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KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN 401k Plan overview

Plan NameKORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN
Plan identification number 003

KORBER TISSUE, INC. SAVINGS & RETIREMENT 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

KORBER TISSUE, INC. has sponsored the creation of one or more 401k plans.

Company Name:KORBER TISSUE, INC.
Employer identification number (EIN):391293717
NAIC Classification:333200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032023-01-01JAY DECLEENE2024-09-24
0032022-01-01JAY DECLEENE2023-09-15
0032022-01-01JAY DECLEENE2023-09-15
0032021-01-01
0032020-01-01
0032019-01-01
0032018-01-01JAY DECLEENE2019-06-18
0032017-01-01JAY DECLEENE2018-06-29
0032016-01-01JAY DECLEENE2017-07-19
0032015-01-01JAY DECLEENE2016-07-12
0032014-01-01JAY DECLEENE2015-07-08
0032013-01-01JAY DECLEENE2014-07-08
0032012-01-01JAY DECLEENE2013-07-26
0032011-01-01JAY DECLEENE
0032009-01-01MICHAEL DRAGE MICHAEL DRAGE2010-10-13

Financial Data on KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN

Measure Date Value
2023 : KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$466
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$7,522,252
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$835,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$808,918
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$2,505,271
Value of total assets at end of year2023-12-31$33,434,297
Value of total assets at beginning of year2023-12-31$26,747,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$26,893
Total interest from all sources2023-12-31$5,824
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$1,073,930
Participant contributions at end of year2023-12-31$94,819
Participant contributions at beginning of year2023-12-31$127,159
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$775,480
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$466
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$6,686,441
Value of net assets at end of year (total assets less liabilities)2023-12-31$33,433,831
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$26,747,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in pooled separate accounts at end of year2023-12-31$31,950,097
Value of interest in pooled separate accounts at beginning of year2023-12-31$25,501,293
Interest on participant loans2023-12-31$5,824
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$1,389,381
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$1,110,898
Net investment gain/loss from pooled separate accounts2023-12-31$5,011,157
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$655,861
Employer contributions (assets) at end of year2023-12-31$0
Employer contributions (assets) at beginning of year2023-12-31$8,040
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$808,918
Contract administrator fees2023-12-31$26,893
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31HAWKINS ASH CPAS.LLP
Accountancy firm EIN2023-12-31390912608
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$466
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$7,522,252
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$835,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$808,918
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$2,505,271
Value of total assets at end of year2023-01-01$33,434,297
Value of total assets at beginning of year2023-01-01$26,747,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$26,893
Total interest from all sources2023-01-01$5,824
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$1,073,930
Participant contributions at end of year2023-01-01$94,819
Participant contributions at beginning of year2023-01-01$127,159
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$775,480
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$466
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$6,686,441
Value of net assets at end of year (total assets less liabilities)2023-01-01$33,433,831
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$26,747,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in pooled separate accounts at end of year2023-01-01$31,950,097
Value of interest in pooled separate accounts at beginning of year2023-01-01$25,501,293
Interest on participant loans2023-01-01$5,824
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$1,389,381
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$1,110,898
Net investment gain/loss from pooled separate accounts2023-01-01$5,011,157
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$655,861
Employer contributions (assets) at end of year2023-01-01$0
Employer contributions (assets) at beginning of year2023-01-01$8,040
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$808,918
Contract administrator fees2023-01-01$26,893
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01HAWKINS ASH CPAS.LLP
Accountancy firm EIN2023-01-01390912608
2022 : KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-4,224,576
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$281,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$258,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,666,634
Value of total assets at end of year2022-12-31$26,747,390
Value of total assets at beginning of year2022-12-31$31,253,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$23,266
Total interest from all sources2022-12-31$7,215
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,011,420
Participant contributions at end of year2022-12-31$127,159
Participant contributions at beginning of year2022-12-31$143,594
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$35,356
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-4,506,476
Value of net assets at end of year (total assets less liabilities)2022-12-31$26,747,390
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$31,253,866
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$0
Value of interest in pooled separate accounts at end of year2022-12-31$25,501,293
Value of interest in pooled separate accounts at beginning of year2022-12-31$30,146,422
Interest on participant loans2022-12-31$7,215
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,110,898
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$963,850
Net investment gain/loss from pooled separate accounts2022-12-31$-5,898,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$619,858
Employer contributions (assets) at end of year2022-12-31$8,040
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$258,634
Contract administrator fees2022-12-31$23,266
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31HAWKINS ASH CPAS.LLP
Accountancy firm EIN2022-12-31390912608
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$-4,224,576
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$281,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$258,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,666,634
Value of total assets at end of year2022-01-01$26,747,390
Value of total assets at beginning of year2022-01-01$31,253,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$23,266
Total interest from all sources2022-01-01$7,215
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$1,011,420
Participant contributions at end of year2022-01-01$127,159
Participant contributions at beginning of year2022-01-01$143,594
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$35,356
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-4,506,476
Value of net assets at end of year (total assets less liabilities)2022-01-01$26,747,390
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$31,253,866
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$0
Value of interest in pooled separate accounts at end of year2022-01-01$25,501,293
Value of interest in pooled separate accounts at beginning of year2022-01-01$30,146,422
Interest on participant loans2022-01-01$7,215
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$1,110,898
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$963,850
Net investment gain/loss from pooled separate accounts2022-01-01$-5,898,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$619,858
Employer contributions (assets) at end of year2022-01-01$8,040
Employer contributions (assets) at beginning of year2022-01-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$258,634
Contract administrator fees2022-01-01$23,266
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01HAWKINS ASH CPAS.LLP
Accountancy firm EIN2022-01-01390912608
2011 : KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-12-31$399,883
Expenses. Total of all expenses incurred2011-12-31$1,517,465
Benefits paid (including direct rollovers)2011-12-31$1,491,138
Total plan assets at end of year2011-12-31$10,325,309
Total plan assets at beginning of year2011-12-31$11,442,891
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$500,101
Other income received2011-12-31$-440,410
Net income (gross income less expenses)2011-12-31$-1,117,582
Net plan assets at end of year (total assets less liabilities)2011-12-31$10,325,309
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$11,442,891
Assets. Value of participant loans2011-12-31$244,570
Total contributions received or receivable from employer(s)2011-12-31$340,192
Value of certain deemed distributions of participant loans2011-12-31$23,294
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$3,033
2010 : KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN 2010 401k financial data
Total income from all sources2010-12-31$2,398,511
Expenses. Total of all expenses incurred2010-12-31$355,348
Benefits paid (including direct rollovers)2010-12-31$355,340
Total plan assets at end of year2010-12-31$11,442,891
Total plan assets at beginning of year2010-12-31$9,399,728
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$505,898
Other income received2010-12-31$1,558,102
Net income (gross income less expenses)2010-12-31$2,043,163
Net plan assets at end of year (total assets less liabilities)2010-12-31$11,442,891
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$9,399,728
Assets. Value of participant loans2010-12-31$341,012
Total contributions received or receivable from employer(s)2010-12-31$334,511
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$8

Form 5500 Responses for KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN

2023: KORBER TISSUE, INC. SAVINGS & RETIREMENT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: KORBER TISSUE, INC. SAVINGS & RETIREMENT 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2011: KORBER TISSUE, INC. SAVINGS & RETIREMENT 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
2009: KORBER TISSUE, INC. SAVINGS & RETIREMENT 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number876650
Policy instance 1
Insurance contract or identification number876650
Number of Individuals Covered122
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number876650
Policy instance 1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number876650
Policy instance 1

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