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IOWA STATE BANK 401(K) PLAN & TRUST 401k Plan overview

Plan NameIOWA STATE BANK 401(K) PLAN & TRUST
Plan identification number 001

IOWA STATE BANK 401(K) PLAN & TRUST 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

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

Company Name:IOWA STATE BANK
Employer identification number (EIN):420335307
NAIC Classification:522120
NAIC Description:Savings Institutions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IOWA STATE BANK 401(K) PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01LEROY VANKEKERIX2022-06-28 LEROY VANKEKERIX2022-06-28
0012020-01-01LEROY VANKEKERIX2021-02-18 LEROY VANKEKERIX2021-02-18
0012018-01-01LEROY VAN KEKERIX2019-07-01
0012017-01-01JOSELLE KROGMAN2018-06-21 JOSELLE KROGMAN2018-06-21
0012016-01-01LEROY VAN KEKERIX2017-06-06
0012015-01-01LEROY VAN KEKERIX2016-06-03
0012014-01-01LEROY VAN KEKERIX
0012013-01-01LEROY VAN KEKERIX LEROY VAN KEKERIX2014-06-23
0012012-01-01LEROY VAN KEKERIX
0012011-01-01LEROY VAN KEKERIX
0012010-01-01ERIN KIMBELL
0012009-01-01RUBY BOLLIN
0012007-01-01RUBY BOLLIN

Plan Statistics for IOWA STATE BANK 401(K) PLAN & TRUST

401k plan membership statisitcs for IOWA STATE BANK 401(K) PLAN & TRUST

Measure Date Value
2022: IOWA STATE BANK 401(K) PLAN & TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01128
Total number of active participants reported on line 7a of the Form 55002022-01-01104
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0126
Total of all active and inactive participants2022-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-01131
Number of participants with account balances2022-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-013
2014: IOWA STATE BANK 401(K) PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-0185
Total number of active participants reported on line 7a of the Form 55002014-01-0178
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-017
Total of all active and inactive participants2014-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0185
Number of participants with account balances2014-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: IOWA STATE BANK 401(K) PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0186
Total number of active participants reported on line 7a of the Form 55002013-01-0179
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-018
Total of all active and inactive participants2013-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0187
Number of participants with account balances2013-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: IOWA STATE BANK 401(K) PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0180
Total number of active participants reported on line 7a of the Form 55002012-01-0177
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-019
Total of all active and inactive participants2012-01-0186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0186
Number of participants with account balances2012-01-0177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-015
2011: IOWA STATE BANK 401(K) PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0182
Total number of active participants reported on line 7a of the Form 55002011-01-0178
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-015
Total of all active and inactive participants2011-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0183
Number of participants with account balances2011-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: IOWA STATE BANK 401(K) PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-0184
Total number of active participants reported on line 7a of the Form 55002010-01-0178
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-016
Total of all active and inactive participants2010-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-011
Total participants2010-01-0185
Number of participants with account balances2010-01-0181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-011
2009: IOWA STATE BANK 401(K) PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0181
Total number of active participants reported on line 7a of the Form 55002009-01-0178
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-017
Total of all active and inactive participants2009-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0185
Number of participants with account balances2009-01-0181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011
2007: IOWA STATE BANK 401(K) PLAN & TRUST 2007 401k membership
Total participants, beginning-of-year2007-01-0183
Total number of active participants reported on line 7a of the Form 55002007-01-0168
Number of retired or separated participants receiving benefits2007-01-012
Number of other retired or separated participants entitled to future benefits2007-01-016
Total of all active and inactive participants2007-01-0176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-010
Total participants2007-01-0176
Number of participants with account balances2007-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-010

