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NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 401k Plan overview

Plan NameNATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP
Plan identification number 002

NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Stock bonus
  • 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.
  • ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
  • The employer maintaining this ESOP is an S Corporation
  • 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

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

Company Name:NATIONWIDE TRANSPORTATION, INC.
Employer identification number (EIN):470648215
NAIC Classification:484200
NAIC Description: Specialized Freight Trucking

Additional information about NATIONWIDE TRANSPORTATION, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2012-02-24
Company Identification Number: 4207494
Legal Registered Office Address: 176 GREEN STREET
NASSAU
VALLEY STREAM
United States of America (USA)
11580

More information about NATIONWIDE TRANSPORTATION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01
0022016-01-01
0022015-01-01PAUL D. MOORE
0022014-01-01PAUL D. MOORE
0022013-01-01PAUL D. MOORE
0022012-01-01PAUL D. MOORE
0022011-01-01PAUL D. MOORE
0022009-01-01PAUL D. MOORE

Plan Statistics for NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP

401k plan membership statisitcs for NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP

Measure Date Value
2015: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2015 401k membership
Total participants, beginning-of-year2015-01-0190
Total number of active participants reported on line 7a of the Form 55002015-01-0177
Number of retired or separated participants receiving benefits2015-01-019
Number of other retired or separated participants entitled to future benefits2015-01-0118
Total of all active and inactive participants2015-01-01104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01104
Number of participants with account balances2015-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-014
2014: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2014 401k membership
Total participants, beginning-of-year2014-01-01101
Total number of active participants reported on line 7a of the Form 55002014-01-0177
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-0186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0186
Number of participants with account balances2014-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-017
2013: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2013 401k membership
Total participants, beginning-of-year2013-01-01115
Total number of active participants reported on line 7a of the Form 55002013-01-0173
Number of retired or separated participants receiving benefits2013-01-012
Number of other retired or separated participants entitled to future benefits2013-01-0118
Total of all active and inactive participants2013-01-0193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0193
Number of participants with account balances2013-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2012 401k membership
Total participants, beginning-of-year2012-01-01113
Total number of active participants reported on line 7a of the Form 55002012-01-0185
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-0129
Total of all active and inactive participants2012-01-01115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01115
Number of participants with account balances2012-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2011 401k membership
Total participants, beginning-of-year2011-01-01107
Total number of active participants reported on line 7a of the Form 55002011-01-0176
Number of retired or separated participants receiving benefits2011-01-011
Number of other retired or separated participants entitled to future benefits2011-01-0134
Total of all active and inactive participants2011-01-01111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01111
Number of participants with account balances2011-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-013
2009: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2009 401k membership
Total participants, beginning-of-year2009-01-01104
Total number of active participants reported on line 7a of the Form 55002009-01-0183
Number of retired or separated participants receiving benefits2009-01-011
Number of other retired or separated participants entitled to future benefits2009-01-0128
Total of all active and inactive participants2009-01-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01112
Number of participants with account balances2009-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-013

