,527
Total plan assets at end of year2011-12-15$0
Total plan assets at beginning of year2011-12-15$2,012
Value of fidelity bond covering the plan2011-12-15$1,000,000
Other income received2011-12-15$300
Net income (gross income less expenses)2011-12-15$-2,012
Net plan assets at end of year (total assets less liabilities)2011-12-15$0
Net plan assets at beginning of year (total assets less liabilities)2011-12-15$2,012
Total contributions received or receivable from employer(s)2011-12-15$112,515
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-15$300
2010 : KEYSAVINGS BANK DEFINED BENEFIT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-15$0

Form 5500 Responses for KEYSAVINGS BANK DEFINED BENEFIT PLAN

2019: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2019 form 5500 responses
2019-12-16Type of plan entitySingle employer plan
2019-12-16Submission has been amendedNo
2019-12-16This submission is the final filingNo
2019-12-16This return/report is a short plan year return/report (less than 12 months)No
2019-12-16Plan is a collectively bargained planNo
2019-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2019-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2018: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2018 form 5500 responses
2018-12-16Type of plan entitySingle employer plan
2018-12-16Submission has been amendedNo
2018-12-16This submission is the final filingNo
2018-12-16This return/report is a short plan year return/report (less than 12 months)No
2018-12-16Plan is a collectively bargained planNo
2018-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2018-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2017: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2017 form 5500 responses
2017-12-16Type of plan entitySingle employer plan
2017-12-16Submission has been amendedNo
2017-12-16This submission is the final filingNo
2017-12-16This return/report is a short plan year return/report (less than 12 months)No
2017-12-16Plan is a collectively bargained planNo
2017-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2017-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2016: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2016 form 5500 responses
2016-12-16Type of plan entitySingle employer plan
2016-12-16Submission has been amendedNo
2016-12-16This submission is the final filingNo
2016-12-16This return/report is a short plan year return/report (less than 12 months)No
2016-12-16Plan is a collectively bargained planNo
2016-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2016-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2015: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2015 form 5500 responses
2015-12-16Type of plan entitySingle employer plan
2015-12-16Submission has been amendedNo
2015-12-16This submission is the final filingNo
2015-12-16This return/report is a short plan year return/report (less than 12 months)No
2015-12-16Plan is a collectively bargained planNo
2015-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2015-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2014: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2014 form 5500 responses
2014-12-16Type of plan entitySingle employer plan
2014-12-16Submission has been amendedNo
2014-12-16This submission is the final filingNo
2014-12-16This return/report is a short plan year return/report (less than 12 months)No
2014-12-16Plan is a collectively bargained planNo
2014-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2014-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2013: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2013 form 5500 responses
2013-12-16Type of plan entitySingle employer plan
2013-12-16Submission has been amendedNo
2013-12-16This submission is the final filingNo
2013-12-16This return/report is a short plan year return/report (less than 12 months)No
2013-12-16Plan is a collectively bargained planNo
2013-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2013-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2012: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2012 form 5500 responses
2012-12-16Type of plan entitySingle employer plan
2012-12-16Submission has been amendedNo
2012-12-16This submission is the final filingNo
2012-12-16This return/report is a short plan year return/report (less than 12 months)No
2012-12-16Plan is a collectively bargained planNo
2012-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2012-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2011: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2011 form 5500 responses
2011-12-16Type of plan entitySingle employer plan
2011-12-16Submission has been amendedNo
2011-12-16This submission is the final filingNo
2011-12-16This return/report is a short plan year return/report (less than 12 months)No
2011-12-16Plan is a collectively bargained planNo
2011-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2011-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2010: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2010 form 5500 responses
2010-12-16Type of plan entitySingle employer plan
2010-12-16Submission has been amendedNo
2010-12-16This submission is the final filingNo
2010-12-16This return/report is a short plan year return/report (less than 12 months)No
2010-12-16Plan is a collectively bargained planNo
2010-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2010-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2009: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2009 form 5500 responses
2009-12-16Type of plan entitySingle employer plan
2009-12-16Submission has been amendedNo
2009-12-16This submission is the final filingNo
2009-12-16This return/report is a short plan year return/report (less than 12 months)No
2009-12-16Plan is a collectively bargained planNo
2009-12-16Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2009-12-16Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2008: KEYSAVINGS BANK DEFINED BENEFIT PLAN 2008 form 5500 responses
2008-12-16Type of plan entitySingle employer plan
2008-12-16Submission has been amendedNo
2008-12-16This submission is the final filingNo
2008-12-16This return/report is a short plan year return/report (less than 12 months)No
2008-12-16Plan is a collectively bargained planNo

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number01572
Policy instance 1
Insurance contract or identification number01572
Number of Individuals Covered12
Insurance policy start date2019-12-16
Insurance policy end date2020-12-15
Total amount of commissions paid to insurance brokerUSD $4,729
Total amount of fees paid to insurance companyUSD $9,537
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,138
Amount paid for insurance broker fees9128
Additional information about fees paid to insurance brokerFR FEES
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number01572
Policy instance 1
Insurance contract or identification number01572
Number of Individuals Covered13
Insurance policy start date2018-12-16
Insurance policy end date2019-12-15
Total amount of commissions paid to insurance brokerUSD $4,728
Total amount of fees paid to insurance companyUSD $8,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,348
Amount paid for insurance broker fees8128
Additional information about fees paid to insurance brokerFINANCIAL REP
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number01572
Policy instance 1
Insurance contract or identification number01572
Number of Individuals Covered13
Insurance policy start date2017-12-16
Insurance policy end date2018-12-15
Total amount of commissions paid to insurance brokerUSD $5,305
Total amount of fees paid to insurance companyUSD $8,274
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number01572
Policy instance 1
Insurance contract or identification number01572
Number of Individuals Covered18
Insurance policy start date2014-12-16
Insurance policy end date2015-12-15
Total amount of commissions paid to insurance brokerUSD $4,034
Total amount of fees paid to insurance companyUSD $7,317
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,809
Amount paid for insurance broker fees7008
Insurance broker organization code?3
Insurance broker nameTHE HOLTER AGENCY INC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number01572
Policy instance 1
Insurance contract or identification number01572
Number of Individuals Covered14
Insurance policy start date2013-12-16
Insurance policy end date2014-12-15
Total amount of commissions paid to insurance brokerUSD $3,979
Total amount of fees paid to insurance companyUSD $6,611
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,935
Amount paid for insurance broker fees6247
Insurance broker organization code?3
Insurance broker nameTHE HOLTER AGENCY INC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number01572
Policy instance 1
Insurance contract or identification number01572
Number of Individuals Covered14
Insurance policy start date2012-12-16
Insurance policy end date2013-12-15
Total amount of commissions paid to insurance brokerUSD $3,096
Total amount of fees paid to insurance companyUSD $7,097
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,174
Amount paid for insurance broker fees6800
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameTHE HOLTER AGENCY INC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number01572
Policy instance 1
Insurance contract or identification number01572
Number of Individuals Covered17
Insurance policy start date2011-12-16
Insurance policy end date2012-12-15
Total amount of commissions paid to insurance brokerUSD $3,948
Total amount of fees paid to insurance companyUSD $6,053
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number01572
Policy instance 1
Insurance contract or identification number01572
Number of Individuals Covered15
Insurance policy start date2010-12-16
Insurance policy end date2011-12-15
Total amount of commissions paid to insurance brokerUSD $771
Total amount of fees paid to insurance companyUSD $4,303
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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