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METALADE NY, INC. 401(K) PLAN 401k Plan overview

Plan NameMETALADE NY, INC. 401(K) PLAN
Plan identification number 002

METALADE NY, INC. 401(K) PLAN 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.
  • 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

INTELLIMETAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:INTELLIMETAL, INC.
Employer identification number (EIN):465157882
NAIC Classification:332900

Additional information about INTELLIMETAL, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2014-03-13
Company Identification Number: 4544233
Legal Registered Office Address: 100 Holleder Parkway
Monroe
ROCHESTER
United States of America (USA)
14615

More information about INTELLIMETAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan METALADE NY, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-04-01
0022021-04-01
0022020-04-01
0022019-04-01
0022018-04-01KIMBERLY ZAPIACH2020-01-09 KIMBERLY ZAPIACH2020-01-09
0022017-04-01KIMBERLY ZAPIACH2018-10-26 KIMBERLY ZAPIACH2018-10-26
0022016-04-01KIMBERLY ZAPIACH2017-09-29 KIMBERLY ZAPIACH2017-09-29
0022015-04-01KIMBERLY ZAPIACH2016-09-27 KIMBERLY ZAPIACH2016-09-27
0022014-04-01KIMBERLY ZAPIACH2015-08-06 KIMBERLY ZAPIACH2015-08-06

Plan Statistics for METALADE NY, INC. 401(K) PLAN

401k plan membership statisitcs for METALADE NY, INC. 401(K) PLAN

Measure Date Value
2022: METALADE NY, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01143
Total number of active participants reported on line 7a of the Form 55002022-04-0197
Number of retired or separated participants receiving benefits2022-04-013
Number of other retired or separated participants entitled to future benefits2022-04-0126
Total of all active and inactive participants2022-04-01126
Total participants2022-04-01126
Number of participants with account balances2022-04-0191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-04-013
2021: METALADE NY, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01154
Total number of active participants reported on line 7a of the Form 55002021-04-01107
Number of retired or separated participants receiving benefits2021-04-016
Number of other retired or separated participants entitled to future benefits2021-04-0125
Total of all active and inactive participants2021-04-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-04-010
Total participants2021-04-01138
Number of participants with account balances2021-04-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-04-015
2020: METALADE NY, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01176
Total number of active participants reported on line 7a of the Form 55002020-04-01133
Number of retired or separated participants receiving benefits2020-04-014
Number of other retired or separated participants entitled to future benefits2020-04-0115
Total of all active and inactive participants2020-04-01152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-04-010
Total participants2020-04-01152
Number of participants with account balances2020-04-01118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-04-016
2019: METALADE NY, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01202
Total number of active participants reported on line 7a of the Form 55002019-04-01154
Number of retired or separated participants receiving benefits2019-04-014
Number of other retired or separated participants entitled to future benefits2019-04-0114
Total of all active and inactive participants2019-04-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-04-011
Total participants2019-04-01173
Number of participants with account balances2019-04-01125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-04-017

