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CO-OP 401(K) 401k Plan overview

Plan NameCO-OP 401(K)
Plan identification number 031

CO-OP 401(K) Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

LAND O' LAKES INC. has sponsored the creation of one or more 401k plans.

Company Name:LAND O' LAKES INC.
Employer identification number (EIN):410365145
NAIC Classification:311500
NAIC Description: Dairy Product Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CO-OP 401(K)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0312023-01-01JULIE SEXTON2024-10-03
0312022-01-01JULIE SEXTON2023-10-09
0312021-01-01JULIE SEXTON2022-10-03
0312020-01-01JULIE SEXTON2021-10-10
0312019-01-01

Plan Statistics for CO-OP 401(K)

401k plan membership statisitcs for CO-OP 401(K)

Measure Date Value
2023: CO-OP 401(K) 2023 401k membership
Total participants, beginning-of-year2023-01-01578
Total number of active participants reported on line 7a of the Form 55002023-01-01392
Number of retired or separated participants receiving benefits2023-01-011
Number of other retired or separated participants entitled to future benefits2023-01-01176
Total of all active and inactive participants2023-01-01569
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-011
Total participants2023-01-01570
Number of participants with account balances2023-01-01565
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-01140
2022: CO-OP 401(K) 2022 401k membership
Total participants, beginning-of-year2022-01-01529
Total number of active participants reported on line 7a of the Form 55002022-01-01429
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01148
Total of all active and inactive participants2022-01-01577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-01578
Number of participants with account balances2022-01-01578
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01134
2021: CO-OP 401(K) 2021 401k membership
Total participants, beginning-of-year2021-01-01459
Total number of active participants reported on line 7a of the Form 55002021-01-01412
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01116
Total of all active and inactive participants2021-01-01528
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
Total participants2021-01-01529
Number of participants with account balances2021-01-01525
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-01120
2020: CO-OP 401(K) 2020 401k membership
Total participants, beginning-of-year2020-01-01427
Total number of active participants reported on line 7a of the Form 55002020-01-01400
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0158
Total of all active and inactive participants2020-01-01458
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01459
Number of participants with account balances2020-01-01457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0146
2019: CO-OP 401(K) 2019 401k membership
Total participants, beginning-of-year2019-01-01292
Total number of active participants reported on line 7a of the Form 55002019-01-01412
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0114
Total of all active and inactive participants2019-01-01426
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01427
Number of participants with account balances2019-01-01424
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0127

Financial Data on CO-OP 401(K)

