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WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 401k Plan overview

Plan NameWALTCO OF NEVADA, INC. PROFIT SHARING PLAN
Plan identification number 001

WALTCO OF NEVADA, INC. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • 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

WALTCO OF NEVADA, INC. has sponsored the creation of one or more 401k plans.

Company Name:WALTCO OF NEVADA, INC.
Employer identification number (EIN):880253665
NAIC Classification:531210
NAIC Description:Offices of Real Estate Agents and Brokers

Additional information about WALTCO OF NEVADA, INC.

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 1988-08-15
Company Identification Number: 19881023422
Legal Registered Office Address: 9120 DOUBLE DIAMOND PKWY

RENO
United States of America (USA)
89521

More information about WALTCO OF NEVADA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WALTCO OF NEVADA, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012015-07-01FLORENCE WANG
0012014-07-01FLORENCE WANG
0012013-07-01FLORENCE WANG
0012012-07-01FLORENCE WANG
0012011-07-01FLORENCE WANG
0012010-07-01FLORENCE WANG
0012009-07-01FLORENCE WANG
0012009-07-01FLORENCE WANG
0012009-07-01FLORENCE WANG
0012009-07-01FLORENCE WANG
0012009-07-01FLORENCE WANG

Plan Statistics for WALTCO OF NEVADA, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for WALTCO OF NEVADA, INC. PROFIT SHARING PLAN

Measure Date Value
2015: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-015
Total number of active participants reported on line 7a of the Form 55002015-07-010
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-010
Number of participants with account balances2015-07-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-015
Total number of active participants reported on line 7a of the Form 55002014-07-013
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-011
Total of all active and inactive participants2014-07-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-011
Total participants2014-07-015
Number of participants with account balances2014-07-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-015
Total number of active participants reported on line 7a of the Form 55002013-07-013
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-011
Total of all active and inactive participants2013-07-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-011
Total participants2013-07-015
Number of participants with account balances2013-07-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-015
Total number of active participants reported on line 7a of the Form 55002012-07-013
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-012
Total of all active and inactive participants2012-07-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-015
Number of participants with account balances2012-07-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-015
Total number of active participants reported on line 7a of the Form 55002011-07-013
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-012
Total of all active and inactive participants2011-07-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-015
Number of participants with account balances2011-07-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-015
Total number of active participants reported on line 7a of the Form 55002010-07-013
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-013
Number of participants with account balances2010-07-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
2009: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-015
Total number of active participants reported on line 7a of the Form 55002009-07-013
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-012
Total of all active and inactive participants2009-07-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-015
Number of participants with account balances2009-07-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on WALTCO OF NEVADA, INC. PROFIT SHARING PLAN

