401k Plan data: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN plan

AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 401k Plan overview

Plan Name	AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN
Plan identification number	001

AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

AMERICAN RELIGIOUS TOWN HALL MEETING INC has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN RELIGIOUS TOWN HALL MEETING INC

Employer identification number (EIN): 416008491

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2021-01-01
001 2020-01-01
001 2020-01-01
001 2019-01-01 YANETH MEJIA 2020-07-29 STEVE TANDY 2020-07-29
001 2018-01-01 CHARLES HESLER 2019-10-08
001 2017-01-01 CHARLES HESLER 2018-08-22
001 2016-01-01 CHARLES HESLER 2017-07-28
001 2015-01-01 CHARLES HESLER 2016-09-23
001 2014-01-01 CHARLES HESLER 2016-09-23
001 2014-01-01 CHARLES HESLER 2015-08-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2021-01-01
001	2020-01-01
001	2020-01-01
001	2019-01-01	YANETH MEJIA	2020-07-29	STEVE TANDY	2020-07-29
001	2018-01-01	CHARLES HESLER	2019-10-08
001	2017-01-01	CHARLES HESLER	2018-08-22
001	2016-01-01	CHARLES HESLER	2017-07-28
001	2015-01-01	CHARLES HESLER	2016-09-23
001	2014-01-01	CHARLES HESLER	2016-09-23
001	2014-01-01	CHARLES HESLER	2015-08-20

Plan Statistics for AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN

401k plan membership statisitcs for AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN

Measure Date Value
2022: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 353
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 348
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 18
Total of all active and inactive participants 2022-01-01 366
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 366
Number of participants with account balances 2022-01-01 48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 358
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 282
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 6
Total of all active and inactive participants 2021-01-01 288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 288
Number of participants with account balances 2021-01-01 41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 294
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 295
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 5
Total of all active and inactive participants 2020-01-01 300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 300
Number of participants with account balances 2020-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0

Measure	Date	Value
2022: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	353
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	348
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	18
Total of all active and inactive participants	2022-01-01	366
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	366
Number of participants with account balances	2022-01-01	48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	358
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	282
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	6
Total of all active and inactive participants	2021-01-01	288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	288
Number of participants with account balances	2021-01-01	41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	294
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	295
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	5
Total of all active and inactive participants	2020-01-01	300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	300
Number of participants with account balances	2020-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0

Financial Data on AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN

Measure	Date	Value
2022 : AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$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	$18,835
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$54,688
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$45,851
Expenses. Certain deemed distributions of participant loans	2022-12-31	$1,254
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$100,252
Value of total assets at end of year	2022-12-31	$625,670
Value of total assets at beginning of year	2022-12-31	$661,523
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$7,583
Total interest from all sources	2022-12-31	$3,763
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 year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$70,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$100,252
Participant contributions at end of year	2022-12-31	$57,587
Participant contributions at beginning of year	2022-12-31	$12,319
Participant contributions at beginning of year	2022-12-31	$4,571
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-35,853
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$625,670
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$661,523
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$5,957
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$427,150
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$550,095
Interest on participant loans	2022-12-31	$2,505
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$1,258
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$140,933
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$94,538
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-85,180
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$45,851
Contract administrator fees	2022-12-31	$1,626
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	WIPFLI LLP
Accountancy firm EIN	2022-12-31	390758449
2021 : AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$219,403
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$120,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$111,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$141,078
Value of total assets at end of year	2021-12-31	$659,627
Value of total assets at beginning of year	2021-12-31	$560,279
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$8,759
Total interest from all sources	2021-12-31	$1,584
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$70,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$141,078
Participant contributions at end of year	2021-12-31	$12,319
Participant contributions at beginning of year	2021-12-31	$11,415
Participant contributions at end of year	2021-12-31	$2,675
Participant contributions at beginning of year	2021-12-31	$465
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$99,348
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$659,627
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$560,279
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$7,026
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$550,095
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$460,266
Interest on participant loans	2021-12-31	$571
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$1,013
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$94,538
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$88,133
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$76,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$111,296
Contract administrator fees	2021-12-31	$1,733
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	WIPFLI LLP
Accountancy firm EIN	2021-12-31	390758449
2020 : AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
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	$206,401
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$5,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$5,357
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$148,028
Value of total assets at end of year	2020-12-31	$560,279
Value of total assets at beginning of year	2020-12-31	$359,235
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$0
Total interest from all sources	2020-12-31	$1,182
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$40,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$148,028
Participant contributions at end of year	2020-12-31	$11,415
Participant contributions at end of year	2020-12-31	$465
Participant contributions at beginning of year	2020-12-31	$1,050
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$201,044
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$560,279
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$359,235
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$548,399
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$358,185
Interest on participant loans	2020-12-31	$97
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$1,085
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$88,133
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$57,191
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$5,357
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	WIPFLI LLP
Accountancy firm EIN	2020-12-31	390758449

Form 5500 Responses for AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN

2022: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: AMERICAN RELIGIOUS TOWN HALL MEETING, INC. 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-LN1J

Policy instance

Insurance contract or identification number	GAP-B2-LN1J
Number of Individuals Covered	366
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $621
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $621
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-LN1J

Policy instance

Insurance contract or identification number	GAP-B2-LN1J
Number of Individuals Covered	288
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $441
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $441
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-LN1J

Policy instance

Insurance contract or identification number	GAP-B2-LN1J
Number of Individuals Covered	300
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $389
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $389
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	AMERICAN RELIGIOUS TOWN HALL MEETING INC
Employer identification number (EIN):	416008491
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations