401k Plan data: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN plan

ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 401k Plan overview

Plan Name	ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN
Plan identification number	001

ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.

401k Sponsoring company profile

ENERGY SYSTEMS SOUTHEAST, LLC has sponsored the creation of one or more 401k plans.

Company Name: ENERGY SYSTEMS SOUTHEAST, LLC

Employer identification number (EIN): 631278630

NAIC Classification: 221100

Additional information about ENERGY SYSTEMS SOUTHEAST, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 1994833

More information about ENERGY SYSTEMS SOUTHEAST, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 TIM PARTIN 2020-09-28
001 2017-01-01 TIM PARTIN TIM PARTIN 2018-05-30
001 2016-01-01 TIM PARTIN TIM PARTIN 2017-07-12
001 2015-01-01 TIM PARTIN TIM PARTIN 2016-05-09
001 2014-01-01 TIM PARTIN TIM PARTIN 2015-05-07
001 2013-01-01 TIM PARTIN TIM PARTIN 2014-05-14
001 2012-01-01 TIM PARTIN TIM PARTIN 2013-07-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01	TIM PARTIN	2020-09-28
001	2017-01-01	TIM PARTIN		TIM PARTIN	2018-05-30
001	2016-01-01	TIM PARTIN		TIM PARTIN	2017-07-12
001	2015-01-01	TIM PARTIN		TIM PARTIN	2016-05-09
001	2014-01-01	TIM PARTIN		TIM PARTIN	2015-05-07
001	2013-01-01	TIM PARTIN		TIM PARTIN	2014-05-14
001	2012-01-01	TIM PARTIN		TIM PARTIN	2013-07-15

Plan Statistics for ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN

401k plan membership statisitcs for ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN

Measure Date Value
2018: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Number of participants with account balances 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 87
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 85
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 85
Number of participants with account balances 2017-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 90
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 87
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 87
Number of participants with account balances 2016-01-01 87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 35
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 90
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 90
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 90
Number of participants with account balances 2015-01-01 90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 35
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 35
Number of participants with account balances 2014-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 34
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 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 34
Number of participants with account balances 2013-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 34
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 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 34
Number of participants with account balances 2012-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2018: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Number of participants with account balances	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	87
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	85
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	85
Number of participants with account balances	2017-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	90
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	87
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	87
Number of participants with account balances	2016-01-01	87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	35
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	90
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	90
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	90
Number of participants with account balances	2015-01-01	90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	35
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	35
Number of participants with account balances	2014-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	34
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	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	34
Number of participants with account balances	2013-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	34
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	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	34
Number of participants with account balances	2012-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN

Measure	Date	Value
2018 : ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$-3,203,525
Total plan assets at end of year	2018-12-31	$0
Total plan assets at beginning of year	2018-12-31	$3,203,525
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,203,525
2017 : ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$776,011
Expenses. Total of all expenses incurred	2017-12-31	$207,027
Benefits paid (including direct rollovers)	2017-12-31	$207,027
Total plan assets at end of year	2017-12-31	$3,203,525
Total plan assets at beginning of year	2017-12-31	$2,634,541
Value of fidelity bond covering the plan	2017-12-31	$1,000,000
Total contributions received or receivable from participants	2017-12-31	$247,124
Contributions received from other sources (not participants or employers)	2017-12-31	$43,273
Other income received	2017-12-31	$383,873
Net income (gross income less expenses)	2017-12-31	$568,984
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,203,525
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,634,541
Assets. Value of participant loans	2017-12-31	$63,656
Total contributions received or receivable from employer(s)	2017-12-31	$101,741
2016 : ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$447,906
Expenses. Total of all expenses incurred	2016-12-31	$119,307
Benefits paid (including direct rollovers)	2016-12-31	$113,727
Total plan assets at end of year	2016-12-31	$2,634,541
Total plan assets at beginning of year	2016-12-31	$2,305,942
Value of fidelity bond covering the plan	2016-12-31	$1,000,000
Total contributions received or receivable from participants	2016-12-31	$216,529
Other income received	2016-12-31	$142,379
Net income (gross income less expenses)	2016-12-31	$328,599
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,634,541
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,305,942
Assets. Value of participant loans	2016-12-31	$62,722
Total contributions received or receivable from employer(s)	2016-12-31	$88,998
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$5,580
2015 : ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$1,047,734
Expenses. Total of all expenses incurred	2015-12-31	$93,901
Benefits paid (including direct rollovers)	2015-12-31	$88,977
Total plan assets at end of year	2015-12-31	$2,305,942
Total plan assets at beginning of year	2015-12-31	$1,352,109
Value of fidelity bond covering the plan	2015-12-31	$240,000
Total contributions received or receivable from participants	2015-12-31	$217,512
Contributions received from other sources (not participants or employers)	2015-12-31	$775,527
Other income received	2015-12-31	$-38,416
Net income (gross income less expenses)	2015-12-31	$953,833
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,305,942
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,352,109
Assets. Value of participant loans	2015-12-31	$81,220
Total contributions received or receivable from employer(s)	2015-12-31	$93,111
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$4,924
2014 : ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$203,404
Expenses. Total of all expenses incurred	2014-12-31	$50,074
Benefits paid (including direct rollovers)	2014-12-31	$47,587
Total plan assets at end of year	2014-12-31	$1,352,109
Total plan assets at beginning of year	2014-12-31	$1,198,779
Value of fidelity bond covering the plan	2014-12-31	$150,000
Total contributions received or receivable from participants	2014-12-31	$99,041
Other income received	2014-12-31	$59,816
Net income (gross income less expenses)	2014-12-31	$153,330
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,352,109
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,198,779
Assets. Value of participant loans	2014-12-31	$39,816
Total contributions received or receivable from employer(s)	2014-12-31	$44,547
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$2,487
2013 : ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$262,051
Expenses. Total of all expenses incurred	2013-12-31	$8,153
Benefits paid (including direct rollovers)	2013-12-31	$6,250
Total plan assets at end of year	2013-12-31	$1,198,779
Total plan assets at beginning of year	2013-12-31	$944,881
Value of fidelity bond covering the plan	2013-12-31	$150,000
Total contributions received or receivable from participants	2013-12-31	$95,073
Other income received	2013-12-31	$124,749
Net income (gross income less expenses)	2013-12-31	$253,898
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,198,779
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$944,881
Assets. Value of participant loans	2013-12-31	$45,052
Total contributions received or receivable from employer(s)	2013-12-31	$42,229
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,903
2012 : ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$786,167
Total income from all sources	2012-12-31	$159,667
Expenses. Total of all expenses incurred	2012-12-31	$953
Total plan assets at end of year	2012-12-31	$944,881
Total plan assets at beginning of year	2012-12-31	$0
Value of fidelity bond covering the plan	2012-12-31	$150,000
Total contributions received or receivable from participants	2012-12-31	$84,828
Other income received	2012-12-31	$42,044
Net income (gross income less expenses)	2012-12-31	$158,714
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$944,881
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Assets. Value of participant loans	2012-12-31	$44,113
Total contributions received or receivable from employer(s)	2012-12-31	$32,795
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$953

Form 5500 Responses for ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN

2018: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ENERGY SYSTEMS SOUTHEAST, LLC 401K 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 benefit arrangement – Insurance	Yes
2016: ENERGY SYSTEMS SOUTHEAST, LLC 401K 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 benefit arrangement – Insurance	Yes
2015: ENERGY SYSTEMS SOUTHEAST, LLC 401K 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 benefit arrangement – Insurance	Yes
2014: ENERGY SYSTEMS SOUTHEAST, LLC 401K 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 benefit arrangement – Insurance	Yes
2013: ENERGY SYSTEMS SOUTHEAST, LLC 401K 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 benefit arrangement – Insurance	Yes
2012: ENERGY SYSTEMS SOUTHEAST, LLC 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH5717

Policy instance

Insurance contract or identification number	GH5717
Number of Individuals Covered	0
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH5717

Policy instance

Insurance contract or identification number	GH5717
Number of Individuals Covered	85
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	INSURANCE AGENT BROKER
Insurance broker organization code?	3
Insurance broker name	VOYA RETIREMENT INSURANCE & ANNUITY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH5717

Policy instance

Insurance contract or identification number	GH5717
Number of Individuals Covered	90
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	INSURANCE AGENT BROKER
Insurance broker organization code?	3
Insurance broker name	VOYA RETIREMENT INSURANCE & ANNUITY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH5717

Policy instance

Insurance contract or identification number	GH5717
Number of Individuals Covered	35
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	INSURANCE AGENT BROKER
Insurance broker organization code?	3
Insurance broker name	VOYA RETIREMENT INSURANCE & ANNUITY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH5717

Policy instance

Insurance contract or identification number	GH5717
Number of Individuals Covered	34
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	INSURANCE AGENT BROKER
Insurance broker organization code?	3
Insurance broker name	ING LIFE INSURANCE & ANNUITY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH5717

Policy instance

Insurance contract or identification number	GH5717
Number of Individuals Covered	34
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	INSURANCE AGENT BROKER
Insurance broker organization code?	3
Insurance broker name	ING LIFE INSURANCE & ANNUITY

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Company Name:	ENERGY SYSTEMS SOUTHEAST, LLC
Employer identification number (EIN):	631278630
NAIC Classification:	221100

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	1994833