EAGLE OIL & GAS, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan EAGLE OIL & GAS, LLC 401(K) PLAN
| Measure | Date | Value |
|---|
| 2015: EAGLE OIL & GAS, LLC 401(K) PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 56 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 42 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 9 |
| Total of all active and inactive participants | 2015-01-01 | 54 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 54 |
| Number of participants with account balances | 2015-01-01 | 50 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 0 |
| 2014: EAGLE OIL & GAS, LLC 401(K) PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 58 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 41 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 9 |
| Total of all active and inactive participants | 2014-01-01 | 51 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 51 |
| Number of participants with account balances | 2014-01-01 | 51 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 4 |
| 2013: EAGLE OIL & GAS, LLC 401(K) PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 60 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 43 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 7 |
| Total of all active and inactive participants | 2013-01-01 | 53 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 53 |
| Number of participants with account balances | 2013-01-01 | 53 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 2 |
| 2012: EAGLE OIL & GAS, LLC 401(K) PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 58 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 42 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 12 |
| Total of all active and inactive participants | 2012-01-01 | 58 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 58 |
| Number of participants with account balances | 2012-01-01 | 58 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 3 |
| 2011: EAGLE OIL & GAS, LLC 401(K) PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 53 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 42 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 9 |
| Total of all active and inactive participants | 2011-01-01 | 54 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 54 |
| Number of participants with account balances | 2011-01-01 | 54 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 4 |
| 2009: EAGLE OIL & GAS, LLC 401(K) PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 49 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 37 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 9 |
| Total of all active and inactive participants | 2009-01-01 | 48 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 48 |
| Number of participants with account balances | 2009-01-01 | 48 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 3 |
| Measure | Date | Value |
|---|
| 2015 : EAGLE OIL & GAS, LLC 401(K) PLAN 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-12-31 | $1 |
| Total plan liabilities at beginning of year | 2015-12-31 | $2 |
| Total income from all sources | 2015-12-31 | $717,249 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $469,715 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $464,055 |
| Total plan assets at end of year | 2015-12-31 | $8,633,423 |
| Total plan assets at beginning of year | 2015-12-31 | $8,385,890 |
| Value of fidelity bond covering the plan | 2015-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $404,618 |
| Contributions received from other sources (not participants or employers) | 2015-12-31 | $14,608 |
| Other income received | 2015-12-31 | $-49,308 |
| Net income (gross income less expenses) | 2015-12-31 | $247,534 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $8,633,422 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $8,385,888 |
| Assets. Value of participant loans | 2015-12-31 | $18,832 |
| Assets. Value of assets in partnership/joint-venture interests | 2015-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $347,331 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $5,660 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| 2014 : EAGLE OIL & GAS, LLC 401(K) PLAN 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-12-31 | $2 |
| Total plan liabilities at beginning of year | 2014-12-31 | $25 |
| Total income from all sources | 2014-12-31 | $1,323,105 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $60,623 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $57,090 |
| Total plan assets at end of year | 2014-12-31 | $8,385,890 |
| Total plan assets at beginning of year | 2014-12-31 | $7,123,431 |
| Value of fidelity bond covering the plan | 2014-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $415,927 |
| Other income received | 2014-12-31 | $522,719 |
| Net income (gross income less expenses) | 2014-12-31 | $1,262,482 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $8,385,888 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $7,123,406 |
| Assets. Value of participant loans | 2014-12-31 | $28,101 |
| Assets. Value of assets in partnership/joint-venture interests | 2014-12-31 | $14,561 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $384,459 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $3,533 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| 2013 : EAGLE OIL & GAS, LLC 401(K) PLAN 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-12-31 | $25 |
| Total plan liabilities at beginning of year | 2013-12-31 | $140 |
| Total income from all sources | 2013-12-31 | $1,931,336 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $224,413 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $207,279 |
| Total plan assets at end of year | 2013-12-31 | $7,123,431 |
| Total plan assets at beginning of year | 2013-12-31 | $5,416,623 |
| Value of fidelity bond covering the plan | 2013-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $382,153 |
| Contributions received from other sources (not participants or employers) | 2013-12-31 | $3,935 |
| Other income received | 2013-12-31 | $1,199,658 |
| Net income (gross income less expenses) | 2013-12-31 | $1,706,923 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $7,123,406 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $5,416,483 |
