401k Plan data: INDEPENDENCE TITLE COMPANY 401(K) PLAN plan

INDEPENDENCE TITLE COMPANY 401(K) PLAN 401k Plan overview

Plan Name	INDEPENDENCE TITLE COMPANY 401(K) PLAN
Plan identification number	001

INDEPENDENCE TITLE COMPANY 401(K) PLAN Benefits

401k Plan Type

Defined 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.
Plan covering Self-Employed individuals.
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

INDEPENDENCE TITLE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: INDEPENDENCE TITLE COMPANY

Employer identification number (EIN): 470951111

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Additional information about INDEPENDENCE TITLE COMPANY

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1998-12-07

Company Identification Number: P98000102633

Legal Registered Office Address: 1421 COURT STREET, STE. B

CLEARWATER

33756

More information about INDEPENDENCE TITLE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDEPENDENCE TITLE COMPANY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 ROBYN HOFFMAN
001 2014-01-01 ROBYN HOFFMAN
001 2013-01-01 ITCOALLC
001 2012-01-01 JUDITH SULLINGS JUDITH SULLINGS 2013-06-12
001 2011-01-01 JUDITH SULLINGS
001 2009-01-01 JUDITH SULLINGS
001 2009-01-01 JUDITH SULLINGS

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	ROBYN HOFFMAN
001	2014-01-01	ROBYN HOFFMAN
001	2013-01-01	ITCOALLC
001	2012-01-01	JUDITH SULLINGS	JUDITH SULLINGS	2013-06-12
001	2011-01-01	JUDITH SULLINGS
001	2009-01-01	JUDITH SULLINGS
001	2009-01-01	JUDITH SULLINGS

Plan Statistics for INDEPENDENCE TITLE COMPANY 401(K) PLAN

401k plan membership statisitcs for INDEPENDENCE TITLE COMPANY 401(K) PLAN

Measure Date Value
2015: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 360
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
2014: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 325
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 28
Total of all active and inactive participants 2014-01-01 353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 353
Number of participants with account balances 2014-01-01 209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 52
2013: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 306
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 303
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 24
Total of all active and inactive participants 2013-01-01 327
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 327
Number of participants with account balances 2013-01-01 184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 262
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 269
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 24
Total of all active and inactive participants 2012-01-01 297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 297
Number of participants with account balances 2012-01-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 5
2011: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 250
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 230
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 30
Total of all active and inactive participants 2011-01-01 261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 261
Number of participants with account balances 2011-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 217
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 27
Total of all active and inactive participants 2009-01-01 244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 244
Number of participants with account balances 2009-01-01 151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 5

Measure	Date	Value
2015: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	360
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
2014: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	325
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	28
Total of all active and inactive participants	2014-01-01	353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	353
Number of participants with account balances	2014-01-01	209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	52
2013: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	306
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	303
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	24
Total of all active and inactive participants	2013-01-01	327
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	327
Number of participants with account balances	2013-01-01	184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	262
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	269
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	24
Total of all active and inactive participants	2012-01-01	297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	297
Number of participants with account balances	2012-01-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	5
2011: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	250
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	230
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	30
Total of all active and inactive participants	2011-01-01	261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	261
Number of participants with account balances	2011-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	217
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	27
Total of all active and inactive participants	2009-01-01	244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	244
Number of participants with account balances	2009-01-01	151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	5