Financial Data on IOWA STATE BANK 401(K) PLAN & TRUST

Measure Date Value
2022 : IOWA STATE BANK 401(K) PLAN & TRUST 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$0
Total income from all sources (including contributions)2022-12-31$-1,269,579
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$574,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$503,189
Value of total corrective distributions2022-12-31$2,418
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,177,652
Value of total assets at end of year2022-12-31$17,894,797
Value of total assets at beginning of year2022-12-31$19,738,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$68,734
Total interest from all sources2022-12-31$87,145
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$317,942
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$317,942
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
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$736,546
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$40,113
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$774
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,843,920
Value of net assets at end of year (total assets less liabilities)2022-12-31$17,894,797
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$19,738,717
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$11,394,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$12,830,461
Value of interest in pooled separate accounts at end of year2022-12-31$1,539,258
Value of interest in pooled separate accounts at beginning of year2022-12-31$1,605,455
Interest earned on other investments2022-12-31$87,145
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$4,560,236
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$4,949,630
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,236,782
Net investment gain/loss from pooled separate accounts2022-12-31$-615,536
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$400,993
Employer contributions (assets) at end of year2022-12-31$400,993
Employer contributions (assets) at beginning of year2022-12-31$353,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$502,415
Contract administrator fees2022-12-31$68,734
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 name2022-12-31CAIN ELLSWORTH & CO. LLP
Accountancy firm EIN2022-12-31421163131
2014 : IOWA STATE BANK 401(K) PLAN & TRUST 2014 401k financial data
Total income from all sources2014-12-31$1,118,667
Expenses. Total of all expenses incurred2014-12-31$109,374
Benefits paid (including direct rollovers)2014-12-31$109,224
Total plan assets at end of year2014-12-31$7,542,283
Total plan assets at beginning of year2014-12-31$6,532,990
Value of fidelity bond covering the plan2014-12-31$5,000,000
Total contributions received or receivable from participants2014-12-31$401,855
Expenses. Other expenses not covered elsewhere2014-12-31$150
Contributions received from other sources (not participants or employers)2014-12-31$65,974
Other income received2014-12-31$399,140
Net income (gross income less expenses)2014-12-31$1,009,293
Net plan assets at end of year (total assets less liabilities)2014-12-31$7,542,283
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$6,532,990
Assets. Value of participant loans2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$251,698
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : IOWA STATE BANK 401(K) PLAN & TRUST 2013 401k financial data
Total income from all sources2013-12-31$1,482,498
Expenses. Total of all expenses incurred2013-12-31$289,485
Benefits paid (including direct rollovers)2013-12-31$289,335
Total plan assets at end of year2013-12-31$6,532,990
Total plan assets at beginning of year2013-12-31$5,339,977
Value of fidelity bond covering the plan2013-12-31$5,000,000
Total contributions received or receivable from participants2013-12-31$370,186
Expenses. Other expenses not covered elsewhere2013-12-31$150
Other income received2013-12-31$889,217
Net income (gross income less expenses)2013-12-31$1,193,013
Net plan assets at end of year (total assets less liabilities)2013-12-31$6,532,990
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$5,339,977
Assets. Value of participant loans2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$223,095
2012 : IOWA STATE BANK 401(K) PLAN & TRUST 2012 401k financial data
Total income from all sources2012-12-31$1,045,394
Expenses. Total of all expenses incurred2012-12-31$142,958
Benefits paid (including direct rollovers)2012-12-31$142,858
Total plan assets at end of year2012-12-31$5,339,977
Total plan assets at beginning of year2012-12-31$4,437,541
Value of fidelity bond covering the plan2012-12-31$5,000,000
Total contributions received or receivable from participants2012-12-31$342,955
Expenses. Other expenses not covered elsewhere2012-12-31$100
Contributions received from other sources (not participants or employers)2012-12-31$408
Other income received2012-12-31$495,374
Net income (gross income less expenses)2012-12-31$902,436
Net plan assets at end of year (total assets less liabilities)2012-12-31$5,339,977
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$4,437,541
Assets. Value of participant loans2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$206,657
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : IOWA STATE BANK 401(K) PLAN & TRUST 2011 401k financial data
Total income from all sources2011-12-31$345,009
Expenses. Total of all expenses incurred2011-12-31$128,498
Benefits paid (including direct rollovers)2011-12-31$128,423
Total plan assets at end of year2011-12-31$4,437,541
Total plan assets at beginning of year2011-12-31$4,221,030
Value of fidelity bond covering the plan2011-12-31$5,000,000
Total contributions received or receivable from participants2011-12-31$319,494
Expenses. Other expenses not covered elsewhere2011-12-31$75
Contributions received from other sources (not participants or employers)2011-12-31$1,966
Other income received2011-12-31$23,549
Net income (gross income less expenses)2011-12-31$216,511
Net plan assets at end of year (total assets less liabilities)2011-12-31$4,437,541
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,221,030
Assets. Value of participant loans2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$0
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : IOWA STATE BANK 401(K) PLAN & TRUST 2010 401k financial data
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$820,964
Expenses. Total of all expenses incurred2010-12-31$86,099
Benefits paid (including direct rollovers)2010-12-31$86,099
Total plan assets at end of year2010-12-31$4,221,030
Total plan assets at beginning of year2010-12-31$3,486,165
Value of fidelity bond covering the plan2010-12-31$5,000,000
Total contributions received or receivable from participants2010-12-31$264,590
Contributions received from other sources (not participants or employers)2010-12-31$3,013
Other income received2010-12-31$384,785
Net income (gross income less expenses)2010-12-31$734,865
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,221,030
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,486,165
Total contributions received or receivable from employer(s)2010-12-31$168,576
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : IOWA STATE BANK 401(K) PLAN & TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
2007 : IOWA STATE BANK 401(K) PLAN & TRUST 2007 401k financial data
Total plan liabilities at end of year2007-12-31$0
Total plan liabilities at beginning of year2007-12-31$0
Total income from all sources2007-12-31$587,102
Expenses. Total of all expenses incurred2007-12-31$485,300
Benefits paid (including direct rollovers)2007-12-31$478,178
Total plan assets at end of year2007-12-31$3,347,420
Total plan assets at beginning of year2007-12-31$3,245,618
Value of fidelity bond covering the plan2007-12-31$3,500,000
Total contributions received or receivable from participants2007-12-31$228,387
Expenses. Other expenses not covered elsewhere2007-12-31$7,122
Contributions received from other sources (not participants or employers)2007-12-31$23,974
Other income received2007-12-31$227,795
Net income (gross income less expenses)2007-12-31$101,802
Net plan assets at end of year (total assets less liabilities)2007-12-31$3,347,420
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$3,245,618
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022007-12-31$39
Total contributions received or receivable from employer(s)2007-12-31$106,946

