401k Plan data: HEFCO, LLC 401(K) PLAN plan

HEFCO, LLC 401(K) PLAN 401k Plan overview

Plan Name	HEFCO, LLC 401(K) PLAN
Plan identification number	003

HEFCO, LLC 401(K) PLAN Benefits

401k Plan Type

Defined 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
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Life insurance

401k Sponsoring company profile

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

Company Name: HEFCO, LLC

Employer identification number (EIN): 582150948

NAIC Classification: 423800

Additional information about HEFCO, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 923842

More information about HEFCO, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEFCO, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 EDWARD A FINGARSON EDWARD A FINGARSON 2018-09-13
003 2016-01-01 EDWARD A FINGARSON EDWARD A FINGARSON 2017-09-12
003 2015-01-01 EDWARD A FINGARSON EDWARD A FINGARSON 2016-09-08
003 2014-01-01 EDWARD A FINGARSON EDWARD A FINGARSON 2015-08-27
003 2013-01-01 EDWARD A FINGARSON EDWARD A FINGARSON 2014-09-26
003 2012-01-01 WILTON SANDERS
003 2011-01-01 EDWARD A FINGARSON EDWARD A FINGARSON 2012-06-26
003 2010-01-01 EDWARD A FINGARSON EDWARD A FINGARSON 2011-09-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01
003	2021-01-01
003	2020-01-01
003	2019-01-01
003	2018-01-01
003	2017-01-01	EDWARD A FINGARSON	EDWARD A FINGARSON	2018-09-13
003	2016-01-01	EDWARD A FINGARSON	EDWARD A FINGARSON	2017-09-12
003	2015-01-01	EDWARD A FINGARSON	EDWARD A FINGARSON	2016-09-08
003	2014-01-01	EDWARD A FINGARSON	EDWARD A FINGARSON	2015-08-27
003	2013-01-01	EDWARD A FINGARSON	EDWARD A FINGARSON	2014-09-26
003	2012-01-01	WILTON SANDERS
003	2011-01-01	EDWARD A FINGARSON	EDWARD A FINGARSON	2012-06-26
003	2010-01-01	EDWARD A FINGARSON	EDWARD A FINGARSON	2011-09-14

Plan Statistics for HEFCO, LLC 401(K) PLAN

401k plan membership statisitcs for HEFCO, LLC 401(K) PLAN

Measure Date Value
2017: HEFCO, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 6
Number of retired or separated participants receiving benefits 2017-01-01 1
Total of all active and inactive participants 2017-01-01 7
Total participants 2017-01-01 7
Number of participants with account balances 2017-01-01 7
2016: HEFCO, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 6
Total of all active and inactive participants 2016-01-01 6
Total participants 2016-01-01 6
Number of participants with account balances 2016-01-01 6
2015: HEFCO, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 6
Total of all active and inactive participants 2015-01-01 6
Total participants 2015-01-01 6
Number of participants with account balances 2015-01-01 6
2014: HEFCO, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5
Total of all active and inactive participants 2014-01-01 5
Total participants 2014-01-01 5
Number of participants with account balances 2014-01-01 5
2013: HEFCO, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
Total of all active and inactive participants 2013-01-01 5
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 5
2012: HEFCO, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Number of participants with account balances 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: HEFCO, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 6
Total of all active and inactive participants 2011-01-01 6
Total participants 2011-01-01 6
Number of participants with account balances 2011-01-01 6
2010: HEFCO, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 6
Total of all active and inactive participants 2010-01-01 6
Total participants 2010-01-01 6

Measure	Date	Value
2017: HEFCO, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	6
Number of retired or separated participants receiving benefits	2017-01-01	1
Total of all active and inactive participants	2017-01-01	7
Total participants	2017-01-01	7
Number of participants with account balances	2017-01-01	7
2016: HEFCO, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	6
Total of all active and inactive participants	2016-01-01	6
Total participants	2016-01-01	6
Number of participants with account balances	2016-01-01	6
2015: HEFCO, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	6
Total of all active and inactive participants	2015-01-01	6
Total participants	2015-01-01	6
Number of participants with account balances	2015-01-01	6
2014: HEFCO, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5
Total of all active and inactive participants	2014-01-01	5
Total participants	2014-01-01	5
Number of participants with account balances	2014-01-01	5
2013: HEFCO, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
Total of all active and inactive participants	2013-01-01	5
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	5
2012: HEFCO, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Number of participants with account balances	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: HEFCO, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	6
Total of all active and inactive participants	2011-01-01	6
Total participants	2011-01-01	6
Number of participants with account balances	2011-01-01	6
2010: HEFCO, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	6
Total of all active and inactive participants	2010-01-01	6
Total participants	2010-01-01	6

