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THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 401k Plan overview

Plan NameTHE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC
Plan identification number 001

THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Target benefit plan
  • Offset plan - Plan benefits are subject to offset for retirement benefits provided in another plan or arrangement of the employer.
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan covering Self-Employed individuals.
  • 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

POLY BAG, LLC has sponsored the creation of one or more 401k plans.

Company Name:POLY BAG, LLC
Employer identification number (EIN):911663930
NAIC Classification:424990
NAIC Description:Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012022-01-01
0012021-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01LILA VASCONCELLOS2019-06-19
0012017-01-01
0012016-01-01COLLEEN JOHNSON2017-07-24
0012015-01-01COLLEEN JOHNSON2016-07-08 COLLEEN JOHNSON2016-07-08
0012014-01-01COLLEEN JOHNSON2016-07-08 COLLEEN JOHNSON2016-07-08
0012014-01-01COLLEEN JOHNSON2015-06-03 COLLEEN JOHNSON2015-06-03
0012013-01-01COLLEEN JOHNSON2016-07-08 COLLEEN JOHNSON2016-07-08
0012012-01-01COLLEEN JOHNSON2014-10-15 COLLEEN JOHNSON2014-10-15
0012011-01-01COLLEEN JOHNSON2014-10-15 COLLEEN JOHNSON2014-10-15
0012010-01-01COLLEEN JOHNSON2014-10-15 COLLEEN JOHNSON2014-10-15
0012009-01-01COLLEEN JOHNSON2014-10-15 COLLEEN JOHNSON2014-10-15
0012008-01-01COLLEEN JOHNSON COLLEEN JOHNSON2014-10-15
0012007-01-01COLLEEN JOHNSON COLLEEN JOHNSON2014-10-15
0012006-01-01COLLEEN JOHNSON COLLEEN JOHNSON2014-10-15
0012005-01-01COLLEEN JOHNSON COLLEEN JOHNSON2014-10-15
0012004-01-01COLLEEN JOHNSON COLLEEN JOHNSON2014-10-15
0012003-01-01COLLEEN JOHNSON COLLEEN JOHNSON2014-10-15

Plan Statistics for THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC

401k plan membership statisitcs for THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC

Measure Date Value
2008: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2008 401k membership
Total participants, beginning-of-year2008-01-014
Total number of active participants reported on line 7a of the Form 55002008-01-014
Number of retired or separated participants receiving benefits2008-01-010
Number of other retired or separated participants entitled to future benefits2008-01-010
Total of all active and inactive participants2008-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-01-010
Total participants2008-01-014
Number of participants with account balances2008-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-01-014
2007: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2007 401k membership
Total participants, beginning-of-year2007-01-013
Total number of active participants reported on line 7a of the Form 55002007-01-014
Number of retired or separated participants receiving benefits2007-01-010
Number of other retired or separated participants entitled to future benefits2007-01-010
Total of all active and inactive participants2007-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-010
Total participants2007-01-014
Number of participants with account balances2007-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-010
2006: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2006 401k membership
Total participants, beginning-of-year2006-01-013
Total number of active participants reported on line 7a of the Form 55002006-01-013
Number of retired or separated participants receiving benefits2006-01-010
Number of other retired or separated participants entitled to future benefits2006-01-010
Total of all active and inactive participants2006-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2006-01-010
Total participants2006-01-013
Number of participants with account balances2006-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2006-01-010
2005: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2005 401k membership
Total participants, beginning-of-year2005-01-013
Total number of active participants reported on line 7a of the Form 55002005-01-013
Number of retired or separated participants receiving benefits2005-01-010
Number of other retired or separated participants entitled to future benefits2005-01-010
Total of all active and inactive participants2005-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2005-01-010
Total participants2005-01-013
Number of participants with account balances2005-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2005-01-010
2004: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2004 401k membership
Total participants, beginning-of-year2004-01-013
Total number of active participants reported on line 7a of the Form 55002004-01-013
Number of retired or separated participants receiving benefits2004-01-010
Total of all active and inactive participants2004-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2004-01-010
Total participants2004-01-013
Number of participants with account balances2004-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2004-01-010
2003: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2003 401k membership
Total participants, beginning-of-year2003-01-013
Total number of active participants reported on line 7a of the Form 55002003-01-013
Total of all active and inactive participants2003-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2003-01-010
Total participants2003-01-013
Number of participants with account balances2003-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2003-01-010