| Assets. Value of participant loans | 2013-12-31 | $15,397 |
| Assets. Value of assets in partnership/joint-venture interests | 2013-12-31 | $14,561 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $345,590 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $17,134 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| 2012 : EAGLE OIL & GAS, LLC 401(K) PLAN 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-12-31 | $140 |
| Total plan liabilities at beginning of year | 2012-12-31 | $0 |
| Total income from all sources | 2012-12-31 | $1,234,577 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $142,313 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $127,714 |
| Total plan assets at end of year | 2012-12-31 | $5,416,623 |
| Total plan assets at beginning of year | 2012-12-31 | $4,324,219 |
| Value of fidelity bond covering the plan | 2012-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $359,764 |
| Other income received | 2012-12-31 | $589,213 |
| Net income (gross income less expenses) | 2012-12-31 | $1,092,264 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $5,416,483 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $4,324,219 |
| Assets. Value of participant loans | 2012-12-31 | $25,995 |
| Assets. Value of assets in partnership/joint-venture interests | 2012-12-31 | $14,561 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $285,600 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $14,599 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| 2011 : EAGLE OIL & GAS, LLC 401(K) PLAN 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-12-31 | $0 |
| Total plan liabilities at beginning of year | 2011-12-31 | $19 |
| Total income from all sources | 2011-12-31 | $525,265 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $111,098 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $92,621 |
| Total plan assets at end of year | 2011-12-31 | $4,324,219 |
| Total plan assets at beginning of year | 2011-12-31 | $3,910,071 |
| Value of fidelity bond covering the plan | 2011-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $330,671 |
| Other income received | 2011-12-31 | $-109,051 |
| Net income (gross income less expenses) | 2011-12-31 | $414,167 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $4,324,219 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $3,910,052 |
| Assets. Value of participant loans | 2011-12-31 | $21,002 |
| Assets. Value of assets in partnership/joint-venture interests | 2011-12-31 | $14,561 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $303,645 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $18,477 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| 2010 : EAGLE OIL & GAS, LLC 401(K) PLAN 2010 401k financial data |
|---|
| Total plan liabilities at end of year | 2010-12-31 | $19 |
| Total plan liabilities at beginning of year | 2010-12-31 | $2 |
| Total income from all sources | 2010-12-31 | $872,385 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $192,681 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $175,016 |
| Total plan assets at end of year | 2010-12-31 | $3,910,071 |
| Total plan assets at beginning of year | 2010-12-31 | $3,230,350 |
| Value of fidelity bond covering the plan | 2010-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $265,434 |
| Other income received | 2010-12-31 | $413,120 |
| Net income (gross income less expenses) | 2010-12-31 | $679,704 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $3,910,052 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $3,230,348 |
| Assets. Value of participant loans | 2010-12-31 | $34,552 |
| Assets. Value of assets in partnership/joint-venture interests | 2010-12-31 | $15,026 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $193,831 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $17,665 |
| 2015: EAGLE OIL & GAS, LLC 401(K) PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: EAGLE OIL & GAS, LLC 401(K) PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: EAGLE OIL & GAS, LLC 401(K) PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: EAGLE OIL & GAS, LLC 401(K) PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: EAGLE OIL & GAS, LLC 401(K) PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: EAGLE OIL & GAS, LLC 401(K) PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 30789 |
| Policy instance | 1 |
| Insurance contract or identification number | 30789 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 33 | | Additional information about fees paid to insurance broker | PERSISTENCY FEE/OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES B. PROTHRO |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 30789 |
| Policy instance | 1 |
| Insurance contract or identification number | 30789 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 33 | | Additional information about fees paid to insurance broker | PERSISTENCY FEE/OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES B. PROTHRO |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 30789 |
| Policy instance | 1 |
| Insurance contract or identification number | 30789 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 33 | | Additional information about fees paid to insurance broker | PERSISTENCY FEE/OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES B. PROTHRO |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 30789 |
| Policy instance | 1 |
| Insurance contract or identification number | 30789 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 33 | | Additional information about fees paid to insurance broker | PERSISTENCY FEE/OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES B. PROTHRO |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 30789 |
| Policy instance | 1 |
| Insurance contract or identification number | 30789 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $12,938 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 30789 |
| Policy instance | 1 |
| Insurance contract or identification number | 30789 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,049 | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES B. PROTHRO |
|