Measure Date Value
2016 : WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan2016-06-30$0
Total plan liabilities at end of year2016-06-30$0
Total plan liabilities at beginning of year2016-06-30$0
Total income from all sources2016-06-30$-611,487
Expenses. Total of all expenses incurred2016-06-30$7,219,502
Benefits paid (including direct rollovers)2016-06-30$7,214,044
Total plan assets at end of year2016-06-30$304,115
Total plan assets at beginning of year2016-06-30$8,135,104
Value of fidelity bond covering the plan2016-06-30$350,000
Total contributions received or receivable from participants2016-06-30$0
Assets. Value of loans (other than to participants)2016-06-30$0
Expenses. Other expenses not covered elsewhere2016-06-30$0
Contributions received from other sources (not participants or employers)2016-06-30$0
Other income received2016-06-30$-611,487
Noncash contributions received2016-06-30$0
Net income (gross income less expenses)2016-06-30$-7,830,989
Net plan assets at end of year (total assets less liabilities)2016-06-30$304,115
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$8,135,104
Total contributions received or receivable from employer(s)2016-06-30$0
Value of certain deemed distributions of participant loans2016-06-30$0
Value of corrective distributions2016-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$5,458
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$750,000
2015 : WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-06-30$0
Total plan liabilities at beginning of year2015-06-30$0
Total income from all sources2015-06-30$1,660,096
Expenses. Total of all expenses incurred2015-06-30$435,926
Benefits paid (including direct rollovers)2015-06-30$331,482
Total plan assets at end of year2015-06-30$8,135,104
Total plan assets at beginning of year2015-06-30$6,910,934
Value of fidelity bond covering the plan2015-06-30$3,500,000
Total contributions received or receivable from participants2015-06-30$0
Assets. Value of loans (other than to participants)2015-06-30$837,506
Expenses. Other expenses not covered elsewhere2015-06-30$0
Contributions received from other sources (not participants or employers)2015-06-30$0
Other income received2015-06-30$1,660,096
Noncash contributions received2015-06-30$0
Net income (gross income less expenses)2015-06-30$1,224,170
Net plan assets at end of year (total assets less liabilities)2015-06-30$8,135,104
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$6,910,934
Total contributions received or receivable from employer(s)2015-06-30$0
Value of certain deemed distributions of participant loans2015-06-30$0
Value of corrective distributions2015-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$104,444
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
2014 : WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-06-30$0
Total plan liabilities at beginning of year2014-06-30$0
Total income from all sources2014-06-30$686,239
Expenses. Total of all expenses incurred2014-06-30$466,627
Benefits paid (including direct rollovers)2014-06-30$329,760
Total plan assets at end of year2014-06-30$6,910,934
Total plan assets at beginning of year2014-06-30$6,691,322
Value of fidelity bond covering the plan2014-06-30$3,500,000
Total contributions received or receivable from participants2014-06-30$0
Assets. Value of loans (other than to participants)2014-06-30$1,088,400
Expenses. Other expenses not covered elsewhere2014-06-30$3,925
Contributions received from other sources (not participants or employers)2014-06-30$0
Other income received2014-06-30$686,239
Noncash contributions received2014-06-30$0
Net income (gross income less expenses)2014-06-30$219,612
Net plan assets at end of year (total assets less liabilities)2014-06-30$6,910,934
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$6,691,322
Total contributions received or receivable from employer(s)2014-06-30$0
Value of corrective distributions2014-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$132,942
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
2013 : WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-06-30$0
Total plan liabilities at beginning of year2013-06-30$0
Total income from all sources2013-06-30$318,060
Expenses. Total of all expenses incurred2013-06-30$555,766
Benefits paid (including direct rollovers)2013-06-30$341,812
Total plan assets at end of year2013-06-30$6,691,322
Total plan assets at beginning of year2013-06-30$6,929,028
Value of fidelity bond covering the plan2013-06-30$3,500,000
Total contributions received or receivable from participants2013-06-30$0
Assets. Value of loans (other than to participants)2013-06-30$849,829
Contributions received from other sources (not participants or employers)2013-06-30$0
Other income received2013-06-30$318,060
Noncash contributions received2013-06-30$0
Net income (gross income less expenses)2013-06-30$-237,706
Net plan assets at end of year (total assets less liabilities)2013-06-30$6,691,322
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$6,929,028
Total contributions received or receivable from employer(s)2013-06-30$0
Value of certain deemed distributions of participant loans2013-06-30$0
Value of corrective distributions2013-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$213,954
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
2012 : WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-06-30$0
Total plan liabilities at beginning of year2012-06-30$0
Total income from all sources2012-06-30$-91,564
Expenses. Total of all expenses incurred2012-06-30$517,121
Benefits paid (including direct rollovers)2012-06-30$359,403
Total plan assets at end of year2012-06-30$6,929,028
Total plan assets at beginning of year2012-06-30$7,537,713
Value of fidelity bond covering the plan2012-06-30$3,500,000
Total contributions received or receivable from participants2012-06-30$0
Assets. Value of loans (other than to participants)2012-06-30$1,053,281
Expenses. Other expenses not covered elsewhere2012-06-30$28,416
Contributions received from other sources (not participants or employers)2012-06-30$0
Other income received2012-06-30$-91,564
Noncash contributions received2012-06-30$0
Net income (gross income less expenses)2012-06-30$-608,685
Net plan assets at end of year (total assets less liabilities)2012-06-30$6,929,028
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$7,537,713
Total contributions received or receivable from employer(s)2012-06-30$0
Value of certain deemed distributions of participant loans2012-06-30$0
Value of corrective distributions2012-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$129,302
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
2011 : WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year2011-06-30$0
Total plan liabilities at beginning of year2011-06-30$1,500
Total income from all sources2011-06-30$363,719
Expenses. Total of all expenses incurred2011-06-30$606,182
Benefits paid (including direct rollovers)2011-06-30$340,660
Total plan assets at end of year2011-06-30$7,537,713
Total plan assets at beginning of year2011-06-30$7,781,676
Value of fidelity bond covering the plan2011-06-30$3,500,000
Total contributions received or receivable from participants2011-06-30$0
Assets. Value of loans (other than to participants)2011-06-30$1,667,334
Expenses. Other expenses not covered elsewhere2011-06-30$237,041
Contributions received from other sources (not participants or employers)2011-06-30$0
Other income received2011-06-30$363,719
Noncash contributions received2011-06-30$0
Net income (gross income less expenses)2011-06-30$-242,463
Net plan assets at end of year (total assets less liabilities)2011-06-30$7,537,713
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$7,780,176
Total contributions received or receivable from employer(s)2011-06-30$0
Value of corrective distributions2011-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$28,481
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
2010 : WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for WALTCO OF NEVADA, INC. PROFIT SHARING PLAN

2015: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement - TrustYes
2014: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01Type of plan entityMulitple employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01Type of plan entityMulitple employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01Type of plan entityMulitple employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: WALTCO OF NEVADA, INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedYes
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number7203752
Policy instance 1
Insurance contract or identification number7203752
Number of Individuals Covered1
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number7203752
Policy instance 1
Insurance contract or identification number7203752
Number of Individuals Covered1
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,741
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6741
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $0
Insurance broker nameN/A
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number7203752
Policy instance 1
Insurance contract or identification number7203752
Number of Individuals Covered1
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $6,741
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number7203752
Policy instance 1
Insurance contract or identification number7203752
Number of Individuals Covered1
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $2,408
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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