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LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 401k Plan overview

Plan NameLIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN
Plan identification number 001

LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements 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

LIGHTHOUSE FOR THE BLIND, INC. has sponsored the creation of one or more 401k plans.

Company Name:LIGHTHOUSE FOR THE BLIND, INC.
Employer identification number (EIN):430652639
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012014-01-01JILL KLUESNER2018-03-16 JILL KLUESNER2018-03-16
0012013-01-01
0012012-01-01JOSEPH J. HULL
0012011-01-01JOSEPH J. HULL
0012009-01-01JOSEPH J. HULL

Plan Statistics for LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN

401k plan membership statisitcs for LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN

Measure Date Value
2013: LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01103
Total number of active participants reported on line 7a of the Form 55002013-01-0170
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-0120
Total of all active and inactive participants2013-01-0191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0191
Number of participants with account balances2013-01-0190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01108
Total number of active participants reported on line 7a of the Form 55002012-01-0187
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-0114
Total of all active and inactive participants2012-01-01102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-01103
Number of participants with account balances2012-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-018
2011: LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0199
Total number of active participants reported on line 7a of the Form 55002011-01-0194
Number of retired or separated participants receiving benefits2011-01-011
Number of other retired or separated participants entitled to future benefits2011-01-0113
Total of all active and inactive participants2011-01-01108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01108
Number of participants with account balances2011-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2009: LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01107
Total number of active participants reported on line 7a of the Form 55002009-01-0194
Number of retired or separated participants receiving benefits2009-01-011
Number of other retired or separated participants entitled to future benefits2009-01-0110
Total of all active and inactive participants2009-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01105
Number of participants with account balances2009-01-01105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN

Measure Date Value
2013 : LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2013 401k financial data
Total transfer of assets from this plan2013-12-31$119,204
Total income from all sources (including contributions)2013-12-31$883,887
Total of all expenses incurred2013-12-31$439,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$439,409
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$254,701
Value of total assets at end of year2013-12-31$3,796,170
Value of total assets at beginning of year2013-12-31$3,471,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$300
Total interest from all sources2013-12-31$11,571
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$600,000
If this is an individual account plan, was there a blackout period2013-12-31No
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$255,240
Amount contributed by the employer to the plan for this plan year2013-12-31$255,240
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Participant contributions at beginning of year2013-12-31$119,204
Other income not declared elsewhere2013-12-31$528
Administrative expenses (other) incurred2013-12-31$300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$444,178
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,796,170
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,471,196
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,910,764
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$2,226,349
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$11,571
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$885,406
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,125,643
Net investment gain/loss from pooled separate accounts2013-12-31$617,087
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$254,701
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$439,409
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BOTZ DEAL & COMPANY P.C.
Accountancy firm EIN2013-12-31431064657
2012 : LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$535,366
Total of all expenses incurred2012-12-31$94,809
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$94,359
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$261,837
Value of total assets at end of year2012-12-31$3,471,196
Value of total assets at beginning of year2012-12-31$3,030,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$450
Total interest from all sources2012-12-31$17,916
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
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$261,837
Amount contributed by the employer to the plan for this plan year2012-12-31$261,837
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Participant contributions at end of year2012-12-31$119,204
Participant contributions at beginning of year2012-12-31$114,495
Administrative expenses (other) incurred2012-12-31$450
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$440,557
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,471,196
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,030,639
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$2,226,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,933,321
Interest on participant loans2012-12-31$565
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$17,351
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,125,643
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$982,823
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$11,861
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$261,837
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$82,498
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BOTZ DEAL AND COMPANY P.C.
Accountancy firm EIN2012-12-31431064657
2011 : LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$182,692
Total of all expenses incurred2011-12-31$50,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$50,341
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$267,011
Value of total assets at end of year2011-12-31$3,030,639
Value of total assets at beginning of year2011-12-31$2,898,338
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$50
Total interest from all sources2011-12-31$18,734
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$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$267,011
Amount contributed by the employer to the plan for this plan year2011-12-31$267,011
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Participant contributions at end of year2011-12-31$114,495
Participant contributions at beginning of year2011-12-31$92,031
Administrative expenses (other) incurred2011-12-31$50
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$132,301
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,030,639
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,898,338
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,933,321
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,933,089
Interest on participant loans2011-12-31$174
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$18,560
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$982,823
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$873,218
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$13,908
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$267,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$36,433
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BOTZ, DEAL, AND COMPANY, P.C.
Accountancy firm EIN2011-12-31431064657
2010 : LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$606,608
Total of all expenses incurred2010-12-31$377,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$377,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$280,383
Value of total assets at end of year2010-12-31$2,898,338
Value of total assets at beginning of year2010-12-31$2,669,018
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$100
Total interest from all sources2010-12-31$27,074
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$280,383
Amount contributed by the employer to the plan for this plan year2010-12-31$280,383
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at end of year2010-12-31$92,031
Participant contributions at beginning of year2010-12-31$105,372
Administrative expenses (other) incurred2010-12-31$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$229,320
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,898,338
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,669,018
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,933,089
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,536,544
Interest on participant loans2010-12-31$3,320
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$23,754
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$873,218
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$1,027,102
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$125,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$280,383
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$251,744
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BOTZ, DEAL, AND COMPANY, P.C.
Accountancy firm EIN2010-12-31431064657
2009 : LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 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
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$273,215
Amount contributed by the employer to the plan for this plan year2009-12-31$273,215

Form 5500 Responses for LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN

2013: LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LIGHTHOUSE FOR THE BLIND, INC. EMPLOYEES RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008085-H
Policy instance 1
Insurance contract or identification number008085-H
Number of Individuals Covered91
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $811
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees811
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameST. LOUIS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008085-H
Policy instance 1
Insurance contract or identification number008085-H
Number of Individuals Covered103
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $175
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees48
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameRYAN GILL
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008085-H
Policy instance 1
Insurance contract or identification number008085-H
Number of Individuals Covered108
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $383
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008085-H
Policy instance 1
Insurance contract or identification number008085-H
Number of Individuals Covered97
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $361
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees99
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameRYAN GILL

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