Financial Data on INDEPENDENCE TITLE COMPANY 401(K) PLAN

Measure	Date	Value
2015 : INDEPENDENCE TITLE COMPANY 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$794,700
Total of all expenses incurred	2015-12-31	$7,704,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$7,548,399
Value of total corrective distributions	2015-12-31	$78,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$637,046
Value of total assets at end of year	2015-12-31	$0
Value of total assets at beginning of year	2015-12-31	$6,909,377
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$77,069
Total interest from all sources	2015-12-31	$2,481
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$138,746
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$138,746
Administrative expenses professional fees incurred	2015-12-31	$13,288
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$550,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$530,005
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$136,427
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$16,193
Other income not declared elsewhere	2015-12-31	$18,840
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-6,909,377
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,909,377
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$63,781
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$6,492,214
Interest on participant loans	2015-12-31	$2,481
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$280,736
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-2,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$90,848
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$7,548,399
Did the plan have assets held for investment	2015-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	HOLTZMAN PARTNERS, LLP
Accountancy firm EIN	2015-12-31	743121060
2014 : INDEPENDENCE TITLE COMPANY 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$2,257,808
Total of all expenses incurred	2014-12-31	$281,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$156,214
Expenses. Certain deemed distributions of participant loans	2014-12-31	$9
Value of total corrective distributions	2014-12-31	$44,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,939,415
Value of total assets at end of year	2014-12-31	$6,909,377
Value of total assets at beginning of year	2014-12-31	$4,932,718
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$80,462
Total interest from all sources	2014-12-31	$4,612
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$223,482
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$223,482
Administrative expenses professional fees incurred	2014-12-31	$8,691
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$550,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$908,482
Participant contributions at end of year	2014-12-31	$136,427
Participant contributions at beginning of year	2014-12-31	$88,363
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$962,508
Other income not declared elsewhere	2014-12-31	$29,539
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,976,659
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,909,377
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,932,718
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$71,771
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$6,492,214
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$4,807,536
Interest on participant loans	2014-12-31	$4,612
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$280,736
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$36,819
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$60,760
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$68,425
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$156,214
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	HOLTZMAN PARTNERS, LLP
Accountancy firm EIN	2014-12-31	743121060
2013 : INDEPENDENCE TITLE COMPANY 401(K) PLAN 2013 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$41,558
Total income from all sources (including contributions)	2013-12-31	$1,394,305
Total of all expenses incurred	2013-12-31	$90,857
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$79,056
Expenses. Certain deemed distributions of participant loans	2013-12-31	$4,559
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$722,282
Value of total assets at end of year	2013-12-31	$4,932,718
Value of total assets at beginning of year	2013-12-31	$3,670,828
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$7,242
Total interest from all sources	2013-12-31	$3,524
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$18,102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$18,102
Administrative expenses professional fees incurred	2013-12-31	$600
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$550,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$683,343
Participant contributions at end of year	2013-12-31	$88,363
Participant contributions at beginning of year	2013-12-31	$91,885
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$38,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$41,558
Other income not declared elsewhere	2013-12-31	$3,914
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,303,448
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,932,718
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,629,270
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$6,642
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$4,807,536
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,511,467
Interest on participant loans	2013-12-31	$3,524
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$1,468
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$1,468
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$36,819
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$17,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$646,483
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Employer contributions (assets) at beginning of year	2013-12-31	$48,533
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$79,056
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	HOLTZMAN PARTNERS, LLP
Accountancy firm EIN	2013-12-31	743121060
2012 : INDEPENDENCE TITLE COMPANY 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$41,558
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$928,543
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$128,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$79,233
Value of total corrective distributions	2012-12-31	$41,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$572,685
Value of total assets at end of year	2012-12-31	$3,670,828
Value of total assets at beginning of year	2012-12-31	$2,829,328
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$7,810
Total interest from all sources	2012-12-31	$4,747
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$450,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$503,064
Participant contributions at end of year	2012-12-31	$91,885
Participant contributions at beginning of year	2012-12-31	$119,710
Participant contributions at beginning of year	2012-12-31	$15,155
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$21,088
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$1,943
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$41,558
Administrative expenses (other) incurred	2012-12-31	$7,810
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$799,942
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,629,270
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,829,328
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,511,467
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,677,318
Interest on participant loans	2012-12-31	$4,747
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$1,468
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$6,658
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$6,658
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$17,475
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$8,544
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$351,111
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$48,533
Employer contributions (assets) at end of year	2012-12-31	$48,533
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$79,233
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	HOLTZMAN PARTNERS, LLP
Accountancy firm EIN	2012-12-31	743121060
2011 : INDEPENDENCE TITLE COMPANY 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$460,933
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$165,565
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$163,205
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$468,870
Value of total assets at end of year	2011-12-31	$2,829,328
Value of total assets at beginning of year	2011-12-31	$2,533,960
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,360
Total interest from all sources	2011-12-31	$5,429
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$250,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$374,406
Participant contributions at end of year	2011-12-31	$119,710
Participant contributions at beginning of year	2011-12-31	$80,660
Participant contributions at end of year	2011-12-31	$15,155
Participant contributions at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$94,464
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$37
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$1,943
Other income not declared elsewhere	2011-12-31	$2
Administrative expenses (other) incurred	2011-12-31	$2,360
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$295,368
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,829,328
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,533,960
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,677,318
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,437,986
Interest on participant loans	2011-12-31	$5,420
Value of interest in common/collective trusts at beginning of year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$6,658
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$6,087
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$6,087
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$9
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$8,544
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$9,227
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-13,368
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$163,168
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	HOLTZMAN PARTNERS L.L.P.
Accountancy firm EIN	2011-12-31	743121060
2010 : INDEPENDENCE TITLE COMPANY 401(K) PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets	2010-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$0
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Expenses. Interest paid	2010-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$661,191
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$50,232
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$48,086
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$400,695
Value of total assets at end of year	2010-12-31	$2,533,960
Value of total assets at beginning of year	2010-12-31	$1,923,001
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,146
Total income from rents	2010-12-31	$0
Total interest from all sources	2010-12-31	$4,140
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$0
Administrative expenses professional fees incurred	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$150,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$343,694
Participant contributions at end of year	2010-12-31	$80,660
Participant contributions at beginning of year	2010-12-31	$68,285
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$15,793
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$57,001
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$3
Administrative expenses (other) incurred	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Income. Non cash contributions	2010-12-31	$0
Value of net income/loss	2010-12-31	$610,959
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,533,960
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,923,001
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,437,986
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,825,625
Interest on participant loans	2010-12-31	$4,140
Income. Interest from loans (other than to participants)	2010-12-31	$0
Interest earned on other investments	2010-12-31	$0
Income. Interest from US Government securities	2010-12-31	$0
Income. Interest from corporate debt instruments	2010-12-31	$0
Value of interest in common/collective trusts at end of year	2010-12-31	$0
Value of interest in common/collective trusts at beginning of year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$6,087
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$4,870
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$4,870
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$9,227
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$8,428
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$256,353
Net investment gain/loss from pooled separate accounts	2010-12-31	$0
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Net gain/loss from 103.12 investment entities	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Income. Dividends from preferred stock	2010-12-31	$0
Income. Dividends from common stock	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$48,086
Contract administrator fees	2010-12-31	$2,146
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	HOLTZMAN PARTNERS, LLP
Accountancy firm EIN	2010-12-31	743121060
2009 : INDEPENDENCE TITLE COMPANY 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for INDEPENDENCE TITLE COMPANY 401(K) PLAN