Financial Data on NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP

Measure Date Value
2015 : NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2015 401k financial data
Total income from all sources2015-12-31$1,017,622
Expenses. Total of all expenses incurred2015-12-31$317,445
Benefits paid (including direct rollovers)2015-12-31$317,445
Total plan assets at end of year2015-12-31$4,007,514
Total plan assets at beginning of year2015-12-31$3,307,337
Value of fidelity bond covering the plan2015-12-31$400,000
Total contributions received or receivable from participants2015-12-31$85,792
Contributions received from other sources (not participants or employers)2015-12-31$11,475
Other income received2015-12-31$902,988
Net income (gross income less expenses)2015-12-31$700,177
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,007,514
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,307,337
Assets. Value of employer securities2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$17,367
2014 : NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2014 401k financial data
Total income from all sources2014-12-31$209,344
Expenses. Total of all expenses incurred2014-12-31$429,328
Benefits paid (including direct rollovers)2014-12-31$428,876
Total plan assets at end of year2014-12-31$3,307,337
Total plan assets at beginning of year2014-12-31$3,527,321
Value of fidelity bond covering the plan2014-12-31$400,000
Total contributions received or receivable from participants2014-12-31$78,836
Other income received2014-12-31$114,685
Net income (gross income less expenses)2014-12-31$-219,984
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,307,337
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,527,321
Assets. Value of employer securities2014-12-31$1,654,118
Total contributions received or receivable from employer(s)2014-12-31$15,823
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$452
2013 : NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2013 401k financial data
Total income from all sources2013-12-31$256,406
Expenses. Total of all expenses incurred2013-12-31$372,058
Benefits paid (including direct rollovers)2013-12-31$372,058
Total plan assets at end of year2013-12-31$3,527,321
Total plan assets at beginning of year2013-12-31$3,642,973
Value of fidelity bond covering the plan2013-12-31$400,000
Total contributions received or receivable from participants2013-12-31$60,946
Contributions received from other sources (not participants or employers)2013-12-31$2,041
Other income received2013-12-31$193,419
Net income (gross income less expenses)2013-12-31$-115,652
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,527,321
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,642,973
Assets. Value of employer securities2013-12-31$1,701,816
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2012 401k financial data
Total income from all sources2012-12-31$275,484
Expenses. Total of all expenses incurred2012-12-31$156,965
Benefits paid (including direct rollovers)2012-12-31$156,094
Total plan assets at end of year2012-12-31$3,642,973
Total plan assets at beginning of year2012-12-31$3,524,454
Value of fidelity bond covering the plan2012-12-31$400,000
Total contributions received or receivable from participants2012-12-31$57,110
Contributions received from other sources (not participants or employers)2012-12-31$1,555
Other income received2012-12-31$216,819
Net income (gross income less expenses)2012-12-31$118,519
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,642,973
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,524,454
Assets. Value of employer securities2012-12-31$1,973,302
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$871
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2011 401k financial data
Total income from all sources2011-12-31$-10,079
Expenses. Total of all expenses incurred2011-12-31$295,605
Benefits paid (including direct rollovers)2011-12-31$291,347
Total plan assets at end of year2011-12-31$3,524,454
Total plan assets at beginning of year2011-12-31$3,830,138
Value of fidelity bond covering the plan2011-12-31$400,000
Total contributions received or receivable from participants2011-12-31$65,243
Expenses. Other expenses not covered elsewhere2011-12-31$4,258
Contributions received from other sources (not participants or employers)2011-12-31$269
Other income received2011-12-31$-75,591
Net income (gross income less expenses)2011-12-31$-305,684
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,524,454
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$3,830,138
Assets. Value of employer securities2011-12-31$1,978,460
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2010 401k financial data
Total income from all sources2010-12-31$725,033
Expenses. Total of all expenses incurred2010-12-31$431,912
Benefits paid (including direct rollovers)2010-12-31$421,095
Total plan assets at end of year2010-12-31$3,830,138
Total plan assets at beginning of year2010-12-31$3,537,017
Value of fidelity bond covering the plan2010-12-31$400,000
Total contributions received or receivable from participants2010-12-31$74,735
Expenses. Other expenses not covered elsewhere2010-12-31$229
Other income received2010-12-31$650,298
Net income (gross income less expenses)2010-12-31$293,121
Net plan assets at end of year (total assets less liabilities)2010-12-31$3,830,138
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,537,017
Assets. Value of employer securities2010-12-31$2,004,910
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$10,588
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 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

Form 5500 Responses for NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP

2015: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: NATIONWIDE TRANSPORTATION, INC. 401(K) PLAN AND ESOP 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAPBOKU88
Policy instance 1
Insurance contract or identification numberGAPBOKU88
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,712
Total amount of fees paid to insurance companyUSD $428
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,712
Insurance broker organization code?3
Amount paid for insurance broker fees428
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker nameNEIL G LISEC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAPBOKU88
Policy instance 1
Insurance contract or identification numberGAPBOKU88
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,326
Total amount of fees paid to insurance companyUSD $331
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,326
Insurance broker organization code?3
Amount paid for insurance broker fees331
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker nameNEIL G LISEC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAPBOKU88
Policy instance 1
Insurance contract or identification numberGAPBOKU88
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,281
Total amount of fees paid to insurance companyUSD $820
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $3,281
Amount paid for insurance broker fees820
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameTRANSAMERICA FINANCIAL ADVISOR
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAPBOKU88
Policy instance 1
Insurance contract or identification numberGAPBOKU88
Number of Individuals Covered59
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,469
Total amount of fees paid to insurance companyUSD $829
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $2,736
Insurance broker organization code?3
Amount paid for insurance broker fees829
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker nameTRANSAMERICA FINANCIAL ADVISOR
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAPBOKU88
Policy instance 1
Insurance contract or identification numberGAPBOKU88
Number of Individuals Covered41
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,520
Total amount of fees paid to insurance companyUSD $630
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAPBOKU88
Policy instance 1
Insurance contract or identification numberGAPBOKU88
Number of Individuals Covered41
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,181
Total amount of fees paid to insurance companyUSD $1,045
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $4,181
Insurance broker organization code?3
Amount paid for insurance broker fees1045
Additional information about fees paid to insurance brokerEXPENSE ALLOWANCE
Insurance broker nameALVIN CHRISTENSEN

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