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SECURITY STATE BANK SAVINGS INCENTIVE PLAN 401k Plan overview

Plan NameSECURITY STATE BANK SAVINGS INCENTIVE PLAN
Plan identification number 002

SECURITY STATE BANK SAVINGS INCENTIVE PLAN Benefits

401k Plan TypeDefined 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.
  • 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

SECURITY STATE BANK has sponsored the creation of one or more 401k plans.

Company Name:SECURITY STATE BANK
Employer identification number (EIN):730440370
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SECURITY STATE BANK SAVINGS INCENTIVE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01STUART SANDER2023-03-05
0022021-01-01STUART SANDER2022-03-11
0022020-01-01STUART SANDER2021-03-02
0022019-01-01STUART SANDER2020-01-31
0022018-01-01STUART SANDER2019-03-07
0022017-01-01STUART SANDER
0022016-01-01STUART SANDER
0022015-01-01STUART SANDER
0022014-01-01STUART SANDER
0022013-01-01STUART SANDER
0022012-01-01STUART SANDER
0022011-01-01STUART SANDER
0022010-01-01STUART SANDER
0022009-01-01STUART SANDER
0022009-01-01STUART SANDER

Plan Statistics for SECURITY STATE BANK SAVINGS INCENTIVE PLAN

401k plan membership statisitcs for SECURITY STATE BANK SAVINGS INCENTIVE PLAN

Measure Date Value
2017: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0127
Total number of active participants reported on line 7a of the Form 55002017-01-0122
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0123
Number of participants with account balances2017-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0127
Total number of active participants reported on line 7a of the Form 55002016-01-0125
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0126
Number of participants with account balances2016-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0126
Total number of active participants reported on line 7a of the Form 55002015-01-0125
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-0127
Number of participants with account balances2015-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0125
Total number of active participants reported on line 7a of the Form 55002014-01-0125
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0126
Number of participants with account balances2014-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0125
Total number of active participants reported on line 7a of the Form 55002013-01-0125
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0126
Number of participants with account balances2013-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0123
Total number of active participants reported on line 7a of the Form 55002012-01-0123
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0124
Total participants2012-01-0124
Number of participants with account balances2012-01-0123
2011: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0125
Total number of active participants reported on line 7a of the Form 55002011-01-0122
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0123
Number of participants with account balances2011-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0125
Total number of active participants reported on line 7a of the Form 55002010-01-0122
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-012
Total of all active and inactive participants2010-01-0124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0124
Number of participants with account balances2010-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0123
Total number of active participants reported on line 7a of the Form 55002009-01-0119
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0122
Number of participants with account balances2009-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SECURITY STATE BANK SAVINGS INCENTIVE PLAN

Measure Date Value
2017 : SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$447,981
Expenses. Total of all expenses incurred2017-12-31$471,178
Benefits paid (including direct rollovers)2017-12-31$471,178
Total plan assets at end of year2017-12-31$1,745,893
Total plan assets at beginning of year2017-12-31$1,769,090
Value of fidelity bond covering the plan2017-12-31$1,000,000
Total contributions received or receivable from participants2017-12-31$97,457
Contributions received from other sources (not participants or employers)2017-12-31$20,621
Other income received2017-12-31$251,467
Net income (gross income less expenses)2017-12-31$-23,197
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,745,893
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,769,090
Total contributions received or receivable from employer(s)2017-12-31$78,436
Value of certain deemed distributions of participant loans2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$0
2016 : SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$283,944
Expenses. Total of all expenses incurred2016-12-31$60,177
Benefits paid (including direct rollovers)2016-12-31$60,177
Total plan assets at end of year2016-12-31$1,769,090
Total plan assets at beginning of year2016-12-31$1,545,323
Value of fidelity bond covering the plan2016-12-31$1,000,000
Total contributions received or receivable from participants2016-12-31$97,313
Other income received2016-12-31$111,566
Net income (gross income less expenses)2016-12-31$223,767
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,769,090
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,545,323
Total contributions received or receivable from employer(s)2016-12-31$75,065
2015 : SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$157,433
Expenses. Total of all expenses incurred2015-12-31$187,516
Benefits paid (including direct rollovers)2015-12-31$187,516
Total plan assets at end of year2015-12-31$1,545,323
Total plan assets at beginning of year2015-12-31$1,575,406
Value of fidelity bond covering the plan2015-12-31$1,000,000
Total contributions received or receivable from participants2015-12-31$105,379
Other income received2015-12-31$-26,634
Net income (gross income less expenses)2015-12-31$-30,083
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,545,323
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,575,406
Total contributions received or receivable from employer(s)2015-12-31$78,688
2014 : SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$253,654
Expenses. Total of all expenses incurred2014-12-31$23,183
Benefits paid (including direct rollovers)2014-12-31$23,183
Total plan assets at end of year2014-12-31$1,575,406
Total plan assets at beginning of year2014-12-31$1,344,935
Value of fidelity bond covering the plan2014-12-31$1,050,000
Total contributions received or receivable from participants2014-12-31$99,672
Contributions received from other sources (not participants or employers)2014-12-31$600
Other income received2014-12-31$80,782
Net income (gross income less expenses)2014-12-31$230,471
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,575,406
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,344,935
Total contributions received or receivable from employer(s)2014-12-31$72,600
Value of certain deemed distributions of participant loans2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
2013 : SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$338,733
Expenses. Total of all expenses incurred2013-12-31$76,253
Benefits paid (including direct rollovers)2013-12-31$76,253
Total plan assets at end of year2013-12-31$1,344,935
Total plan assets at beginning of year2013-12-31$1,082,455
Value of fidelity bond covering the plan2013-12-31$1,050,000
Total contributions received or receivable from participants2013-12-31$90,725
Contributions received from other sources (not participants or employers)2013-12-31$2,380
Other income received2013-12-31$176,007
Net income (gross income less expenses)2013-12-31$262,480
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,344,935
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,082,455
Total contributions received or receivable from employer(s)2013-12-31$69,621
2012 : SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$213,650
Expenses. Total of all expenses incurred2012-12-31$151,117
Benefits paid (including direct rollovers)2012-12-31$151,117
Total plan assets at end of year2012-12-31$1,082,455
Total plan assets at beginning of year2012-12-31$1,019,922
Value of fidelity bond covering the plan2012-12-31$1,050,000
Total contributions received or receivable from participants2012-12-31$78,324
Other income received2012-12-31$74,015
Net income (gross income less expenses)2012-12-31$62,533
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,082,455
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,019,922
Total contributions received or receivable from employer(s)2012-12-31$61,311
2011 : SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$119,085
Expenses. Total of all expenses incurred2011-12-31$148,964
Benefits paid (including direct rollovers)2011-12-31$148,964
Total plan assets at end of year2011-12-31$1,019,922
Total plan assets at beginning of year2011-12-31$1,049,801
Value of fidelity bond covering the plan2011-12-31$1,050,000
Total contributions received or receivable from participants2011-12-31$81,273
Other income received2011-12-31$-22,326
Net income (gross income less expenses)2011-12-31$-29,879
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,019,922
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,049,801
Total contributions received or receivable from employer(s)2011-12-31$60,138
2010 : SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$217,122
Expenses. Total of all expenses incurred2010-12-31$113,438
Benefits paid (including direct rollovers)2010-12-31$113,438
Total plan assets at end of year2010-12-31$1,049,801
Total plan assets at beginning of year2010-12-31$946,117
Value of fidelity bond covering the plan2010-12-31$1,000,000
Total contributions received or receivable from participants2010-12-31$73,006
Other income received2010-12-31$88,834
Net income (gross income less expenses)2010-12-31$103,684
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,049,801
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$946,117
Total contributions received or receivable from employer(s)2010-12-31$55,282

