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FARMERS & MERCHANTS STATE BANK P/S 401k Plan overview

Plan NameFARMERS & MERCHANTS STATE BANK P/S
Plan identification number 001

FARMERS & MERCHANTS STATE BANK P/S Benefits

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

401k Sponsoring company profile

FARMERS & MERCHANTS STATE BANK has sponsored the creation of one or more 401k plans.

Company Name:FARMERS & MERCHANTS STATE BANK
Employer identification number (EIN):460133610
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FARMERS & MERCHANTS STATE BANK P/S

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01RON KRISTENSEN
0012016-01-01RON KRISTENSEN
0012015-01-01RON KRISTENSEN
0012014-01-01RON KRISTENSEN
0012013-01-01RON KRISTENSEN
0012012-01-01RON KRISTENSEN
0012011-01-01RON KRISTENSEN
0012009-01-01RON KRISTENSEN

Plan Statistics for FARMERS & MERCHANTS STATE BANK P/S

401k plan membership statisitcs for FARMERS & MERCHANTS STATE BANK P/S

Measure Date Value
2022: FARMERS & MERCHANTS STATE BANK P/S 2022 401k membership
Total participants, beginning-of-year2022-01-0119
Total number of active participants reported on line 7a of the Form 55002022-01-0114
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-016
Total of all active and inactive participants2022-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0120
Number of participants with account balances2022-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: FARMERS & MERCHANTS STATE BANK P/S 2021 401k membership
Total participants, beginning-of-year2021-01-0119
Total number of active participants reported on line 7a of the Form 55002021-01-0115
Number of retired or separated participants receiving benefits2021-01-014
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0119
Number of participants with account balances2021-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: FARMERS & MERCHANTS STATE BANK P/S 2020 401k membership
Total participants, beginning-of-year2020-01-0120
Total number of active participants reported on line 7a of the Form 55002020-01-0115
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0119
Number of participants with account balances2020-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: FARMERS & MERCHANTS STATE BANK P/S 2019 401k membership
Total participants, beginning-of-year2019-01-0120
Total number of active participants reported on line 7a of the Form 55002019-01-0115
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-015
Total of all active and inactive participants2019-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0120
Number of participants with account balances2019-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: FARMERS & MERCHANTS STATE BANK P/S 2018 401k membership
Total participants, beginning-of-year2018-01-0119
Total number of active participants reported on line 7a of the Form 55002018-01-0115
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-015
Total of all active and inactive participants2018-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0120
Number of participants with account balances2018-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: FARMERS & MERCHANTS STATE BANK P/S 2017 401k membership
Total participants, beginning-of-year2017-01-0116
Total number of active participants reported on line 7a of the Form 55002017-01-0115
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-013
Total of all active and inactive participants2017-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0118
Number of participants with account balances2017-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FARMERS & MERCHANTS STATE BANK P/S 2016 401k membership
Total participants, beginning-of-year2016-01-0116
Total number of active participants reported on line 7a of the Form 55002016-01-0113
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0116
Number of participants with account balances2016-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FARMERS & MERCHANTS STATE BANK P/S 2015 401k membership
Total participants, beginning-of-year2015-01-0117
Total number of active participants reported on line 7a of the Form 55002015-01-0113
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0116
Number of participants with account balances2015-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FARMERS & MERCHANTS STATE BANK P/S 2014 401k membership
Total participants, beginning-of-year2014-01-0117
Total number of active participants reported on line 7a of the Form 55002014-01-0113
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0117
Number of participants with account balances2014-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FARMERS & MERCHANTS STATE BANK P/S 2013 401k membership
Total participants, beginning-of-year2013-01-0116
Total number of active participants reported on line 7a of the Form 55002013-01-0113
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0117
Number of participants with account balances2013-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: FARMERS & MERCHANTS STATE BANK P/S 2012 401k membership
Total participants, beginning-of-year2012-01-0114
Total number of active participants reported on line 7a of the Form 55002012-01-0114
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0116
Number of participants with account balances2012-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: FARMERS & MERCHANTS STATE BANK P/S 2011 401k membership
Total participants, beginning-of-year2011-01-0115
Total number of active participants reported on line 7a of the Form 55002011-01-0113
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0114
Number of participants with account balances2011-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: FARMERS & MERCHANTS STATE BANK P/S 2009 401k membership
Total participants, beginning-of-year2009-01-0115
Total number of active participants reported on line 7a of the Form 55002009-01-0114
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0116
Number of participants with account balances2009-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on FARMERS & MERCHANTS STATE BANK P/S

