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JACKSON AUTOMOTIVE GROUP 401(K) PLAN 401k Plan overview

Plan NameJACKSON AUTOMOTIVE GROUP 401(K) PLAN
Plan identification number 001

JACKSON AUTOMOTIVE GROUP 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

JACKSON AUTOMOTIVE GROUP has sponsored the creation of one or more 401k plans.

Company Name:JACKSON AUTOMOTIVE GROUP
Employer identification number (EIN):580656141
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JACKSON AUTOMOTIVE GROUP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01KRISTY LEE
0012023-01-01
0012023-01-01KRISTY LEE
0012022-01-01
0012022-01-01ERIKA ROSENBLATT
0012021-01-01
0012020-01-01CHRISTOPHER HULSE2021-08-05
0012019-01-01CHRISTOPHER HULSE2020-09-29
0012018-01-01CHRISTOPHER HULSE2019-08-27
0012017-01-01CHRISTOPHER HULSE2018-10-02
0012016-01-01CHRISTOPHER HULSE2017-10-03
0012015-01-01CHRISTOPHER HULSE2016-10-04
0012014-01-01ALAN B SVEDLOW2015-06-26
0012013-01-01ALAN B SVEDLOW2014-07-11
0012012-01-01ALAN B SVEDLOW2013-07-26
0012011-01-01ALAN B. SVEDLOW2012-07-27

