401k Plan data: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES plan

HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 401k Plan overview

Plan Name	HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES
Plan identification number	002

HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 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
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.
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

JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name: JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES, INC.

Employer identification number (EIN): 593100430

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-02-01
002 2013-01-01 JEFFRY KNIGHT
002 2012-01-01 LEE VOGT
002 2011-01-01 LEE VOGT

Plan Statistics for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES

401k plan membership statisitcs for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES

Measure Date Value
2013: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2013 401k membership
Total participants, beginning-of-year 2013-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 145
Number of retired or separated participants receiving benefits 2012-01-01 10
Number of other retired or separated participants entitled to future benefits 2012-01-01 9
Total of all active and inactive participants 2012-01-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 164
Number of participants with account balances 2012-01-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 141
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 9
Total of all active and inactive participants 2011-01-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 150
Number of participants with account balances 2011-01-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1

Measure	Date	Value
2013: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	145
Number of retired or separated participants receiving benefits	2012-01-01	10
Number of other retired or separated participants entitled to future benefits	2012-01-01	9
Total of all active and inactive participants	2012-01-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	164
Number of participants with account balances	2012-01-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	141
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	9
Total of all active and inactive participants	2011-01-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	150
Number of participants with account balances	2011-01-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1

Financial Data on HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES

Measure	Date	Value
2013 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$3,507,508
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$871,440
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$102,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$81,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$455,668
Value of total assets at end of year	2013-12-31	$0
Value of total assets at beginning of year	2013-12-31	$2,738,782
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$21,391
Total interest from all sources	2013-12-31	$10,417
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Administrative expenses professional fees incurred	2013-12-31	$21,391
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$150,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$280,020
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$247,940
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$2,701
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$768,726
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,738,782
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,488,141
Income. Interest from loans (other than to participants)	2013-12-31	$10,417
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$405,355
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$175,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$81,323
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	SCOTT SKIBBIE, CPA
Accountancy firm EIN	2013-12-31	270851321
2012 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$13,144
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$677,316
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$87,047
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$50,436
Expenses. Certain deemed distributions of participant loans	2012-12-31	$16,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$414,453
Value of total assets at end of year	2012-12-31	$2,738,782
Value of total assets at beginning of year	2012-12-31	$2,135,369
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$20,503
Total interest from all sources	2012-12-31	$10,727
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$15,233
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$150,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$244,796
Participant contributions at end of year	2012-12-31	$247,940
Participant contributions at beginning of year	2012-12-31	$236,624
Administrative expenses (other) incurred	2012-12-31	$5,270
Liabilities. Value of operating payables at end of year	2012-12-31	$5,437
Liabilities. Value of operating payables at beginning of year	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$2,701
Total non interest bearing cash at beginning of year	2012-12-31	$7,951
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$590,269
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,725,638
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,135,369
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$2,488,141
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,890,794
Interest on participant loans	2012-12-31	$10,727
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$252,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$169,657
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$50,436
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$7,707
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	SCOTT SKIBBIE,CPA
Accountancy firm EIN	2012-12-31	270851321
2011 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2011 401k financial data
Transfers to/from the plan	2011-12-31	$1,885,448
Total income from all sources	2011-12-31	$280,389
Expenses. Total of all expenses incurred	2011-12-31	$30,468
Benefits paid (including direct rollovers)	2011-12-31	$19,310
Total plan assets at end of year	2011-12-31	$2,135,369
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$228,742
Contributions received from other sources (not participants or employers)	2011-12-31	$450
Other income received	2011-12-31	$-104,175
Net income (gross income less expenses)	2011-12-31	$249,921
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,135,369
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Assets. Value of participant loans	2011-12-31	$236,966
Total contributions received or receivable from employer(s)	2011-12-31	$155,372
Value of certain deemed distributions of participant loans	2011-12-31	$6,547
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$4,611
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES

2013: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
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 – 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: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple 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 - Trust	Yes
2011: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

824957

Policy instance

Insurance contract or identification number	824957
Number of Individuals Covered	0
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $10,837
Total amount of fees paid to insurance company	USD $1,355
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,837
Insurance broker organization code?	3
Amount paid for insurance broker fees	1355
Additional information about fees paid to insurance broker	SALES/ADMINISTRATION
Insurance broker name	AMERICAN PENSION SERVICES

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

824957

Policy instance

Insurance contract or identification number	824957
Number of Individuals Covered	98
Insurance policy start date	2012-02-08
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $8,320
Total amount of fees paid to insurance company	USD $1,040
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,464
Insurance broker organization code?	3
Amount paid for insurance broker fees	1040
Additional information about fees paid to insurance broker	SALES/ADMINISTRATION
Insurance broker name	AMERICAN PENSION SERVICES, LLC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-824957

Policy instance

Insurance contract or identification number	GA-824957
Number of Individuals Covered	105
Insurance policy start date	2011-02-08
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,171
Total amount of fees paid to insurance company	USD $5,646
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	JEFFRY KNIGHT, INC. DBA KNIGHT ENTERPRISES, INC.
Employer identification number (EIN):	593100430
NAIC Classification:	238900

Plan id#	Filing Submission Date	Name of Administrator
002	2022-01-01
002	2021-02-01
002	2013-01-01	JEFFRY KNIGHT
002	2012-01-01	LEE VOGT
002	2011-01-01	LEE VOGT