Financial Data on THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC

Measure Date Value
2008 : THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2008 401k financial data
Total income from all sources2008-12-31$-616,733
Expenses. Total of all expenses incurred2008-12-31$421
Total plan assets at end of year2008-12-31$1,206,221
Total plan assets at beginning of year2008-12-31$1,823,375
Other income received2008-12-31$-702,484
Net income (gross income less expenses)2008-12-31$-617,154
Net plan assets at end of year (total assets less liabilities)2008-12-31$1,206,221
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$1,823,375
Total contributions received or receivable from employer(s)2008-12-31$85,751
Expenses. Administrative service providers (salaries,fees and commissions)2008-12-31$421
2007 : THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2007 401k financial data
Total income from all sources2007-12-31$67,675
Expenses. Total of all expenses incurred2007-12-31$1,050
Total plan assets at end of year2007-12-31$1,823,375
Total plan assets at beginning of year2007-12-31$1,756,750
Other income received2007-12-31$-16,656
Net income (gross income less expenses)2007-12-31$66,625
Net plan assets at end of year (total assets less liabilities)2007-12-31$1,823,375
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$1,756,750
Total contributions received or receivable from employer(s)2007-12-31$84,331
Expenses. Administrative service providers (salaries,fees and commissions)2007-12-31$1,050
2006 : THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2006 401k financial data
Total income from all sources2006-12-31$317,190
Expenses. Total of all expenses incurred2006-12-31$955
Total plan assets at end of year2006-12-31$1,756,750
Total plan assets at beginning of year2006-12-31$1,440,515
Other income received2006-12-31$251,084
Net income (gross income less expenses)2006-12-31$316,235
Net plan assets at end of year (total assets less liabilities)2006-12-31$1,756,750
Net plan assets at beginning of year (total assets less liabilities)2006-12-31$1,440,515
Total contributions received or receivable from employer(s)2006-12-31$66,106
Expenses. Administrative service providers (salaries,fees and commissions)2006-12-31$955
2005 : THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2005 401k financial data
Total income from all sources2005-12-31$103,124
Expenses. Total of all expenses incurred2005-12-31$901
Total plan assets at end of year2005-12-31$1,440,515
Total plan assets at beginning of year2005-12-31$1,338,292
Other income received2005-12-31$48,295
Net income (gross income less expenses)2005-12-31$102,223
Net plan assets at end of year (total assets less liabilities)2005-12-31$1,440,515
Net plan assets at beginning of year (total assets less liabilities)2005-12-31$1,338,292
Total contributions received or receivable from employer(s)2005-12-31$54,829
Expenses. Administrative service providers (salaries,fees and commissions)2005-12-31$901
2004 : THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2004 401k financial data
Total income from all sources2004-12-31$130,529
Expenses. Total of all expenses incurred2004-12-31$873
Total plan assets at end of year2004-12-31$1,338,292
Total plan assets at beginning of year2004-12-31$1,208,636
Other income received2004-12-31$90,385
Net income (gross income less expenses)2004-12-31$129,656
Net plan assets at end of year (total assets less liabilities)2004-12-31$1,338,292
Net plan assets at beginning of year (total assets less liabilities)2004-12-31$1,208,636
Total contributions received or receivable from employer(s)2004-12-31$40,144
Expenses. Administrative service providers (salaries,fees and commissions)2004-12-31$873
2003 : THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2003 401k financial data
Total income from all sources2003-12-31$460,618
Expenses. Total of all expenses incurred2003-12-31$822
Total plan assets at end of year2003-12-31$1,208,636
Total plan assets at beginning of year2003-12-31$748,840
Other income received2003-12-31$418,442
Net income (gross income less expenses)2003-12-31$459,796
Net plan assets at end of year (total assets less liabilities)2003-12-31$1,208,636
Net plan assets at beginning of year (total assets less liabilities)2003-12-31$748,840
Total contributions received or receivable from employer(s)2003-12-31$42,176
Expenses. Administrative service providers (salaries,fees and commissions)2003-12-31$822

