401k Plan data: ROYAL REFRIGERATION 401(K) PLAN plan

ROYAL REFRIGERATION 401(K) PLAN 401k Plan overview

Plan Name	ROYAL REFRIGERATION 401(K) PLAN
Plan identification number	001

ROYAL REFRIGERATION 401(K) 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

ROYAL REFRIGERATION, INC. has sponsored the creation of one or more 401k plans.

Company Name: ROYAL REFRIGERATION, INC.

Employer identification number (EIN): 880409301

NAIC Classification: 238220
NAIC Description: Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROYAL REFRIGERATION 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 MICHAEL MCADAMS 2023-07-17
001 2021-01-01 MICHAEL MCADAMS 2022-06-21
001 2020-01-01 MICHAEL MCADAMS 2021-06-15
001 2019-01-01
001 2018-01-01 MICHAEL MCADAMS
001 2017-01-01 MICHAEL MCADAMS
001 2016-01-01 MICHAEL MCADAMS
001 2015-01-01 MICHAEL MCADAMS MICHAEL MCADAMS 2016-07-26
001 2014-01-01 MICHAEL MCADAMS MICHAEL MCADAMS 2015-04-22
001 2013-01-01 MICHAEL MCADAMS MICHAEL MCADAMS 2014-07-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	MICHAEL MCADAMS	2023-07-17
001	2021-01-01	MICHAEL MCADAMS	2022-06-21
001	2020-01-01	MICHAEL MCADAMS	2021-06-15
001	2019-01-01
001	2018-01-01	MICHAEL MCADAMS
001	2017-01-01	MICHAEL MCADAMS
001	2016-01-01	MICHAEL MCADAMS
001	2015-01-01	MICHAEL MCADAMS		MICHAEL MCADAMS	2016-07-26
001	2014-01-01	MICHAEL MCADAMS		MICHAEL MCADAMS	2015-04-22
001	2013-01-01	MICHAEL MCADAMS		MICHAEL MCADAMS	2014-07-08

Plan Statistics for ROYAL REFRIGERATION 401(K) PLAN

401k plan membership statisitcs for ROYAL REFRIGERATION 401(K) PLAN

Measure Date Value
2019: ROYAL REFRIGERATION 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 17
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 17
Number of participants with account balances 2019-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: ROYAL REFRIGERATION 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 17
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 1
Total of all active and inactive participants 2018-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 18
Number of participants with account balances 2018-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: ROYAL REFRIGERATION 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 18
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 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 18
Number of participants with account balances 2017-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: ROYAL REFRIGERATION 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 16
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 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 16
Number of participants with account balances 2016-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ROYAL REFRIGERATION 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 12
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 1
Total of all active and inactive participants 2015-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 13
Number of participants with account balances 2015-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ROYAL REFRIGERATION 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 16
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 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 16
Number of participants with account balances 2014-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ROYAL REFRIGERATION 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 11
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 2
Total of all active and inactive participants 2013-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 13
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2019: ROYAL REFRIGERATION 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	17
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	17
Number of participants with account balances	2019-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: ROYAL REFRIGERATION 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	17
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	1
Total of all active and inactive participants	2018-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	18
Number of participants with account balances	2018-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: ROYAL REFRIGERATION 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	18
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	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	18
Number of participants with account balances	2017-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: ROYAL REFRIGERATION 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	16
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	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	16
Number of participants with account balances	2016-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ROYAL REFRIGERATION 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	12
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	1
Total of all active and inactive participants	2015-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	13
Number of participants with account balances	2015-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ROYAL REFRIGERATION 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	16
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	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	16
Number of participants with account balances	2014-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ROYAL REFRIGERATION 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	11
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	2
Total of all active and inactive participants	2013-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	13
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on ROYAL REFRIGERATION 401(K) PLAN