2015: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: INDEPENDENCE TITLE COMPANY 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

512203-000

Policy instance

Insurance contract or identification number	512203-000
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

512203-000

Policy instance

Insurance contract or identification number	512203-000
Number of Individuals Covered	209
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

030-82286

Policy instance

Insurance contract or identification number	030-82286
Number of Individuals Covered	0
Total amount of commissions paid to insurance broker	USD $65
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $65
Additional information about fees paid to insurance broker	MANAGEMENT FEES
Insurance broker organization code?	7
Insurance broker name	CAMBRIDGE INVESTMENT RESEARCH

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

512203-000

Policy instance

Insurance contract or identification number	512203-000
Number of Individuals Covered	184
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

030-82286

Policy instance

Insurance contract or identification number	030-82286
Number of Individuals Covered	155
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $45
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $3
Additional information about fees paid to insurance broker	MANAGEMENT FEES
Insurance broker organization code?	7
Insurance broker name	CAMBRIDGE INVESTMENT RESEARCH

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

030-82286

Policy instance

Insurance contract or identification number	030-82286
Number of Individuals Covered	146
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $46
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 number

030-82286

Policy instance

Insurance contract or identification number	030-82286
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $32
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $32
Insurance broker organization code?	7
Insurance broker name	CCF INVESTMENTS, INC.

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Company Name:	INDEPENDENCE TITLE COMPANY
Employer identification number (EIN):	470951111
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1998-12-07
Company Identification Number:	P98000102633
Legal Registered Office Address:	1421 COURT STREET, STE. B CLEARWATER 33756