Measure Date Value
2022 : FARMERS & MERCHANTS STATE BANK P/S 2022 401k financial data
Total income from all sources2022-12-31$-500,180
Expenses. Total of all expenses incurred2022-12-31$448,722
Benefits paid (including direct rollovers)2022-12-31$426,664
Total plan assets at end of year2022-12-31$5,004,550
Total plan assets at beginning of year2022-12-31$5,953,452
Value of fidelity bond covering the plan2022-12-31$2,275,000
Total contributions received or receivable from participants2022-12-31$107,000
Other income received2022-12-31$-778,403
Net income (gross income less expenses)2022-12-31$-948,902
Net plan assets at end of year (total assets less liabilities)2022-12-31$5,004,550
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,953,452
Total contributions received or receivable from employer(s)2022-12-31$171,223
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$22,058
2021 : FARMERS & MERCHANTS STATE BANK P/S 2021 401k financial data
Total income from all sources2021-12-31$905,038
Expenses. Total of all expenses incurred2021-12-31$407,499
Benefits paid (including direct rollovers)2021-12-31$384,974
Total plan assets at end of year2021-12-31$5,953,452
Total plan assets at beginning of year2021-12-31$5,455,913
Value of fidelity bond covering the plan2021-12-31$2,275,000
Total contributions received or receivable from participants2021-12-31$106,592
Other income received2021-12-31$636,502
Net income (gross income less expenses)2021-12-31$497,539
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,953,452
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$5,455,913
Total contributions received or receivable from employer(s)2021-12-31$161,944
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$22,525
2020 : FARMERS & MERCHANTS STATE BANK P/S 2020 401k financial data
Total income from all sources2020-12-31$823,960
Expenses. Total of all expenses incurred2020-12-31$279,763
Benefits paid (including direct rollovers)2020-12-31$259,706
Total plan assets at end of year2020-12-31$5,455,913
Total plan assets at beginning of year2020-12-31$4,911,716
Value of fidelity bond covering the plan2020-12-31$2,275,000
Total contributions received or receivable from participants2020-12-31$101,320
Other income received2020-12-31$568,855
Net income (gross income less expenses)2020-12-31$544,197
Net plan assets at end of year (total assets less liabilities)2020-12-31$5,455,913
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$4,911,716
Total contributions received or receivable from employer(s)2020-12-31$153,785
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$20,057
2019 : FARMERS & MERCHANTS STATE BANK P/S 2019 401k financial data
Total income from all sources2019-12-31$934,419
Expenses. Total of all expenses incurred2019-12-31$129,976
Benefits paid (including direct rollovers)2019-12-31$110,530
Total plan assets at end of year2019-12-31$4,911,716
Total plan assets at beginning of year2019-12-31$4,107,273
Value of fidelity bond covering the plan2019-12-31$2,275,000
Total contributions received or receivable from participants2019-12-31$90,918
Contributions received from other sources (not participants or employers)2019-12-31$49,017
Other income received2019-12-31$647,634
Net income (gross income less expenses)2019-12-31$804,443
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,911,716
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,107,273
Total contributions received or receivable from employer(s)2019-12-31$146,850
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$19,446
2018 : FARMERS & MERCHANTS STATE BANK P/S 2018 401k financial data
Total income from all sources2018-12-31$67,500
Expenses. Total of all expenses incurred2018-12-31$370,841
Benefits paid (including direct rollovers)2018-12-31$351,691
Total plan assets at end of year2018-12-31$4,107,273
Total plan assets at beginning of year2018-12-31$4,410,614
Value of fidelity bond covering the plan2018-12-31$2,275,000
Total contributions received or receivable from participants2018-12-31$92,903
Other income received2018-12-31$-173,020
Net income (gross income less expenses)2018-12-31$-303,341
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,107,273
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,410,614
Total contributions received or receivable from employer(s)2018-12-31$147,617
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$19,150
2017 : FARMERS & MERCHANTS STATE BANK P/S 2017 401k financial data
Total income from all sources2017-12-31$664,229
Expenses. Total of all expenses incurred2017-12-31$32,232
Benefits paid (including direct rollovers)2017-12-31$14,583
Total plan assets at end of year2017-12-31$4,410,614
Total plan assets at beginning of year2017-12-31$3,778,617
Value of fidelity bond covering the plan2017-12-31$2,275,000
Total contributions received or receivable from participants2017-12-31$75,463
Other income received2017-12-31$459,961
Net income (gross income less expenses)2017-12-31$631,997
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,410,614
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,778,617
Total contributions received or receivable from employer(s)2017-12-31$128,805
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$17,649
2016 : FARMERS & MERCHANTS STATE BANK P/S 2016 401k financial data
Total income from all sources2016-12-31$367,403
Expenses. Total of all expenses incurred2016-12-31$16,270
Total plan assets at end of year2016-12-31$3,778,617
Total plan assets at beginning of year2016-12-31$3,427,484
Value of fidelity bond covering the plan2016-12-31$2,275,000