Form 5500 Responses for IOWA STATE BANK 401(K) PLAN & TRUST

2022: IOWA STATE BANK 401(K) PLAN & TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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
2014: IOWA STATE BANK 401(K) PLAN & TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: IOWA STATE BANK 401(K) PLAN & TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: IOWA STATE BANK 401(K) PLAN & TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: IOWA STATE BANK 401(K) PLAN & TRUST 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
2010: IOWA STATE BANK 401(K) PLAN & TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: IOWA STATE BANK 401(K) PLAN & TRUST 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2007: IOWA STATE BANK 401(K) PLAN & TRUST 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement – InsuranceYes
2007-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number723282
Policy instance 1
Insurance contract or identification number723282
Number of Individuals Covered131
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,833
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,833
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number467968
Policy instance 2
Insurance contract or identification number467968
Number of Individuals Covered131
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $11,877
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,877
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-826355
Policy instance 1
Insurance contract or identification numberGA-826355
Number of Individuals Covered84
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $17,186
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
Commission paid to Insurance BrokerUSD $17,186
Insurance broker organization code?3
Insurance broker nameCETERA ADVISOR NETWORKS LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-826355
Policy instance 1
Insurance contract or identification numberGA-826355
Number of Individuals Covered82
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $14,573
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
Commission paid to Insurance BrokerUSD $14,573
Insurance broker organization code?3
Insurance broker nameCETERA ADVISOR NETWORKS LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-826355
Policy instance 1
Insurance contract or identification numberGA-826355
Number of Individuals Covered77
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,472
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
Commission paid to Insurance BrokerUSD $9,472
Insurance broker organization code?3
Insurance broker nameCETERA ADVISORS NETWORKS LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-826355
Policy instance 1
Insurance contract or identification numberGA-826355
Number of Individuals Covered83
Insurance policy start date2011-05-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $47,591
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B1-RD38
Policy instance 1
Insurance contract or identification numberGAP-B1-RD38
Number of Individuals Covered81
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $573
Total amount of fees paid to insurance companyUSD $143
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $573
Amount paid for insurance broker fees143
Insurance broker organization code?3
Insurance broker nameFINANCIAL NETWORK INVESTEMENTS CO
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B1-RD38
Policy instance 1
Insurance contract or identification numberGAP-B1-RD38
Number of Individuals Covered75
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $208
Total amount of fees paid to insurance companyUSD $63
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $208
Insurance broker organization code?3
Amount paid for insurance broker fees63
Additional information about fees paid to insurance brokerADMINSTRATIVE OVERRIDE
Insurance broker nameR.L. BILLINGS & CO.

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