Measure Date Value
2023 : CO-OP 401(K) 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$1,415
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,527
Total income from all sources (including contributions)2023-12-31$6,280,343
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$1,639,514
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$1,625,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$3,758,357
Value of total assets at end of year2023-12-31$20,066,884
Value of total assets at beginning of year2023-12-31$15,426,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$14,135
Total interest from all sources2023-12-31$9,495
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$546,309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$546,309
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$15,000
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$1,893,783
Participant contributions at end of year2023-12-31$164,868
Participant contributions at beginning of year2023-12-31$176,447
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$21,836
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$1,415
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$1,527
Other income not declared elsewhere2023-12-31$81,624
Administrative expenses (other) incurred2023-12-31$2,902
Total non interest bearing cash at end of year2023-12-31$249
Total non interest bearing cash at beginning of year2023-12-31$122
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$4,640,829
Value of net assets at end of year (total assets less liabilities)2023-12-31$20,065,469
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$15,424,640
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 registered invesment companies (eg mutual funds) at end of year2023-12-31$18,279,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$13,612,149
Interest on participant loans2023-12-31$9,495
Value of interest in common/collective trusts at end of year2023-12-31$45,081
Value of interest in common/collective trusts at beginning of year2023-12-31$34,920
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$303
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$303
Asset value of US Government securities at end of year2023-12-31$526,572
Asset value of US Government securities at beginning of year2023-12-31$501,629
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$1,883,073
Net investment gain or loss from common/collective trusts2023-12-31$1,485
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$1,842,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$1,625,379
Asset. Corporate debt instrument preferred debt at end of year2023-12-31$328,600
Asset. Corporate debt instrument preferred debt at beginning of year2023-12-31$386,234
Asset. Corporate debt instrument debt (other) at end of year2023-12-31$721,517
Asset. Corporate debt instrument debt (other) at beginning of year2023-12-31$714,363
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 name2023-12-31GRANT THORNTON
Accountancy firm EIN2023-12-31366055558
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$1,415
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$1,527
Total income from all sources (including contributions)2023-01-01$6,280,343
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$1,639,514
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$1,625,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$3,758,357
Value of total assets at end of year2023-01-01$20,066,884
Value of total assets at beginning of year2023-01-01$15,426,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$14,135
Total interest from all sources2023-01-01$9,495
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$546,309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$546,309
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$15,000
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$1,893,783
Participant contributions at end of year2023-01-01$164,868
Participant contributions at beginning of year2023-01-01$176,447
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$21,836
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$1,415
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$1,527
Other income not declared elsewhere2023-01-01$81,624
Administrative expenses (other) incurred2023-01-01$2,902
Total non interest bearing cash at end of year2023-01-01$249
Total non interest bearing cash at beginning of year2023-01-01$122
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$4,640,829
Value of net assets at end of year (total assets less liabilities)2023-01-01$20,065,469
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$15,424,640
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 registered invesment companies (eg mutual funds) at end of year2023-01-01$18,279,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$13,612,149
Interest on participant loans2023-01-01$9,495
Value of interest in common/collective trusts at end of year2023-01-01$45,081
Value of interest in common/collective trusts at beginning of year2023-01-01$34,920
Asset value of US Government securities at end of year2023-01-01$526,572
Asset value of US Government securities at beginning of year2023-01-01$501,629
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$1,883,073
Net investment gain or loss from common/collective trusts2023-01-01$1,485
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$1,842,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$1,625,379
Asset. Corporate debt instrument preferred debt at end of year2023-01-01$328,600
Asset. Corporate debt instrument preferred debt at beginning of year2023-01-01$386,234
Asset. Corporate debt instrument debt (other) at end of year2023-01-01$721,517
Asset. Corporate debt instrument debt (other) at beginning of year2023-01-01$714,363
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 name2023-01-01GRANT THORNTON
Accountancy firm EIN2023-01-01366055558
2022 : CO-OP 401(K) 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$1,527
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,306
Total income from all sources (including contributions)2022-12-31$1,634,832
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$948,002
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$935,416
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,965,617
Value of total assets at end of year2022-12-31$15,426,167
Value of total assets at beginning of year2022-12-31$14,739,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$12,586
Total interest from all sources2022-12-31$8,261
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$432,959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$432,959
Administrative expenses professional fees incurred2022-12-31$9,638
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$15,000
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$1,935,243
Participant contributions at end of year2022-12-31$176,447
Participant contributions at beginning of year2022-12-31$158,978
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$33,865
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$1,527
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,306
Other income not declared elsewhere2022-12-31$-152,744
Administrative expenses (other) incurred2022-12-31$2,948
Total non interest bearing cash at end of year2022-12-31$122
Total non interest bearing cash at beginning of year2022-12-31$246
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$686,830
Value of net assets at end of year (total assets less liabilities)2022-12-31$15,424,640
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$14,737,810
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$13,612,149
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$12,948,630
Interest on participant loans2022-12-31$8,261
Value of interest in common/collective trusts at end of year2022-12-31$34,920
Value of interest in common/collective trusts at beginning of year2022-12-31$70,114
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$303
Asset value of US Government securities at end of year2022-12-31$501,629
Asset value of US Government securities at beginning of year2022-12-31$677,798
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,619,878
Net investment gain or loss from common/collective trusts2022-12-31$617
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$1,996,509
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$935,416
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$386,234
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$298,325
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$714,363
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$585,025
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 name2022-12-31GRANT THORNTON
Accountancy firm EIN2022-12-31366055558
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$1,527
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$1,306
Total income from all sources (including contributions)2022-01-01$1,634,832
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$948,002
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$935,416
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$3,965,617
Value of total assets at end of year2022-01-01$15,426,167
Value of total assets at beginning of year2022-01-01$14,739,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$12,586
Total interest from all sources2022-01-01$8,261
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$432,959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$432,959
Administrative expenses professional fees incurred2022-01-01$9,638
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$15,000
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$1,935,243
Participant contributions at end of year2022-01-01$176,447
Participant contributions at beginning of year2022-01-01$158,978
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$33,865
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$1,527
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$1,306