Financial Data on JACKSON AUTOMOTIVE GROUP 401(K) PLAN

Measure Date Value
2023 : JACKSON AUTOMOTIVE GROUP 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,616,127
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$181,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$159,947
Value of total corrective distributions2023-12-31$20,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$972,271
Value of total assets at end of year2023-12-31$5,318,322
Value of total assets at beginning of year2023-12-31$3,884,183
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,453
Total interest from all sources2023-12-31$7,612
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$693,341
Participant contributions at end of year2023-12-31$59,986
Participant contributions at beginning of year2023-12-31$77,039
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$43,442
Other income not declared elsewhere2023-12-31$148
Administrative expenses (other) incurred2023-12-31$400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,434,139
Value of net assets at end of year (total assets less liabilities)2023-12-31$5,318,322
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$3,884,183
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$103
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$5,032,600
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$3,581,716
Interest on participant loans2023-12-31$4,081
Interest earned on other investments2023-12-31$3,531
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$225,736
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$225,428
Net investment gain/loss from pooled separate accounts2023-12-31$636,096
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$235,488
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$159,947
Contract administrator fees2023-12-31$950
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Disclaimer
Accountancy firm name2023-12-31MCNAIR, MCLEMORE, MIDDLEBROOKS & CO
Accountancy firm EIN2023-12-31581094351
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$1,616,127
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$181,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$159,947
Value of total corrective distributions2023-01-01$20,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$972,271
Value of total assets at end of year2023-01-01$5,318,322
Value of total assets at beginning of year2023-01-01$3,884,183
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$1,453
Total interest from all sources2023-01-01$7,612
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$693,341
Participant contributions at end of year2023-01-01$59,986
Participant contributions at beginning of year2023-01-01$77,039
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$43,442
Other income not declared elsewhere2023-01-01$148
Administrative expenses (other) incurred2023-01-01$400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$1,434,139
Value of net assets at end of year (total assets less liabilities)2023-01-01$5,318,322
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$3,884,183
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Investment advisory and management fees2023-01-01$103
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$5,032,600
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$3,581,716
Interest on participant loans2023-01-01$4,081
Interest earned on other investments2023-01-01$3,531
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$225,736
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$225,428
Net investment gain/loss from pooled separate accounts2023-01-01$636,096
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01Yes
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$235,488
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$159,947
Contract administrator fees2023-01-01$950
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-013
Accountancy firm name2023-01-01MCNAIR, MCLEMORE, MIDDLEBROOKS & CO
Accountancy firm EIN2023-01-01581094351
2022 : JACKSON AUTOMOTIVE GROUP 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-19,754
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$847,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$801,871
Value of total corrective distributions2022-12-31$25,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$770,858
Value of total assets at end of year2022-12-31$3,884,183
Value of total assets at beginning of year2022-12-31$4,751,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$20,209
Total interest from all sources2022-12-31$4,533
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$573,263
Participant contributions at end of year2022-12-31$77,039
Participant contributions at beginning of year2022-12-31$47,989
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$34,990
Other income not declared elsewhere2022-12-31$20
Administrative expenses (other) incurred2022-12-31$20,209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-867,534
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,884,183
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,751,717
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,581,716
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,703,728
Interest on participant loans2022-12-31$3,336
Interest earned on other investments2022-12-31$1,197
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$225,428
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Net investment gain/loss from pooled separate accounts2022-12-31$-795,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$162,605
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$801,871
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31MCNAIR, MCLEMORE, MIDDLEBROOKS & CO
Accountancy firm EIN2022-12-31581094351
Total expenses incurred by plan in this plan year2022-06-17441308
Net assets as of the end of the plan year2022-06-174751717
Total assets as of the beginning of the plan year2022-06-172951494
Value of plan covered by a fidelity bond2022-06-17500000
Participant contributions to plan in this plan year2022-06-17490860
Value of participant loans at end of plan year2022-06-1747989
Other contributions to plan in this plan year2022-06-171290981
Other income to plan in this plan year2022-06-17323887
Plan net income in this plan year2022-06-171800223
Net assets as of the end of the plan year2022-06-174751717
Net assets as of the beginning of the plan year2022-06-172951494
Employer contributions to plan in this plan year2022-06-17135803
Fees paid to broker by Benefit Provider2022-06-1715720
Expensese paid to adminstrative service provicers from plan in this plan year2022-06-1710473
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$-19,754
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$847,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$801,871
Value of total corrective distributions2022-01-01$25,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$770,858
Value of total assets at end of year2022-01-01$3,884,183
Value of total assets at beginning of year2022-01-01$4,751,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$20,209
Total interest from all sources2022-01-01$4,533
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01Yes
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$573,263
Participant contributions at end of year2022-01-01$77,039
Participant contributions at beginning of year2022-01-01$47,989
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$34,990
Other income not declared elsewhere2022-01-01$20
Administrative expenses (other) incurred2022-01-01$20,209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-867,534
Value of net assets at end of year (total assets less liabilities)2022-01-01$3,884,183
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$4,751,717
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$3,581,716
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$4,703,728
Interest on participant loans2022-01-01$3,336
Interest earned on other investments2022-01-01$1,197
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$225,428
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$0
Net investment gain/loss from pooled separate accounts2022-01-01$-795,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$162,605
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$801,871
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-01-01Yes
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-013
Accountancy firm name2022-01-01MCNAIR, MCLEMORE, MIDDLEBROOKS & CO
Accountancy firm EIN2022-01-01581094351
2010 : JACKSON AUTOMOTIVE GROUP 401(K) PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$262,957
Expenses. Total of all expenses incurred2010-12-31$31,908
Benefits paid (including direct rollovers)2010-12-31$30,919
Total plan assets at end of year2010-12-31$1,993,821
Total plan assets at beginning of year2010-12-31$1,762,772
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$70,531
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$168,424
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$231,049
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,993,821
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,762,772
Assets. Value of participant loans2010-12-31$16,610
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$7,793
Total contributions received or receivable from employer(s)2010-12-31$24,002
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$989
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0

Form 5500 Responses for JACKSON AUTOMOTIVE GROUP 401(K) PLAN

2023: JACKSON AUTOMOTIVE GROUP 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: JACKSON AUTOMOTIVE GROUP 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberYH4867
Policy instance 1
Insurance contract or identification numberYH4867
Number of Individuals Covered230
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberYH4867
Policy instance 1
Insurance contract or identification numberYH4867
Number of Individuals Covered174
Insurance policy start date2022-12-22
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
SENTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68810 )
Policy contract number01-11948-01
Policy instance 2
Insurance contract or identification number01-11948-01
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-22
Total amount of commissions paid to insurance brokerUSD $2,500
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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?No
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

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