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401k Plan overview

Plan NameCONTRACTOR SERVICE & FABRICATION, INC. 401K PLAN
Plan identification number 001

CONTRACTOR SERVICE & FABRICATION, INC. 401K PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    CONTRACTOR SERVICE & FABRICATION INC. has sponsored the creation of one or more 401k plans.

    Company Name:CONTRACTOR SERVICE & FABRICATION INC.
    Employer identification number (EIN):631108047
    NAIC Classification:238900

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan CONTRACTOR SERVICE & FABRICATION, INC. 401K PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    0012019-01-01
    0012018-01-01
    0012017-01-01PHIL TISUE
    0012016-01-01PHIL TISUE
    0012016-01-01
    0012015-01-01PHIL TISUE2016-07-18
    0012014-01-01PHIL TISUE2015-06-15
    0012013-01-01PHIL TISUE2014-07-03
    0012012-01-01PHIL TISUE2013-09-18
    0012011-01-01CHARLICE LAFAVOR2012-04-16
    0012010-01-01CHARLICE LAFAVOR2011-07-13 CHARLICE LAFAVOR2011-07-13

    Plan Statistics for CONTRACTOR SERVICE & FABRICATION, INC. 401K PLAN

    401k plan membership statisitcs for CONTRACTOR SERVICE & FABRICATION, INC. 401K PLAN

    Measure Date Value
    2019
    Total participants, beginning-of-year2019-01-01131
    Total number of active participants reported on line 7a of the Form 55002019-01-01144
    Number of retired or separated participants receiving benefits2019-01-012
    Number of other retired or separated participants entitled to future benefits2019-01-017
    Total of all active and inactive participants2019-01-01153
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
    Total participants2019-01-01153
    Number of participants with account balances2019-01-0128
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
    2018
    Total participants, beginning-of-year2018-01-01120
    Total number of active participants reported on line 7a of the Form 55002018-01-01130
    Number of retired or separated participants receiving benefits2018-01-010
    Number of other retired or separated participants entitled to future benefits2018-01-0111
    Total of all active and inactive participants2018-01-01141
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
    Total participants2018-01-01141
    Number of participants with account balances2018-01-0130
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-013
    2017
    Total participants, beginning-of-year2017-01-01107
    Total number of active participants reported on line 7a of the Form 55002017-01-01114
    Number of retired or separated participants receiving benefits2017-01-012
    Number of other retired or separated participants entitled to future benefits2017-01-013
    Total of all active and inactive participants2017-01-01119
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
    Total participants2017-01-01119
    Number of participants with account balances2017-01-0124
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
    2016
    Total participants, beginning-of-year2016-01-01132
    Total number of active participants reported on line 7a of the Form 55002016-01-01105
    Number of retired or separated participants receiving benefits2016-01-011
    Number of other retired or separated participants entitled to future benefits2016-01-014
    Total of all active and inactive participants2016-01-01110
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
    Total participants2016-01-01110
    Number of participants with account balances2016-01-0126
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011