Other income not declared elsewhere2022-01-01$-152,744
Administrative expenses (other) incurred2022-01-01$2,948
Total non interest bearing cash at end of year2022-01-01$122
Total non interest bearing cash at beginning of year2022-01-01$246
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$686,830
Value of net assets at end of year (total assets less liabilities)2022-01-01$15,424,640
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$14,737,810
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$13,612,149
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$12,948,630
Interest on participant loans2022-01-01$8,261
Value of interest in common/collective trusts at end of year2022-01-01$34,920
Value of interest in common/collective trusts at beginning of year2022-01-01$70,114
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-01$303
Asset value of US Government securities at end of year2022-01-01$501,629
Asset value of US Government securities at beginning of year2022-01-01$677,798
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-2,619,878
Net investment gain or loss from common/collective trusts2022-01-01$617
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$1,996,509
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$935,416
Asset. Corporate debt instrument preferred debt at end of year2022-01-01$386,234
Asset. Corporate debt instrument preferred debt at beginning of year2022-01-01$298,325
Asset. Corporate debt instrument debt (other) at end of year2022-01-01$714,363
Asset. Corporate debt instrument debt (other) at beginning of year2022-01-01$585,025
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 name2022-01-01GRANT THORNTON
Accountancy firm EIN2022-01-01366055558
2021 : CO-OP 401(K) 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,306
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,056
Total income from all sources (including contributions)2021-12-31$4,928,642
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$816,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$805,649
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,856,063
Value of total assets at end of year2021-12-31$14,739,116
Value of total assets at beginning of year2021-12-31$10,626,315
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$10,442
Total interest from all sources2021-12-31$4,384
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$463,155
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$463,155
Administrative expenses professional fees incurred2021-12-31$7,912
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$15,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,831,107
Participant contributions at end of year2021-12-31$158,978
Participant contributions at beginning of year2021-12-31$45,428
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$102,683
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,306
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$1,056
Other income not declared elsewhere2021-12-31$-26,364
Administrative expenses (other) incurred2021-12-31$2,530
Total non interest bearing cash at end of year2021-12-31$246
Total non interest bearing cash at beginning of year2021-12-31$18
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$4,112,551
Value of net assets at end of year (total assets less liabilities)2021-12-31$14,737,810
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,625,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$12,948,630
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$9,217,122
Interest on participant loans2021-12-31$4,384
Value of interest in common/collective trusts at end of year2021-12-31$70,114
Value of interest in common/collective trusts at beginning of year2021-12-31$113,992
Asset value of US Government securities at end of year2021-12-31$677,798
Asset value of US Government securities at beginning of year2021-12-31$573,228
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$631,363
Net investment gain or loss from common/collective trusts2021-12-31$41
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,922,273
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$805,649
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$298,325
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$253,403
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$585,025
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$423,124
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GRANT THORNTON
Accountancy firm EIN2021-12-31366055558
2020 : CO-OP 401(K) 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,056
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$6,988,435
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$560,933
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$555,351
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,664,162
Value of total assets at end of year2020-12-31$10,626,315
Value of total assets at beginning of year2020-12-31$4,197,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$5,582
Total interest from all sources2020-12-31$1,880
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$266,742
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$266,742
Administrative expenses professional fees incurred2020-12-31$3,847
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$15,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,630,052
Participant contributions at end of year2020-12-31$45,428
Participant contributions at beginning of year2020-12-31$8,133
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$15,231
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,056
Other income not declared elsewhere2020-12-31$124,907
Administrative expenses (other) incurred2020-12-31$1,735
Total non interest bearing cash at end of year2020-12-31$18
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$6,427,502
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,625,259
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,197,757
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$9,217,122
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,669,892
Interest on participant loans2020-12-31$1,880
Value of interest in common/collective trusts at end of year2020-12-31$113,992
Value of interest in common/collective trusts at beginning of year2020-12-31$519,732
Asset value of US Government securities at end of year2020-12-31$573,228
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$930,493
Net investment gain or loss from common/collective trusts2020-12-31$251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$4,018,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$555,351
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$253,403
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$423,124
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31GRANT THORNTON
Accountancy firm EIN2020-12-31366055558
2019 : CO-OP 401(K) 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,282,037
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$84,280
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$82,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$4,028,608
Value of total assets at end of year2019-12-31$4,197,757
Value of total assets at beginning of year2019-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,475
Total interest from all sources2019-12-31$281
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$68,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$68,599
Administrative expenses professional fees incurred2019-12-31$1,475
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$15,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$811,120
Participant contributions at end of year2019-12-31$8,133
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$2,175
Other income not declared elsewhere2019-12-31$15,095
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$4,197,757
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,197,757
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,669,892
Interest on participant loans2019-12-31$281
Value of interest in common/collective trusts at end of year2019-12-31$519,732
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$169,324
Net investment gain or loss from common/collective trusts2019-12-31$130
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,215,313
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$82,805
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31GRANT THORNTON
Accountancy firm EIN2019-12-31366055558

Form 5500 Responses for CO-OP 401(K)

2023: CO-OP 401(K) 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 - TrustYes
2022: CO-OP 401(K) 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 - TrustYes
2021: CO-OP 401(K) 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CO-OP 401(K) 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CO-OP 401(K) 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
Insurance contract or identification numberMDA01360TR
Number of Individuals Covered570
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
Insurance contract or identification number062491
Number of Individuals Covered570
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
Insurance contract or identification numberG-027795
Number of Individuals Covered570
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
Insurance contract or identification number1666920
Number of Individuals Covered570
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
Insurance contract or identification numberMDA01360TR
Number of Individuals Covered578
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
Insurance contract or identification number062491
Number of Individuals Covered578
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
Insurance contract or identification numberG-027795
Number of Individuals Covered578
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
Insurance contract or identification number1666920
Number of Individuals Covered578
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1

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