Total contributions received or receivable from participants2016-12-31$64,116
Other income received2016-12-31$184,011
Net income (gross income less expenses)2016-12-31$351,133
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,778,617
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,427,484
Total contributions received or receivable from employer(s)2016-12-31$119,276
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$16,270
2015 : FARMERS & MERCHANTS STATE BANK P/S 2015 401k financial data
Total income from all sources2015-12-31$169,743
Expenses. Total of all expenses incurred2015-12-31$370,977
Benefits paid (including direct rollovers)2015-12-31$354,966
Total plan assets at end of year2015-12-31$3,427,484
Total plan assets at beginning of year2015-12-31$3,628,718
Value of fidelity bond covering the plan2015-12-31$2,275,000
Total contributions received or receivable from participants2015-12-31$66,470
Other income received2015-12-31$-12,826
Net income (gross income less expenses)2015-12-31$-201,234
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,427,484
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,628,718
Total contributions received or receivable from employer(s)2015-12-31$116,099
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$16,011
2014 : FARMERS & MERCHANTS STATE BANK P/S 2014 401k financial data
Total income from all sources2014-12-31$316,479
Expenses. Total of all expenses incurred2014-12-31$254,004
Benefits paid (including direct rollovers)2014-12-31$237,516
Total plan assets at end of year2014-12-31$3,628,718
Total plan assets at beginning of year2014-12-31$3,566,243
Value of fidelity bond covering the plan2014-12-31$2,275,000
Total contributions received or receivable from participants2014-12-31$66,939
Other income received2014-12-31$136,723
Net income (gross income less expenses)2014-12-31$62,475
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,628,718
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,566,243
Total contributions received or receivable from employer(s)2014-12-31$112,817
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$16,488
2013 : FARMERS & MERCHANTS STATE BANK P/S 2013 401k financial data
Total income from all sources2013-12-31$507,472
Expenses. Total of all expenses incurred2013-12-31$205,613
Benefits paid (including direct rollovers)2013-12-31$189,758
Total plan assets at end of year2013-12-31$3,566,243
Total plan assets at beginning of year2013-12-31$3,264,384
Value of fidelity bond covering the plan2013-12-31$2,275,000
Total contributions received or receivable from participants2013-12-31$69,517
Other income received2013-12-31$330,788
Net income (gross income less expenses)2013-12-31$301,859
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,566,243
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,264,384
Total contributions received or receivable from employer(s)2013-12-31$107,167
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$15,855
2012 : FARMERS & MERCHANTS STATE BANK P/S 2012 401k financial data
Total income from all sources2012-12-31$425,426
Expenses. Total of all expenses incurred2012-12-31$73,743
Benefits paid (including direct rollovers)2012-12-31$59,000
Total plan assets at end of year2012-12-31$3,264,384
Total plan assets at beginning of year2012-12-31$2,912,701
Value of fidelity bond covering the plan2012-12-31$2,000,000
Total contributions received or receivable from participants2012-12-31$71,743
Contributions received from other sources (not participants or employers)2012-12-31$29,474
Other income received2012-12-31$219,854
Net income (gross income less expenses)2012-12-31$351,683
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,264,384
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,912,701
Total contributions received or receivable from employer(s)2012-12-31$104,355
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$14,743
2011 : FARMERS & MERCHANTS STATE BANK P/S 2011 401k financial data
Total income from all sources2011-12-31$166,914
Expenses. Total of all expenses incurred2011-12-31$14,117
Benefits paid (including direct rollovers)2011-12-31$177
Total plan assets at end of year2011-12-31$2,912,701
Total plan assets at beginning of year2011-12-31$2,759,904
Value of fidelity bond covering the plan2011-12-31$2,000,000
Total contributions received or receivable from participants2011-12-31$66,070
Other income received2011-12-31$-1,548
Net income (gross income less expenses)2011-12-31$152,797
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,912,701
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,759,904
Total contributions received or receivable from employer(s)2011-12-31$102,392
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$13,940
2010 : FARMERS & MERCHANTS STATE BANK P/S 2010 401k financial data
Total income from all sources2010-12-31$390,862
Expenses. Total of all expenses incurred2010-12-31$575,240
Benefits paid (including direct rollovers)2010-12-31$560,925
Total plan assets at end of year2010-12-31$2,759,904
Total plan assets at beginning of year2010-12-31$2,944,282
Value of fidelity bond covering the plan2010-12-31$2,000,000
Total contributions received or receivable from participants2010-12-31$56,185
Other income received2010-12-31$239,848
Net income (gross income less expenses)2010-12-31$-184,378
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,759,904
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,944,282
Total contributions received or receivable from employer(s)2010-12-31$94,829
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$14,315

