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ORLANDO NEUROSURGERY 401(K) PLAN 401k Plan overview

Plan NameORLANDO NEUROSURGERY 401(K) PLAN
Plan identification number 001

ORLANDO NEUROSURGERY 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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

FAIRBANKS PARTNERS, LLC has sponsored the creation of one or more 401k plans.

Company Name:FAIRBANKS PARTNERS, LLC
Employer identification number (EIN):474412267
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about FAIRBANKS PARTNERS, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2015-06-30
Company Identification Number: L15000113503
Legal Registered Office Address: 1605 WEST FAIRBANKS AVENUE

WINTER PARK

32789

More information about FAIRBANKS PARTNERS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORLANDO NEUROSURGERY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01DONALD BEHRMANN DONALD BEHRMANN2019-05-28
0012017-01-01DONALD L. BEHRMANN, MD DONALD L. BEHRMANN, MD2018-04-26
0012016-01-01DONALD L. BEHRMANN, MD DONALD L. BEHRMANN, MD2017-05-11
0012015-01-01DONALD BEHRMANN DONALD BEHRMANN2016-07-18

Plan Statistics for ORLANDO NEUROSURGERY 401(K) PLAN

401k plan membership statisitcs for ORLANDO NEUROSURGERY 401(K) PLAN

Measure Date Value
2022: ORLANDO NEUROSURGERY 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0152
Total number of active participants reported on line 7a of the Form 55002022-01-0156
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0156
Number of participants with account balances2022-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ORLANDO NEUROSURGERY 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0156
Total number of active participants reported on line 7a of the Form 55002021-01-0152
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0152
Number of participants with account balances2021-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ORLANDO NEUROSURGERY 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0149
Total number of active participants reported on line 7a of the Form 55002020-01-0150
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-016
Total of all active and inactive participants2020-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0156
Number of participants with account balances2020-01-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: ORLANDO NEUROSURGERY 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0154
Total number of active participants reported on line 7a of the Form 55002019-01-0143
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-016
Total of all active and inactive participants2019-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0149
Number of participants with account balances2019-01-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ORLANDO NEUROSURGERY 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0150
Total number of active participants reported on line 7a of the Form 55002018-01-0148
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-016
Total of all active and inactive participants2018-01-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0154
Number of participants with account balances2018-01-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ORLANDO NEUROSURGERY 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0145
Total number of active participants reported on line 7a of the Form 55002017-01-0146
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-014
Total of all active and inactive participants2017-01-0150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0150
Number of participants with account balances2017-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ORLANDO NEUROSURGERY 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0148
Total number of active participants reported on line 7a of the Form 55002016-01-0142
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0145
Number of participants with account balances2016-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: ORLANDO NEUROSURGERY 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0137
Total number of active participants reported on line 7a of the Form 55002015-01-0143
Number of retired or separated participants receiving benefits2015-01-015
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0148
Number of participants with account balances2015-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on ORLANDO NEUROSURGERY 401(K) PLAN