    Financial Data on CONTRACTOR SERVICE & FABRICATION, INC. 401K PLAN

    Measure Date Value
    2019
    Total unrealized appreciation/depreciation of assets2019-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$16,441
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,021
    Total income from all sources (including contributions)2019-12-31$287,582
    Total loss/gain on sale of assets2019-12-31$0
    Total of all expenses incurred2019-12-31$278,340
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$269,444
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$110,654
    Value of total assets at end of year2019-12-31$1,016,298
    Value of total assets at beginning of year2019-12-31$994,636
    Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,896
    Total interest from all sources2019-12-31$4,521
    Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
    Was this plan covered by a fidelity bond2019-12-31Yes
    Value of fidelity bond cover2019-12-31$500,000
    If this is an individual account plan, was there a blackout period2019-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2019-12-31No
    Contributions received from participants2019-12-31$83,140
    Participant contributions at end of year2019-12-31$3,976
    Participant contributions at beginning of year2019-12-31$7,454
    Assets. Loans (other than to participants) at end of year2019-12-31$16,945
    Assets. Loans (other than to participants) at beginning of year2019-12-31$37,819
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$16,441
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$4,021
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Value of net income/loss2019-12-31$9,242
    Value of net assets at end of year (total assets less liabilities)2019-12-31$999,857
    Value of net assets at beginning of year (total assets less liabilities)2019-12-31$990,615
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
    Were any leases to which the plan was party in default or uncollectible2019-12-31No
    Value of interest in pooled separate accounts at end of year2019-12-31$813,470
    Value of interest in pooled separate accounts at beginning of year2019-12-31$732,575
    Interest on participant loans2019-12-31$1,363
    Interest earned on other investments2019-12-31$3,158
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$180,587
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$214,143
    Net investment gain/loss from pooled separate accounts2019-12-31$172,407
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
    Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
    Has the plan failed to provide any benefit when due under the plan2019-12-31No
    Contributions received in cash from employer2019-12-31$27,514
    Employer contributions (assets) at end of year2019-12-31$1,320
    Employer contributions (assets) at beginning of year2019-12-31$2,645
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$269,444
    Contract administrator fees2019-12-31$8,896
    Did the plan have assets held for investment2019-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
    Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
    Accountancy firm name2019-12-31COULTER & JUSTUS
    Accountancy firm EIN2019-12-31621532536
    2018
    Total unrealized appreciation/depreciation of assets2018-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,021
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,398
    Total income from all sources (including contributions)2018-12-31$74,176
    Total loss/gain on sale of assets2018-12-31$0
    Total of all expenses incurred2018-12-31$47,978
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$39,408
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$127,837
    Value of total assets at end of year2018-12-31$994,636
    Value of total assets at beginning of year2018-12-31$968,815
    Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$8,570
    Total interest from all sources2018-12-31$4,383
    Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
    Was this plan covered by a fidelity bond2018-12-31Yes
    Value of fidelity bond cover2018-12-31$500,000
    If this is an individual account plan, was there a blackout period2018-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2018-12-31No
    Contributions received from participants2018-12-31$95,429
    Participant contributions at end of year2018-12-31$7,454
    Participant contributions at beginning of year2018-12-31$10,149
    Assets. Loans (other than to participants) at end of year2018-12-31$37,819
    Assets. Loans (other than to participants) at beginning of year2018-12-31$47,560
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$4,021
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$4,398
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
    Value of net income/loss2018-12-31$26,198
    Value of net assets at end of year (total assets less liabilities)2018-12-31$990,615
    Value of net assets at beginning of year (total assets less liabilities)2018-12-31$964,417
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
    Were any leases to which the plan was party in default or uncollectible2018-12-31No
    Value of interest in pooled separate accounts at end of year2018-12-31$732,575
    Value of interest in pooled separate accounts at beginning of year2018-12-31$743,535
    Interest on participant loans2018-12-31$1,828
    Interest earned on other investments2018-12-31$2,555
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$214,143
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$165,826
    Net investment gain/loss from pooled separate accounts2018-12-31$-58,044
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
    Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
    Has the plan failed to provide any benefit when due under the plan2018-12-31No
    Contributions received in cash from employer2018-12-31$32,408
    Employer contributions (assets) at end of year2018-12-31$2,645
    Employer contributions (assets) at beginning of year2018-12-31$1,745
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$39,408
    Contract administrator fees2018-12-31$8,570
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
    Did the plan have assets held for investment2018-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
    Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
    Accountancy firm name2018-12-31COULTER & JUSTUS
    Accountancy firm EIN2018-12-31621532536
    2017
    Total unrealized appreciation/depreciation of assets2017-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,398
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,113
    Total income from all sources (including contributions)2017-12-31$242,393
    Total loss/gain on sale of assets2017-12-31$0
    Total of all expenses incurred2017-12-31$80,951
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$71,935
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$129,951
    Value of total assets at end of year2017-12-31$968,815
    Value of total assets at beginning of year2017-12-31$807,088
    Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$9,016
    Total interest from all sources2017-12-31$3,637
    Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
    Was this plan covered by a fidelity bond2017-12-31Yes
    Value of fidelity bond cover2017-12-31$500,000
    If this is an individual account plan, was there a blackout period2017-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2017-12-31No
    Contributions received from participants2017-12-31$71,677
    Participant contributions at end of year2017-12-31$10,149
    Participant contributions at beginning of year2017-12-31$3,885
    Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$32,245
    Assets. Loans (other than to participants) at end of year2017-12-31$47,560
    Assets. Loans (other than to participants) at beginning of year2017-12-31$44,308
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$4,398
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$4,113
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
    Value of net income/loss2017-12-31$161,442
    Value of net assets at end of year (total assets less liabilities)2017-12-31$964,417
    Value of net assets at beginning of year (total assets less liabilities)2017-12-31$802,975
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
    Were any leases to which the plan was party in default or uncollectible2017-12-31No
    Value of interest in pooled separate accounts at end of year2017-12-31$743,535
    Value of interest in pooled separate accounts at beginning of year2017-12-31$609,349
    Interest on participant loans2017-12-31$1,615
    Interest earned on other investments2017-12-31$2,022
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$165,826
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$148,042
    Net investment gain/loss from pooled separate accounts2017-12-31$108,805
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
    Was there a failure to transmit to the plan any participant contributions2017-12-31No
    Has the plan failed to provide any benefit when due under the plan2017-12-31No
    Contributions received in cash from employer2017-12-31$26,029
    Employer contributions (assets) at end of year2017-12-31$1,745
    Employer contributions (assets) at beginning of year2017-12-31$1,504
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$71,935
    Contract administrator fees2017-12-31$9,016
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
    Did the plan have assets held for investment2017-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
    Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
    Accountancy firm name2017-12-31COULTER & JUSTUS
    Accountancy firm EIN2017-12-31621532536
    2016
    Total unrealized appreciation/depreciation of assets2016-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,113
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
    Total income from all sources (including contributions)2016-12-31$138,657
    Total loss/gain on sale of assets2016-12-31$0
    Total of all expenses incurred2016-12-31$122,032
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$112,860
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$94,327
    Value of total assets at end of year2016-12-31$807,088
    Value of total assets at beginning of year2016-12-31$786,350
    Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$9,172
    Total interest from all sources2016-12-31$3,689
    Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
    Was this plan covered by a fidelity bond2016-12-31Yes
    Value of fidelity bond cover2016-12-31$500,000
    If this is an individual account plan, was there a blackout period2016-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2016-12-31No
    Contributions received from participants2016-12-31$69,188
    Participant contributions at end of year2016-12-31$3,885
    Participant contributions at beginning of year2016-12-31$2,710
    Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$638
    Assets. Loans (other than to participants) at end of year2016-12-31$44,308
    Assets. Loans (other than to participants) at beginning of year2016-12-31$33,253
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$4,113
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
    Value of net income/loss2016-12-31$16,625
    Value of net assets at end of year (total assets less liabilities)2016-12-31$802,975
    Value of net assets at beginning of year (total assets less liabilities)2016-12-31$786,350
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
    Were any leases to which the plan was party in default or uncollectible2016-12-31No
    Value of interest in pooled separate accounts at end of year2016-12-31$609,349
    Value of interest in pooled separate accounts at beginning of year2016-12-31$619,218
    Interest on participant loans2016-12-31$1,224
    Interest earned on other investments2016-12-31$2,465
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$148,042
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$130,012
    Net investment gain/loss from pooled separate accounts2016-12-31$40,641
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
    Was there a failure to transmit to the plan any participant contributions2016-12-31No
    Has the plan failed to provide any benefit when due under the plan2016-12-31No
    Contributions received in cash from employer2016-12-31$24,501
    Employer contributions (assets) at end of year2016-12-31$1,504
    Employer contributions (assets) at beginning of year2016-12-31$1,157
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$112,860
    Contract administrator fees2016-12-31$9,172
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
    Did the plan have assets held for investment2016-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
    Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
    Accountancy firm name2016-12-31COULTER & JUSTUS
    Accountancy firm EIN2016-12-31621532536