Form 5500 Responses for FARMERS & MERCHANTS STATE BANK P/S

2022: FARMERS & MERCHANTS STATE BANK P/S 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FARMERS & MERCHANTS STATE BANK P/S 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FARMERS & MERCHANTS STATE BANK P/S 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FARMERS & MERCHANTS STATE BANK P/S 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FARMERS & MERCHANTS STATE BANK P/S 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FARMERS & MERCHANTS STATE BANK P/S 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FARMERS & MERCHANTS STATE BANK P/S 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FARMERS & MERCHANTS STATE BANK P/S 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FARMERS & MERCHANTS STATE BANK P/S 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FARMERS & MERCHANTS STATE BANK P/S 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: FARMERS & MERCHANTS STATE BANK P/S 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: FARMERS & MERCHANTS STATE BANK P/S 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: FARMERS & MERCHANTS STATE BANK P/S 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

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 2
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 1
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 3
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 3
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 3
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 3
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $32
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $15
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $15
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 3
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameCLIFFORD MARK ANDERSON
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $32
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 3
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5
Insurance broker organization code?3
Insurance broker nameCLIFFORD MARK ANDERSON
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $32
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $15
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 4
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3
Insurance broker organization code?3
Insurance broker nameCLIFFORD MARK ANDERSON
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $15
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $32
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000677
Policy instance 3
Insurance contract or identification numberTPL000677
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $13
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $15
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $32
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000677
Policy instance 3
Insurance contract or identification numberTPL000677
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $13
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 4
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $32
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000677
Policy instance 3
Insurance contract or identification numberTPL000677
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $13
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 4
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $15
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $32
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000672
Policy instance 5
Insurance contract or identification numberTPL000672
Number of Individuals Covered1
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $15
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000677
Policy instance 3
Insurance contract or identification numberTPL000677
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $13
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 4
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000677
Policy instance 3
Insurance contract or identification numberTPL000677
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $10
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL011728
Policy instance 4
Insurance contract or identification numberTPL011728
Number of Individuals Covered1
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameRAYMOND FELDMAN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000672
Policy instance 5
Insurance contract or identification numberTPL000672
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000681
Policy instance 2
Insurance contract or identification numberTPL000681
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $25
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberTPL000673
Policy instance 1
Insurance contract or identification numberTPL000673
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12
Insurance broker organization code?3
Insurance broker nameHERSHELL PAGE

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