Form 5500 Responses for SECURITY STATE BANK SAVINGS INCENTIVE PLAN

2017: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SECURITY STATE BANK SAVINGS INCENTIVE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number87180035
Policy instance 1
Insurance contract or identification number87180035
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $788
Total amount of fees paid to insurance companyUSD $197
Are there contracts with unallocated funds for contracts of type 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
Insurance broker namePENSION SOLUTIONS, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number87180035
Policy instance 1
Insurance contract or identification number87180035
Number of Individuals Covered24
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $833
Total amount of fees paid to insurance companyUSD $208
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $833
Insurance broker organization code?3
Amount paid for insurance broker fees208
Additional information about fees paid to insurance brokerADMINISTRATIVE COMPENSATION
Insurance broker namePENSION SOLUTIONS, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number87180035
Policy instance 1
Insurance contract or identification number87180035
Number of Individuals Covered25
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,367
Total amount of fees paid to insurance companyUSD $365
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,367
Insurance broker organization code?3
Amount paid for insurance broker fees365
Additional information about fees paid to insurance brokerADMINISTRATIVE COMPENSATION
Insurance broker nameROYAL ALLIANCE ASSOC. INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number87180035
Policy instance 1
Insurance contract or identification number87180035
Number of Individuals Covered24
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,501
Total amount of fees paid to insurance companyUSD $375
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,501
Insurance broker organization code?3
Amount paid for insurance broker fees375
Additional information about fees paid to insurance brokerADMINISTRATIVE COMPENSATION
Insurance broker namePENSION SOLUTIONS, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number87180035
Policy instance 1
Insurance contract or identification number87180035
Number of Individuals Covered25
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,668
Total amount of fees paid to insurance companyUSD $417
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,668
Insurance broker organization code?3
Amount paid for insurance broker fees417
Additional information about fees paid to insurance brokerADMINISTRATIVE COMPENSATION
Insurance broker namePENSION SOLUTIONS, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number87180035
Policy instance 1
Insurance contract or identification number87180035
Number of Individuals Covered24
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,237
Total amount of fees paid to insurance companyUSD $559
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,237
Insurance broker organization code?3
Amount paid for insurance broker fees559
Additional information about fees paid to insurance brokerADMINISTRATIVE COMPENSATION
Insurance broker namePENSION SOLUTIONS, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number87180035
Policy instance 1
Insurance contract or identification number87180035
Number of Individuals Covered23
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,182
Total amount of fees paid to insurance companyUSD $545
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number87180035
Policy instance 1
Insurance contract or identification number87180035
Number of Individuals Covered24
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,539
Total amount of fees paid to insurance companyUSD $385
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $304
Insurance broker organization code?3
Amount paid for insurance broker fees385
Additional information about fees paid to insurance brokerADMINISTRATIVE COMPENSATION
Insurance broker nameKEN CULVER JR

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