401k Plan data: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN plan

HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 401k Plan overview

Plan Name	HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN
Plan identification number	002

HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

HUSSEY, GAY, BELL & DEYOUNG, INC. has sponsored the creation of one or more 401k plans.

Company Name: HUSSEY, GAY, BELL & DEYOUNG, INC.

Employer identification number (EIN): 580873151

NAIC Classification: 541330
NAIC Description: Engineering Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01
002 2012-01-01 CATHERINE REA CATHERINE REA 2013-10-12
002 2011-01-01 CATHERINE REA CATHERINE REA 2012-10-15
002 2010-01-01 CATHERINE REA CATHERINE REA 2011-09-21
002 2009-01-01 CATHERINE REA CATHERINE REA 2010-10-15
002 2009-01-01 CATHERINE REA CATHERINE REA 2010-10-15
002 2007-01-01 CATHERINE REA CATHERINE REA 2010-12-10

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01
002	2012-01-01	CATHERINE REA	CATHERINE REA	2013-10-12
002	2011-01-01	CATHERINE REA	CATHERINE REA	2012-10-15
002	2010-01-01	CATHERINE REA	CATHERINE REA	2011-09-21
002	2009-01-01	CATHERINE REA	CATHERINE REA	2010-10-15
002	2009-01-01	CATHERINE REA	CATHERINE REA	2010-10-15
002	2007-01-01	CATHERINE REA	CATHERINE REA	2010-12-10

Plan Statistics for HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN

401k plan membership statisitcs for HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN

Measure Date Value
2015: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 51
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 52
Total participants 2015-01-01 52
Number of participants with account balances 2015-01-01 36
2014: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 49
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 50
Total participants 2014-01-01 50
Number of participants with account balances 2014-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 41
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 42
Total participants 2013-01-01 42
Number of participants with account balances 2013-01-01 42
2012: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 68
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 52
Total of all active and inactive participants 2012-01-01 52
Total participants 2012-01-01 52
Number of participants with account balances 2012-01-01 52
2011: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 98
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 68
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 68
Number of participants with account balances 2011-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 73
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 95
Number of other retired or separated participants entitled to future benefits 2010-01-01 3
Total of all active and inactive participants 2010-01-01 98
Total participants 2010-01-01 98
Number of participants with account balances 2010-01-01 66
2009: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 70
Number of other retired or separated participants entitled to future benefits 2009-01-01 3
Total of all active and inactive participants 2009-01-01 73
Total participants 2009-01-01 73
Number of participants with account balances 2009-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
2007: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 126
Number of retired or separated participants receiving benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 126
Total participants 2007-01-01 126
Number of participants with account balances 2007-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 0

Measure	Date	Value
2015: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	51
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	52
Total participants	2015-01-01	52
Number of participants with account balances	2015-01-01	36
2014: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	49
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	50
Total participants	2014-01-01	50
Number of participants with account balances	2014-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	41
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	42
Total participants	2013-01-01	42
Number of participants with account balances	2013-01-01	42
2012: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	68
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	52
Total of all active and inactive participants	2012-01-01	52
Total participants	2012-01-01	52
Number of participants with account balances	2012-01-01	52
2011: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	98
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	68
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	68
Number of participants with account balances	2011-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	73
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	95
Number of other retired or separated participants entitled to future benefits	2010-01-01	3
Total of all active and inactive participants	2010-01-01	98
Total participants	2010-01-01	98
Number of participants with account balances	2010-01-01	66
2009: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	70
Number of other retired or separated participants entitled to future benefits	2009-01-01	3
Total of all active and inactive participants	2009-01-01	73
Total participants	2009-01-01	73
Number of participants with account balances	2009-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2007: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	126
Number of retired or separated participants receiving benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	126
Total participants	2007-01-01	126
Number of participants with account balances	2007-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0

Financial Data on HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN

Measure	Date	Value
2015 : HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$91,152
Expenses. Total of all expenses incurred	2015-12-31	$366,641
Benefits paid (including direct rollovers)	2015-12-31	$364,797
Total plan assets at end of year	2015-12-31	$2,526,133
Total plan assets at beginning of year	2015-12-31	$2,801,622
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$107,826
Other income received	2015-12-31	$-16,674
Net income (gross income less expenses)	2015-12-31	$-275,489
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,526,133
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,801,622
Total contributions received or receivable from employer(s)	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$1,844
2014 : HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$284,046
Expenses. Total of all expenses incurred	2014-12-31	$515,681
Benefits paid (including direct rollovers)	2014-12-31	$513,601
Total plan assets at end of year	2014-12-31	$2,801,622
Total plan assets at beginning of year	2014-12-31	$3,033,257
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$119,734
Other income received	2014-12-31	$164,312
Net income (gross income less expenses)	2014-12-31	$-231,635
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,801,622
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,033,257
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$2,080
2013 : HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$752,342
Expenses. Total of all expenses incurred	2013-12-31	$1,672,477
Benefits paid (including direct rollovers)	2013-12-31	$1,660,761
Total plan assets at end of year	2013-12-31	$3,033,257
Total plan assets at beginning of year	2013-12-31	$3,953,392
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$123,569
Other income received	2013-12-31	$628,773
Net income (gross income less expenses)	2013-12-31	$-920,135
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,033,257
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,953,392
Total contributions received or receivable from employer(s)	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$11,716
2012 : HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$708,254
Expenses. Total of all expenses incurred	2012-12-31	$228,601
Benefits paid (including direct rollovers)	2012-12-31	$223,636
Total plan assets at end of year	2012-12-31	$3,953,392
Total plan assets at beginning of year	2012-12-31	$3,473,739
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$147,269
Other income received	2012-12-31	$560,985
Net income (gross income less expenses)	2012-12-31	$479,653
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,953,392
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,473,739
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$4,965
2011 : HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-71,326
Expenses. Total of all expenses incurred	2011-12-31	$269,850
Benefits paid (including direct rollovers)	2011-12-31	$269,850
Total plan assets at end of year	2011-12-31	$3,473,739
Total plan assets at beginning of year	2011-12-31	$3,814,915
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$195,718
Other income received	2011-12-31	$-267,044
Net income (gross income less expenses)	2011-12-31	$-341,176
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,473,739
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,814,915
2010 : HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$1,300
Total income from all sources	2010-12-31	$658,171
Expenses. Total of all expenses incurred	2010-12-31	$253,498
Benefits paid (including direct rollovers)	2010-12-31	$250,017
Total plan assets at end of year	2010-12-31	$3,814,915
Total plan assets at beginning of year	2010-12-31	$3,411,542
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$232,560
Other income received	2010-12-31	$425,611
Net income (gross income less expenses)	2010-12-31	$404,673
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,814,915
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,410,242
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$3,481

Form 5500 Responses for HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN

2015: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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
2007: HUSSEY, GAY, BELL & DEYOUNG, INC. CONSULTING ENGINEERS 401(K) PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	Yes
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

14925560

Policy instance

Insurance contract or identification number	14925560
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

3202720457

Policy instance

Insurance contract or identification number	3202720457
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes

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Company Name:	HUSSEY, GAY, BELL & DEYOUNG, INC.
Employer identification number (EIN):	580873151
NAIC Classification:	541330
NAIC Description:	Engineering Services