    Form 5500 Responses

    2019
    2019-01-01Type of plan entitySingle employer plan
    2019-01-01Submission has been amendedNo
    2019-01-01This submission is the final filingNo
    2019-01-01This return/report is a short plan year return/report (less than 12 months)No
    2019-01-01Plan is a collectively bargained planNo
    2019-01-01Plan funding arrangement – InsuranceYes
    2019-01-01Plan funding arrangement – TrustYes
    2019-01-01Plan benefit arrangement – InsuranceYes
    2019-01-01Plan benefit arrangement - TrustYes
    2018
    2018-01-01Type of plan entitySingle employer plan
    2018-01-01Submission has been amendedNo
    2018-01-01This submission is the final filingNo
    2018-01-01This return/report is a short plan year return/report (less than 12 months)No
    2018-01-01Plan is a collectively bargained planNo
    2018-01-01Plan funding arrangement – InsuranceYes
    2018-01-01Plan funding arrangement – TrustYes
    2018-01-01Plan benefit arrangement – InsuranceYes
    2018-01-01Plan benefit arrangement - TrustYes
    2017
    2017-01-01Type of plan entitySingle employer plan
    2017-01-01Submission has been amendedNo
    2017-01-01This submission is the final filingNo
    2017-01-01This return/report is a short plan year return/report (less than 12 months)No
    2017-01-01Plan is a collectively bargained planNo
    2017-01-01Plan funding arrangement – InsuranceYes
    2017-01-01Plan funding arrangement – TrustYes
    2017-01-01Plan benefit arrangement – InsuranceYes
    2017-01-01Plan benefit arrangement - TrustYes
    2016
    2016-01-01Type of plan entitySingle employer plan
    2016-01-01Submission has been amendedYes
    2016-01-01This submission is the final filingNo
    2016-01-01This return/report is a short plan year return/report (less than 12 months)No
    2016-01-01Plan is a collectively bargained planNo
    2016-01-01Plan funding arrangement – InsuranceYes
    2016-01-01Plan funding arrangement – TrustYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement - TrustYes

    Insurance Providers Used on plan

    TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
    Policy contract number931061-00679
    Policy instance 1
    Insurance contract or identification number931061-00679
    Number of Individuals Covered153
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Total amount of commissions paid to insurance brokerUSD $3,840
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,840
    Amount paid for insurance broker fees0
    Additional information about fees paid to insurance brokerN/A
    Insurance broker organization code?3
    TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
    Policy contract number931061-679
    Policy instance 1
    Insurance contract or identification number931061-679
    Number of Individuals Covered119
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $3,223
    Total amount of fees paid to insurance companyUSD $328
    Are there contracts with allocated funds for individual policies?0
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,223
    Amount paid for insurance broker fees0
    Additional information about fees paid to insurance brokerN/A
    Insurance broker organization code?3
    Insurance broker nameTAG RESOURCES, LLC

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