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CELESTAR 401(K) PLAN 401k Plan overview

Plan NameCELESTAR 401(K) PLAN
Plan identification number 001

CELESTAR 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • 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.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CELESTAR HOLDINGS has sponsored the creation of one or more 401k plans.

Company Name:CELESTAR HOLDINGS
Employer identification number (EIN):593740106
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012015-01-01GREG CELESTAN
0012014-01-01GREG CELESTAN
0012013-01-01BEN JIMENEZ
0012012-01-01BEN JIMENEZ
0012011-01-01GREG CELESTAN
0012010-01-01RALPH ROOME2011-06-24

Plan Statistics for CELESTAR 401(K) PLAN

401k plan membership statisitcs for CELESTAR 401(K) PLAN

Measure Date Value
2015: CELESTAR 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01186
Total number of active participants reported on line 7a of the Form 55002015-01-0192
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0172
Total of all active and inactive participants2015-01-01164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01164
Number of participants with account balances2015-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0132
2014: CELESTAR 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01166
Total number of active participants reported on line 7a of the Form 55002014-01-01131
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0156
Total of all active and inactive participants2014-01-01187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01187
Number of participants with account balances2014-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0124
2013: CELESTAR 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01171
Total number of active participants reported on line 7a of the Form 55002013-01-01122
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0141
Total of all active and inactive participants2013-01-01163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01163
Number of participants with account balances2013-01-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0122
2012: CELESTAR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01145
Total number of active participants reported on line 7a of the Form 55002012-01-01143
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0136
Total of all active and inactive participants2012-01-01179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01179
Number of participants with account balances2012-01-01111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0118
2011: CELESTAR 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01141
Total number of active participants reported on line 7a of the Form 55002011-01-01116
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0129
Total of all active and inactive participants2011-01-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01145
Number of participants with account balances2011-01-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0119

Financial Data on CELESTAR 401(K) PLAN

Measure Date Value
2015 : CELESTAR 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$360,907
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$539,442
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$538,218
Expenses. Certain deemed distributions of participant loans2015-12-31$1,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$388,637
Value of total assets at end of year2015-12-31$2,423,029
Value of total assets at beginning of year2015-12-31$2,601,564
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$0
Total interest from all sources2015-12-31$72
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$280,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$277,275
Participant contributions at end of year2015-12-31$4,954
Participant contributions at beginning of year2015-12-31$3,135
Participant contributions at end of year2015-12-31$117
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$75,969
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-178,535
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,423,029
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,601,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,337,432
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,497,664
Interest on participant loans2015-12-31$72
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$45,133
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$52,581
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-27,802
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$35,393
Employer contributions (assets) at end of year2015-12-31$35,393
Employer contributions (assets) at beginning of year2015-12-31$48,184
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$538,218
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31COHNREZNICK LLP
Accountancy firm EIN2015-12-31221478099
2014 : CELESTAR 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$487,702
Total of all expenses incurred2014-12-31$497,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$497,490
Value of total corrective distributions2014-12-31$208
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$376,978
Value of total assets at end of year2014-12-31$2,601,564
Value of total assets at beginning of year2014-12-31$2,611,560
Total interest from all sources2014-12-31$207
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$280,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$317,623
Participant contributions at end of year2014-12-31$3,135
Participant contributions at beginning of year2014-12-31$6,591
Participant contributions at beginning of year2014-12-31$14,111
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$25,826
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$156
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-9,996
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,601,564
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,611,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$2,550,245
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,500,174
Interest on participant loans2014-12-31$207
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$110,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$33,529
Employer contributions (assets) at end of year2014-12-31$48,184
Employer contributions (assets) at beginning of year2014-12-31$90,528
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$497,490
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CHERRY BEKAERT LLP
Accountancy firm EIN2014-12-31560574444
2013 : CELESTAR 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$865,074
Total of all expenses incurred2013-12-31$202,632
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$202,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$502,865
Value of total assets at end of year2013-12-31$2,611,560
Value of total assets at beginning of year2013-12-31$1,949,118
Total interest from all sources2013-12-31$213
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$280,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$437,195
Participant contributions at end of year2013-12-31$6,591
Participant contributions at beginning of year2013-12-31$2,735
Participant contributions at end of year2013-12-31$14,111
Participant contributions at beginning of year2013-12-31$18,147
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$32,176
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$156
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$662,442
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,611,560
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,949,118
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,500,174
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,848,963
Interest on participant loans2013-12-31$213
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$361,996
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$33,494
Employer contributions (assets) at end of year2013-12-31$90,528
Employer contributions (assets) at beginning of year2013-12-31$79,273
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$202,632
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CHERRY, BEKAERT LLP
Accountancy firm EIN2013-12-31560574444
2012 : CELESTAR 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$754,751
Total of all expenses incurred2012-12-31$341,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$341,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$574,923
Value of total assets at end of year2012-12-31$1,949,118
Value of total assets at beginning of year2012-12-31$1,536,076
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$280,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$453,299
Participant contributions at end of year2012-12-31$2,735
Participant contributions at end of year2012-12-31$18,147
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$42,351
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$12,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$413,042
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,949,118
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,536,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,848,963
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,451,982
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$179,828
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$79,273
Employer contributions (assets) at end of year2012-12-31$79,273
Employer contributions (assets) at beginning of year2012-12-31$72,094
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$341,709
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31CHERRY, BEKAERT & HOLLAND, LLP
Accountancy firm EIN2012-12-31560574444
2011 : CELESTAR 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$443,549
Total of all expenses incurred2011-12-31$91,808
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$91,808
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$537,934
Value of total assets at end of year2011-12-31$1,536,076
Value of total assets at beginning of year2011-12-31$1,184,335
Total interest from all sources2011-12-31$196
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$280,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$444,558
Participant contributions at beginning of year2011-12-31$2,536
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$21,282
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$12,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$351,741
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,536,076
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,184,335
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,451,982
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,118,631
Interest on participant loans2011-12-31$196
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-94,581
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$72,094
Employer contributions (assets) at end of year2011-12-31$72,094
Employer contributions (assets) at beginning of year2011-12-31$63,168
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$91,808
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31CHERRY, BEKAERT & HOLLAND, LLP
Accountancy firm EIN2011-12-31560574444

Form 5500 Responses for CELESTAR 401(K) PLAN

2015: CELESTAR 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CELESTAR 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CELESTAR 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CELESTAR 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CELESTAR 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number064-80033
Policy instance 1
Insurance contract or identification number064-80033
Number of Individuals Covered123
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $303
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $303
Insurance broker organization code?7
Insurance broker nameWADDELL & REED, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number064-80033
Policy instance 1
Insurance contract or identification number064-80033
Number of Individuals Covered129
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $211
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $211
Insurance broker organization code?7
Insurance broker nameWADDELL & REED, INC.

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