Financial Data on HEFCO, LLC 401(K) PLAN

Measure	Date	Value
2017 : HEFCO, LLC 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$458,206
Expenses. Total of all expenses incurred	2017-12-31	$8,718
Total plan assets at end of year	2017-12-31	$3,452,255
Total plan assets at beginning of year	2017-12-31	$3,002,767
Value of fidelity bond covering the plan	2017-12-31	$198,500
Total contributions received or receivable from participants	2017-12-31	$59,090
Expenses. Other expenses not covered elsewhere	2017-12-31	$8,718
Other income received	2017-12-31	$310,707
Net income (gross income less expenses)	2017-12-31	$449,488
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,452,255
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$3,002,767
Total contributions received or receivable from employer(s)	2017-12-31	$88,409
2016 : HEFCO, LLC 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$419,732
Expenses. Total of all expenses incurred	2016-12-31	$6,748
Total plan assets at end of year	2016-12-31	$3,002,767
Total plan assets at beginning of year	2016-12-31	$2,589,783
Value of fidelity bond covering the plan	2016-12-31	$198,500
Total contributions received or receivable from participants	2016-12-31	$57,103
Expenses. Other expenses not covered elsewhere	2016-12-31	$6,748
Other income received	2016-12-31	$275,364
Net income (gross income less expenses)	2016-12-31	$412,984
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$3,002,767
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,589,783
Total contributions received or receivable from employer(s)	2016-12-31	$87,265
2015 : HEFCO, LLC 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$153,027
Expenses. Total of all expenses incurred	2015-12-31	$99,824
Benefits paid (including direct rollovers)	2015-12-31	$94,973
Total plan assets at end of year	2015-12-31	$2,589,783
Total plan assets at beginning of year	2015-12-31	$2,536,580
Value of fidelity bond covering the plan	2015-12-31	$198,500
Total contributions received or receivable from participants	2015-12-31	$59,977
Expenses. Other expenses not covered elsewhere	2015-12-31	$4,851
Other income received	2015-12-31	$6,698
Net income (gross income less expenses)	2015-12-31	$53,203
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,589,783
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,536,580
Total contributions received or receivable from employer(s)	2015-12-31	$86,352
2014 : HEFCO, LLC 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$295,995
Expenses. Total of all expenses incurred	2014-12-31	$3,953
Total plan assets at end of year	2014-12-31	$2,536,580
Total plan assets at beginning of year	2014-12-31	$2,244,538
Value of fidelity bond covering the plan	2014-12-31	$198,500
Total contributions received or receivable from participants	2014-12-31	$60,250
Expenses. Other expenses not covered elsewhere	2014-12-31	$3,953
Other income received	2014-12-31	$151,445
Net income (gross income less expenses)	2014-12-31	$292,042
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,536,580
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,244,538
Total contributions received or receivable from employer(s)	2014-12-31	$84,300
2013 : HEFCO, LLC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$322,424
Expenses. Total of all expenses incurred	2013-12-31	$18,630
Benefits paid (including direct rollovers)	2013-12-31	$15,707
Total plan assets at end of year	2013-12-31	$2,244,538
Total plan assets at beginning of year	2013-12-31	$1,940,744
Value of fidelity bond covering the plan	2013-12-31	$125,000
Total contributions received or receivable from participants	2013-12-31	$59,622
Expenses. Other expenses not covered elsewhere	2013-12-31	$2,923
Other income received	2013-12-31	$184,673
Net income (gross income less expenses)	2013-12-31	$303,794
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,244,538
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,940,744
Total contributions received or receivable from employer(s)	2013-12-31	$78,129
2012 : HEFCO, LLC 401(K) PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$272,003
Expenses. Total of all expenses incurred	2012-12-31	$1,359
Benefits paid (including direct rollovers)	2012-12-31	$89,557
Total plan assets at end of year	2012-12-31	$1,940,744
Total plan assets at beginning of year	2012-12-31	$1,670,100
Value of fidelity bond covering the plan	2012-12-31	$125,000
Total contributions received or receivable from participants	2012-12-31	$49,029
Expenses. Other expenses not covered elsewhere	2012-12-31	$1,359
Other income received	2012-12-31	$146,448
Net income (gross income less expenses)	2012-12-31	$270,644
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,940,744
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,670,100
Total contributions received or receivable from employer(s)	2012-12-31	$76,526
2011 : HEFCO, LLC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$218,144
Total plan assets at end of year	2011-12-31	$1,670,100
Total plan assets at beginning of year	2011-12-31	$1,451,956
Value of fidelity bond covering the plan	2011-12-31	$125,000
Total contributions received or receivable from participants	2011-12-31	$48,341
Other income received	2011-12-31	$94,179
Net income (gross income less expenses)	2011-12-31	$218,144
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,670,100
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,451,956
Total contributions received or receivable from employer(s)	2011-12-31	$75,624
2010 : HEFCO, LLC 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$1,202,590
Total income from all sources	2010-12-31	$249,366
Total plan assets at end of year	2010-12-31	$1,451,956
Value of fidelity bond covering the plan	2010-12-31	$125,000
Total contributions received or receivable from participants	2010-12-31	$45,911
Other income received	2010-12-31	$128,941
Net income (gross income less expenses)	2010-12-31	$249,366
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,451,956
Total contributions received or receivable from employer(s)	2010-12-31	$74,514

Form 5500 Responses for HEFCO, LLC 401(K) PLAN

2017: HEFCO, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HEFCO, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HEFCO, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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: HEFCO, LLC 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: HEFCO, LLC 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: HEFCO, LLC 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: HEFCO, LLC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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
2010: HEFCO, LLC 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
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

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

37 833 613

Policy instance

Insurance contract or identification number	37 833 613
Number of Individuals Covered	1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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?	1
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	JANET B SPECTOR

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

K30562

Policy instance

Insurance contract or identification number	K30562
Number of Individuals Covered	1
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	JANET B SPECTOR

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

K30562

Policy instance

Insurance contract or identification number	K30562
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	JANET B SPECTOR

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

K30562

Policy instance

Insurance contract or identification number	K30562
Number of Individuals Covered	1
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	JOHN SHEA HICKS

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

K30562

Policy instance

Insurance contract or identification number	K30562
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
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
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Number of Individuals Covered	1
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
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision 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 $0
Insurance broker organization code?	3
Insurance broker name	JOHN SHEA HICKS

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

K30562

Policy instance

Insurance contract or identification number	K30562
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
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
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

K30562

Policy instance

Insurance contract or identification number	K30562
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
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	JOHN SHEA HICKS

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Company Name:	HEFCO, LLC
Employer identification number (EIN):	582150948
NAIC Classification:	423800

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	923842