Measure	Date	Value
2019 : ROYAL REFRIGERATION 401(K) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$175,112
Expenses. Total of all expenses incurred	2019-12-31	$6,203
Benefits paid (including direct rollovers)	2019-12-31	$1,576
Total plan assets at end of year	2019-12-31	$552,738
Total plan assets at beginning of year	2019-12-31	$383,829
Value of fidelity bond covering the plan	2019-12-31	$40,000
Total contributions received or receivable from participants	2019-12-31	$82,777
Expenses. Other expenses not covered elsewhere	2019-12-31	$4,627
Other income received	2019-12-31	$63,274
Net income (gross income less expenses)	2019-12-31	$168,909
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$552,738
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$383,829
Assets. Value of participant loans	2019-12-31	$29,344
Total contributions received or receivable from employer(s)	2019-12-31	$29,061
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : ROYAL REFRIGERATION 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$54,405
Expenses. Total of all expenses incurred	2018-12-31	$50,492
Benefits paid (including direct rollovers)	2018-12-31	$49,583
Total plan assets at end of year	2018-12-31	$383,829
Total plan assets at beginning of year	2018-12-31	$379,916
Value of fidelity bond covering the plan	2018-12-31	$40,000
Total contributions received or receivable from participants	2018-12-31	$53,736
Expenses. Other expenses not covered elsewhere	2018-12-31	$909
Other income received	2018-12-31	$-18,890
Net income (gross income less expenses)	2018-12-31	$3,913
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$383,829
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$379,916
Assets. Value of participant loans	2018-12-31	$29,253
Total contributions received or receivable from employer(s)	2018-12-31	$19,559
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : ROYAL REFRIGERATION 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$123,187
Expenses. Total of all expenses incurred	2017-12-31	$505
Total plan assets at end of year	2017-12-31	$379,916
Total plan assets at beginning of year	2017-12-31	$257,234
Value of fidelity bond covering the plan	2017-12-31	$40,000
Total contributions received or receivable from participants	2017-12-31	$62,278
Other income received	2017-12-31	$43,087
Net income (gross income less expenses)	2017-12-31	$122,682
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$379,916
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$257,234
Assets. Value of participant loans	2017-12-31	$12,072
Total contributions received or receivable from employer(s)	2017-12-31	$17,822
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$505
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : ROYAL REFRIGERATION 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$91,892
Expenses. Total of all expenses incurred	2016-12-31	$2,623
Benefits paid (including direct rollovers)	2016-12-31	$2,181
Total plan assets at end of year	2016-12-31	$257,234
Total plan assets at beginning of year	2016-12-31	$167,965
Value of fidelity bond covering the plan	2016-12-31	$50,000
Total contributions received or receivable from participants	2016-12-31	$55,648
Other income received	2016-12-31	$20,443
Net income (gross income less expenses)	2016-12-31	$89,269
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$257,234
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$167,965
Assets. Value of participant loans	2016-12-31	$9,834
Total contributions received or receivable from employer(s)	2016-12-31	$15,801
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$442
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : ROYAL REFRIGERATION 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$71,819
Expenses. Total of all expenses incurred	2015-12-31	$17,411
Benefits paid (including direct rollovers)	2015-12-31	$17,411
Total plan assets at end of year	2015-12-31	$167,965
Total plan assets at beginning of year	2015-12-31	$113,557
Value of fidelity bond covering the plan	2015-12-31	$20,000
Total contributions received or receivable from participants	2015-12-31	$61,899
Other income received	2015-12-31	$-7,124
Net income (gross income less expenses)	2015-12-31	$54,408
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$167,965
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$113,557
Assets. Value of participant loans	2015-12-31	$13,764
Total contributions received or receivable from employer(s)	2015-12-31	$17,044
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : ROYAL REFRIGERATION 401(K) PLAN 2014 401k financial data
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$80,866
Expenses. Total of all expenses incurred	2014-12-31	$891
Benefits paid (including direct rollovers)	2014-12-31	$891
Total plan assets at end of year	2014-12-31	$113,557
Total plan assets at beginning of year	2014-12-31	$33,582
Value of fidelity bond covering the plan	2014-12-31	$20,000
Total contributions received or receivable from participants	2014-12-31	$61,562
Other income received	2014-12-31	$1,587
Net income (gross income less expenses)	2014-12-31	$79,975
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$113,557
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$33,582
Total contributions received or receivable from employer(s)	2014-12-31	$17,717
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : ROYAL REFRIGERATION 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$33,927
Expenses. Total of all expenses incurred	2013-12-31	$345
Total plan assets at end of year	2013-12-31	$33,582
Total plan assets at beginning of year	2013-12-31	$0
Value of fidelity bond covering the plan	2013-12-31	$50,000
Total contributions received or receivable from participants	2013-12-31	$17,342
Other income received	2013-12-31	$2,532
Net income (gross income less expenses)	2013-12-31	$33,582
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$33,582
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$14,053
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$345
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0

Form 5500 Responses for ROYAL REFRIGERATION 401(K) PLAN

2019: ROYAL REFRIGERATION 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ROYAL REFRIGERATION 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ROYAL REFRIGERATION 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ROYAL REFRIGERATION 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ROYAL REFRIGERATION 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ROYAL REFRIGERATION 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ROYAL REFRIGERATION 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

509011-01

Policy instance

Insurance contract or identification number	509011-01
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

509011-01

Policy instance

Insurance contract or identification number	509011-01
Number of Individuals Covered	1
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
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

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Company Name:	ROYAL REFRIGERATION, INC.
Employer identification number (EIN):	880409301
NAIC Classification:	238220
NAIC Description:	Plumbing, Heating, and Air-Conditioning Contractors