Measure Date Value
2022 : ORLANDO NEUROSURGERY 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-77,461
Expenses. Total of all expenses incurred2022-12-31$239,246
Benefits paid (including direct rollovers)2022-12-31$236,087
Total plan assets at end of year2022-12-31$3,030,348
Total plan assets at beginning of year2022-12-31$3,347,055
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$388,640
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$77,059
Other income received2022-12-31$-631,477
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-316,707
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,030,348
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$3,347,055
Total contributions received or receivable from employer(s)2022-12-31$88,317
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$3,159
2021 : ORLANDO NEUROSURGERY 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$402,989
Expenses. Total of all expenses incurred2021-12-31$862,525
Benefits paid (including direct rollovers)2021-12-31$867,610
Total plan assets at end of year2021-12-31$3,347,055
Total plan assets at beginning of year2021-12-31$3,806,591
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$290,185
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$6,145
Other income received2021-12-31$33,865
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$-459,536
Net plan assets at end of year (total assets less liabilities)2021-12-31$3,347,055
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$3,806,591
Assets. Value of participant loans2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$400,100
Total contributions received or receivable from employer(s)2021-12-31$72,794
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$-5,085
2020 : ORLANDO NEUROSURGERY 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$804,522
Expenses. Total of all expenses incurred2020-12-31$491,528
Benefits paid (including direct rollovers)2020-12-31$491,528
Total plan assets at end of year2020-12-31$3,806,591
Total plan assets at beginning of year2020-12-31$3,493,597
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$250,110
Contributions received from other sources (not participants or employers)2020-12-31$45,908
Other income received2020-12-31$445,976
Net income (gross income less expenses)2020-12-31$312,994
Net plan assets at end of year (total assets less liabilities)2020-12-31$3,806,591
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,493,597
Assets. Value of participant loans2020-12-31$9,650
Assets. Value of real-estate (other than employer real property)2020-12-31$400,100
Total contributions received or receivable from employer(s)2020-12-31$62,528
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : ORLANDO NEUROSURGERY 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$826,533
Expenses. Total of all expenses incurred2019-12-31$127,811
Benefits paid (including direct rollovers)2019-12-31$127,811
Total plan assets at end of year2019-12-31$3,493,597
Total plan assets at beginning of year2019-12-31$2,794,875
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$253,053
Other income received2019-12-31$510,226
Net income (gross income less expenses)2019-12-31$698,722
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,493,597
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,794,875
Assets. Value of participant loans2019-12-31$9,952
Assets. Value of real-estate (other than employer real property)2019-12-31$309,521
Total contributions received or receivable from employer(s)2019-12-31$63,254
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : ORLANDO NEUROSURGERY 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$101,572
Expenses. Total of all expenses incurred2018-12-31$730,739
Benefits paid (including direct rollovers)2018-12-31$730,739
Total plan assets at end of year2018-12-31$2,794,875
Total plan assets at beginning of year2018-12-31$3,424,042
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$242,243
Noncash contributions received2018-12-31$-201,232
Net income (gross income less expenses)2018-12-31$-629,167
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,794,875
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,424,042
Assets. Value of participant loans2018-12-31$13,570
Assets. Value of real-estate (other than employer real property)2018-12-31$309,521
Total contributions received or receivable from employer(s)2018-12-31$60,561
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : ORLANDO NEUROSURGERY 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$730,880
Expenses. Total of all expenses incurred2017-12-31$7,500
Benefits paid (including direct rollovers)2017-12-31$7,500
Total plan assets at end of year2017-12-31$3,424,042
Total plan assets at beginning of year2017-12-31$2,700,662
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$260,295
Contributions received from other sources (not participants or employers)2017-12-31$1,233
Other income received2017-12-31$404,286
Net income (gross income less expenses)2017-12-31$723,380
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,424,042
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,700,662
Assets. Value of participant loans2017-12-31$18,604
Assets. Value of real-estate (other than employer real property)2017-12-31$309,521
Total contributions received or receivable from employer(s)2017-12-31$65,066
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : ORLANDO NEUROSURGERY 401(K) PLAN 2016 401k financial data
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$443,069
Expenses. Total of all expenses incurred2016-12-31$36,859
Benefits paid (including direct rollovers)2016-12-31$19,640
Total plan assets at end of year2016-12-31$2,700,662
Total plan assets at beginning of year2016-12-31$2,294,452
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$250,894
Contributions received from other sources (not participants or employers)2016-12-31$23,265
Other income received2016-12-31$106,179
Net income (gross income less expenses)2016-12-31$406,210
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,700,662
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,294,452
Assets. Value of participant loans2016-12-31$24,024
Assets. Value of real-estate (other than employer real property)2016-12-31$309,521
Total contributions received or receivable from employer(s)2016-12-31$62,731
Value of corrective distributions2016-12-31$17,219
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : ORLANDO NEUROSURGERY 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$103,176
Expenses. Total of all expenses incurred2015-12-31$236,449
Benefits paid (including direct rollovers)2015-12-31$236,449
Total plan assets at end of year2015-12-31$2,294,452
Total plan assets at beginning of year2015-12-31$2,427,725
Value of fidelity bond covering the plan2015-12-31$400,000
Total contributions received or receivable from participants2015-12-31$137,460
Other income received2015-12-31$-68,648
Net income (gross income less expenses)2015-12-31$-133,273
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,294,452
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,427,725
Assets. Value of participant loans2015-12-31$29,330
Assets. Value of real-estate (other than employer real property)2015-12-31$309,521
Total contributions received or receivable from employer(s)2015-12-31$34,364
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0

Form 5500 Responses for ORLANDO NEUROSURGERY 401(K) PLAN

2022: ORLANDO NEUROSURGERY 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ORLANDO NEUROSURGERY 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ORLANDO NEUROSURGERY 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ORLANDO NEUROSURGERY 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ORLANDO NEUROSURGERY 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ORLANDO NEUROSURGERY 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ORLANDO NEUROSURGERY 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ORLANDO NEUROSURGERY 401(K) PLAN 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 – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-HQ4Y
Policy instance 1
Insurance contract or identification numberGAP-CP-HQ4Y
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $615
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $615
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP=CP-HQ4Y
Policy instance 1
Insurance contract or identification numberGAP=CP-HQ4Y
Number of Individuals Covered42
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,187
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 $1,187
Amount paid for insurance broker fees0
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-NX87
Policy instance 1
Insurance contract or identification numberGAP-B0-NX87
Number of Individuals Covered42
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,100
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 $965
Amount paid for insurance broker fees0
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-NX87
Policy instance 1
Insurance contract or identification numberGAP-B0-NX87
Number of Individuals Covered42
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,036
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 $1,036
Amount paid for insurance broker fees0
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-NX87
Policy instance 1
Insurance contract or identification numberGAP-B0-NX87
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $876
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 $876
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameTRANSAMERICA FINANCIAL ADVISOR
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-NX87
Policy instance 1
Insurance contract or identification numberGAP-B0-NX87
Number of Individuals Covered39
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $45
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 $45
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameTRANSAMERICA FINANCIAL ADVISOR

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