Form 5500 Responses for THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC

2008: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement – InsuranceYes
2008-01-01Plan benefit arrangement - TrustYes
2007: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement – InsuranceYes
2007-01-01Plan benefit arrangement - TrustYes
2006: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan funding arrangement – TrustYes
2006-01-01Plan benefit arrangement – InsuranceYes
2006-01-01Plan benefit arrangement - TrustYes
2005: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01Submission has been amendedNo
2005-01-01This submission is the final filingNo
2005-01-01This return/report is a short plan year return/report (less than 12 months)No
2005-01-01Plan is a collectively bargained planNo
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan funding arrangement – TrustYes
2005-01-01Plan benefit arrangement – InsuranceYes
2005-01-01Plan benefit arrangement - TrustYes
2004: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Submission has been amendedNo
2004-01-01This submission is the final filingNo
2004-01-01This return/report is a short plan year return/report (less than 12 months)No
2004-01-01Plan is a collectively bargained planNo
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan funding arrangement – TrustYes
2004-01-01Plan benefit arrangement – InsuranceYes
2004-01-01Plan benefit arrangement - TrustYes
2003: THE 401(K) PROFIT SHARING PLAN AND TRUST OF POLY BAG, LLC 2003 form 5500 responses
2003-01-01Type of plan entitySingle employer plan
2003-01-01Submission has been amendedNo
2003-01-01This submission is the final filingNo
2003-01-01This return/report is a short plan year return/report (less than 12 months)No
2003-01-01Plan is a collectively bargained planNo
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan funding arrangement – TrustYes
2003-01-01Plan benefit arrangement – InsuranceYes
2003-01-01Plan 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 number959510480
Policy instance 2
Insurance contract or identification number959510480
Number of Individuals Covered1
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $125
Total amount of fees paid to insurance companyUSD $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?Yes
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
Other information about contractGROUP VARIABLE ANNIUTY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $125
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number955805247
Policy instance 1
Insurance contract or identification number955805247
Number of Individuals Covered1
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $262
Total amount of fees paid to insurance companyUSD $35
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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $262
Amount paid for insurance broker fees35
Additional information about fees paid to insurance brokerADMINISTRATIVE FEE
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE AGENCY
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number959510480
Policy instance 2
Insurance contract or identification number959510480
Number of Individuals Covered1
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $159
Total amount of fees paid to insurance companyUSD $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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GURANTEED FUND
Commission paid to Insurance BrokerUSD $159
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number955805247
Policy instance 1
Insurance contract or identification number955805247
Number of Individuals Covered1
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $856
Total amount of fees paid to insurance companyUSD $35
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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $856
Amount paid for insurance broker fees35
Additional information about fees paid to insurance brokerADMINISTRATIVE FEE
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE AGENCY
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number959510480
Policy instance 2
Insurance contract or identification number959510480
Number of Individuals Covered1
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $103
Total amount of fees paid to insurance companyUSD $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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $103
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number955805247
Policy instance 1
Insurance contract or identification number955805247
Number of Individuals Covered1
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $817
Total amount of fees paid to insurance companyUSD $35
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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $817
Amount paid for insurance broker fees35
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number959510480
Policy instance 2
Insurance contract or identification number959510480
Number of Individuals Covered1
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $80
Total amount of fees paid to insurance companyUSD $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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GURANTEED FUND
Commission paid to Insurance BrokerUSD $80
Additional information about fees paid to insurance brokerADMINISTRATIVE FEE
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number955805247
Policy instance 1
Insurance contract or identification number955805247
Number of Individuals Covered1
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $788
Total amount of fees paid to insurance companyUSD $35
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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $788
Amount paid for insurance broker fees35
Additional information about fees paid to insurance brokerADMINISTRATIVE FEE
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number959510480
Policy instance 2
Insurance contract or identification number959510480
Number of Individuals Covered1
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $75
Total amount of fees paid to insurance companyUSD $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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $75
Additional information about fees paid to insurance brokerADMINISTRATIVE FEE
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number955805247
Policy instance 1
Insurance contract or identification number955805247
Number of Individuals Covered1
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $763
Total amount of fees paid to insurance companyUSD $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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $763
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number959510480
Policy instance 2
Insurance contract or identification number959510480
Number of Individuals Covered1
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $64
Total amount of fees paid to insurance companyUSD $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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GUARANTEED FUND
Commission paid to Insurance BrokerUSD $64
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number955805247
Policy instance 1
Insurance contract or identification number955805247
Number of Individuals Covered1
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $724
Total amount of fees paid to insurance companyUSD $35
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?Yes
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
Other information about contractGROUP VARIABLE ANNUITY CONTRACT WITH A GURANTEED FUND
Commission paid to Insurance BrokerUSD $724
Amount paid for insurance broker fees35
Additional information about fees paid to insurance brokerADMINISTRATIVE FEE
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE INC.

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