Financial Data on METALADE NY, INC. 401(K) PLAN

Measure Date Value
2023 : METALADE NY, INC. 401(K) PLAN 2023 401k financial data
Total income from all sources (including contributions)2023-03-31$-142,236
Total of all expenses incurred2023-03-31$1,460,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$1,450,825
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$307,863
Value of total assets at end of year2023-03-31$5,483,075
Value of total assets at beginning of year2023-03-31$7,086,179
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$10,043
Total interest from all sources2023-03-31$11,471
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$197,306
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-03-31$197,306
Administrative expenses professional fees incurred2023-03-31$500
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$500,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$250,171
Participant contributions at end of year2023-03-31$78,123
Participant contributions at beginning of year2023-03-31$154,280
Participant contributions at beginning of year2023-03-31$7,595
Income. Received or receivable in cash from other sources (including rollovers)2023-03-31$15,134
Administrative expenses (other) incurred2023-03-31$8,255
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$-1,603,104
Value of net assets at end of year (total assets less liabilities)2023-03-31$5,483,075
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$7,086,179
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Investment advisory and management fees2023-03-31$1,040
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-03-31$4,957,942
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-03-31$6,495,926
Interest on participant loans2023-03-31$6,464
Interest earned on other investments2023-03-31$5,007
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-03-31$447,010
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-03-31$427,401
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-03-31$-658,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$42,558
Employer contributions (assets) at beginning of year2023-03-31$977
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$1,450,825
Contract administrator fees2023-03-31$248
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31SARDONE, ROBINSON & ASSOCIATES
Accountancy firm EIN2023-03-31161587614
2022 : METALADE NY, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$0
Total income from all sources (including contributions)2022-03-31$700,815
Total loss/gain on sale of assets2022-03-31$0
Total of all expenses incurred2022-03-31$1,050,224
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$1,039,358
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$419,389
Value of total assets at end of year2022-03-31$7,086,179
Value of total assets at beginning of year2022-03-31$7,435,588
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$10,866
Total interest from all sources2022-03-31$13,818
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$424,438
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-03-31$424,438
Administrative expenses professional fees incurred2022-03-31$500
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$500,000
If this is an individual account plan, was there a blackout period2022-03-31No
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$363,548
Participant contributions at end of year2022-03-31$154,280
Participant contributions at beginning of year2022-03-31$181,057
Participant contributions at end of year2022-03-31$7,595
Administrative expenses (other) incurred2022-03-31$9,066
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$-349,409
Value of net assets at end of year (total assets less liabilities)2022-03-31$7,086,179
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$7,435,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Investment advisory and management fees2022-03-31$1,024
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-03-31$6,495,926
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-03-31$6,777,742
Interest on participant loans2022-03-31$9,570
Interest earned on other investments2022-03-31$4,248
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-03-31$427,401
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-03-31$476,789
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-03-31$-156,830
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$55,841
Employer contributions (assets) at end of year2022-03-31$977
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-31$1,039,358
Contract administrator fees2022-03-31$276
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Opinion of an independent qualified public accountant for this plan2022-03-31Disclaimer
Accountancy firm name2022-03-31SARDONE, ROBINSON & ASSOCIATES
Accountancy firm EIN2022-03-31161587614
2021 : METALADE NY, INC. 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-03-31$2,554,258
Total of all expenses incurred2021-03-31$951,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$940,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$514,704
Value of total assets at end of year2021-03-31$7,435,588
Value of total assets at beginning of year2021-03-31$5,833,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$10,941
Total interest from all sources2021-03-31$14,788
Total dividends received (eg from common stock, registered investment company shares)2021-03-31$99,383
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-03-31$99,383
Administrative expenses professional fees incurred2021-03-31$208
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$500,000
If this is an individual account plan, was there a blackout period2021-03-31No
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$404,663
Participant contributions at end of year2021-03-31$181,057
Participant contributions at beginning of year2021-03-31$111,401
Income. Received or receivable in cash from other sources (including rollovers)2021-03-31$47,133
Administrative expenses (other) incurred2021-03-31$9,626
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$1,602,540
Value of net assets at end of year (total assets less liabilities)2021-03-31$7,435,588
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$5,833,048
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Investment advisory and management fees2021-03-31$815
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-03-31$6,777,742
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-03-31$5,280,149
Interest on participant loans2021-03-31$9,146
Interest earned on other investments2021-03-31$5,642
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-03-31$476,789
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-03-31$441,498
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-03-31$1,925,383
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$62,908
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-31$940,777
Contract administrator fees2021-03-31$292
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Disclaimer
Accountancy firm name2021-03-31SARDONE, ROBINSON & ASSOCIATES
Accountancy firm EIN2021-03-31161587614
2020 : METALADE NY, INC. 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-03-31$-32,479
Total of all expenses incurred2020-03-31$322,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$312,809
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$456,069
Value of total assets at end of year2020-03-31$5,833,048
Value of total assets at beginning of year2020-03-31$6,187,867
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$9,531
Total interest from all sources2020-03-31$9,011
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-03-31No
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$400,000
If this is an individual account plan, was there a blackout period2020-03-31No
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Contributions received from participants2020-03-31$385,229
Participant contributions at end of year2020-03-31$111,401
Participant contributions at beginning of year2020-03-31$136,247
Income. Received or receivable in cash from other sources (including rollovers)2020-03-31$7,797
Administrative expenses (other) incurred2020-03-31$8,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$-354,819
Value of net assets at end of year (total assets less liabilities)2020-03-31$5,833,048
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$6,187,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Investment advisory and management fees2020-03-31$810
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-03-31$5,280,149
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-03-31$6,024,396
Interest on participant loans2020-03-31$8,295
Interest earned on other investments2020-03-31$716
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-03-31$441,498
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-03-31$27,224
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-03-31$-497,559
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31No
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$63,043
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-03-31$312,809
Contract administrator fees2020-03-31$283
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31Yes
Opinion of an independent qualified public accountant for this plan2020-03-31Disclaimer
Accountancy firm name2020-03-31SARDONE, ROBINSON & ASSOCIATES
Accountancy firm EIN2020-03-31161587614

Form 5500 Responses for METALADE NY, INC. 401(K) PLAN

2022: METALADE NY, INC. 401(K) PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: METALADE NY, INC. 401(K) PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: METALADE NY, INC. 401(K) PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: METALADE NY, INC. 401(K) PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number743-80171
Policy instance 1
Insurance contract or identification number743-80171
Number of Individuals Covered9
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $3,164
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $3,164
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number743-80171
Policy instance 1
Insurance contract or identification number743-80171
Number of Individuals Covered9
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $3,265
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $3,265
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number743-80171
Policy instance 1
Insurance contract or identification number743-80171
Number of Individuals Covered11
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $3,465
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $3,465
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number743-80171
Policy instance 1
Insurance contract or identification number743-80171
Number of Individuals Covered8
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $319
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $319
Insurance broker organization code?3

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