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JAMES A. ADNEY PROFIT SHARING PLAN 401k Plan overview

Plan NameJAMES A. ADNEY PROFIT SHARING PLAN
Plan identification number 002

JAMES A. ADNEY PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Plan covering Self-Employed individuals.

401k Sponsoring company profile

JAMES A. ADNEY has sponsored the creation of one or more 401k plans.

Company Name:JAMES A. ADNEY
Employer identification number (EIN):930826742
NAIC Classification:112900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES A. ADNEY PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01JAMES ADNEY
0022017-01-01JAMES ADNEY
0022016-01-01JAMES ADNEY
0022015-01-01JAMES ADNEY
0022014-01-01JAMES ADNEY
0022013-01-01JAMES ADNEY
0022012-01-01JAMES ADNEY
0022011-01-01JAMES ADNEY
0022009-01-01JAMES ADNEY

Plan Statistics for JAMES A. ADNEY PROFIT SHARING PLAN

401k plan membership statisitcs for JAMES A. ADNEY PROFIT SHARING PLAN

Measure Date Value
2023: JAMES A. ADNEY PROFIT SHARING PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-012
Total number of active participants reported on line 7a of the Form 55002023-01-010
Number of retired or separated participants receiving benefits2023-01-011
Number of other retired or separated participants entitled to future benefits2023-01-011
Total of all active and inactive participants2023-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-012
Number of participants with account balances2023-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: JAMES A. ADNEY PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-011
Total of all active and inactive participants2022-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-012
Number of participants with account balances2022-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: JAMES A. ADNEY PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-012
Number of participants with account balances2021-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: JAMES A. ADNEY PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-011
Total of all active and inactive participants2020-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-012
Number of participants with account balances2020-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: JAMES A. ADNEY PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-012
Number of participants with account balances2019-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: JAMES A. ADNEY PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-012
Total participants2018-01-012
Number of participants with account balances2018-01-012
2017: JAMES A. ADNEY PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-012
Total participants2017-01-012
Number of participants with account balances2017-01-012
2016: JAMES A. ADNEY PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-012
Total participants2016-01-012
Number of participants with account balances2016-01-012
2015: JAMES A. ADNEY PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-012
Total participants2015-01-012
Number of participants with account balances2015-01-012
2014: JAMES A. ADNEY PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-012
Total participants2014-01-012
Number of participants with account balances2014-01-012
2013: JAMES A. ADNEY PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-012
Total participants2013-01-012
Number of participants with account balances2013-01-012
2012: JAMES A. ADNEY PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-012
Total participants2012-01-012
Number of participants with account balances2012-01-012
2011: JAMES A. ADNEY PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-012
Total participants2011-01-012
Number of participants with account balances2011-01-012
2009: JAMES A. ADNEY PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-012
Total participants2009-01-012
Number of participants with account balances2009-01-012

Financial Data on JAMES A. ADNEY PROFIT SHARING PLAN

Measure Date Value
2023 : JAMES A. ADNEY PROFIT SHARING PLAN 2023 401k financial data
Total income from all sources2023-12-31$48,291
Expenses. Total of all expenses incurred2023-12-31$35,000
Benefits paid (including direct rollovers)2023-12-31$35,000
Total plan assets at end of year2023-12-31$1,141,944
Total plan assets at beginning of year2023-12-31$1,128,653
Other income received2023-12-31$48,291
Net income (gross income less expenses)2023-12-31$13,291
Net plan assets at end of year (total assets less liabilities)2023-12-31$1,141,944
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$1,128,653
2022 : JAMES A. ADNEY PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-12-31$47,614
Expenses. Total of all expenses incurred2022-12-31$30,000
Benefits paid (including direct rollovers)2022-12-31$30,000
Total plan assets at end of year2022-12-31$1,128,653
Total plan assets at beginning of year2022-12-31$1,111,039
Other income received2022-12-31$47,614
Net income (gross income less expenses)2022-12-31$17,614
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,128,653
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,111,039
2021 : JAMES A. ADNEY PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$46,939
Expenses. Total of all expenses incurred2021-12-31$30,000
Benefits paid (including direct rollovers)2021-12-31$30,000
Total plan assets at end of year2021-12-31$1,111,039
Total plan assets at beginning of year2021-12-31$1,094,100
Other income received2021-12-31$46,939
Net income (gross income less expenses)2021-12-31$16,939
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,111,039
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,094,100
2020 : JAMES A. ADNEY PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$46,333
Expenses. Total of all expenses incurred2020-12-31$35,000
Benefits paid (including direct rollovers)2020-12-31$35,000
Total plan assets at end of year2020-12-31$1,094,100
Total plan assets at beginning of year2020-12-31$1,082,767
Other income received2020-12-31$46,333
Net income (gross income less expenses)2020-12-31$11,333
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,094,100
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,082,767
2019 : JAMES A. ADNEY PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$45,788
Expenses. Total of all expenses incurred2019-12-31$35,000
Benefits paid (including direct rollovers)2019-12-31$35,000
Total plan assets at end of year2019-12-31$1,082,767
Total plan assets at beginning of year2019-12-31$1,071,979
Other income received2019-12-31$45,788
Net income (gross income less expenses)2019-12-31$10,788
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,082,767
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,071,979
2018 : JAMES A. ADNEY PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$45,505
Expenses. Total of all expenses incurred2018-12-31$40,000
Benefits paid (including direct rollovers)2018-12-31$40,000
Total plan assets at end of year2018-12-31$1,071,979
Total plan assets at beginning of year2018-12-31$1,066,474
Other income received2018-12-31$45,505
Net income (gross income less expenses)2018-12-31$5,505
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,071,979
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,066,474
2017 : JAMES A. ADNEY PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$560
Total income from all sources2017-12-31$45,699
Expenses. Total of all expenses incurred2017-12-31$35,000
Benefits paid (including direct rollovers)2017-12-31$35,000
Total plan assets at end of year2017-12-31$1,066,474
Total plan assets at beginning of year2017-12-31$1,056,335
Other income received2017-12-31$45,699
Net income (gross income less expenses)2017-12-31$10,699
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,066,474
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,055,775
2016 : JAMES A. ADNEY PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$560
Total plan liabilities at beginning of year2016-12-31$560
Total income from all sources2016-12-31$44,033
Total plan assets at end of year2016-12-31$1,056,335
Total plan assets at beginning of year2016-12-31$1,012,302
Other income received2016-12-31$44,033
Net income (gross income less expenses)2016-12-31$44,033
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,055,775
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,011,742
2015 : JAMES A. ADNEY PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$560
Total plan liabilities at beginning of year2015-12-31$560
Total income from all sources2015-12-31$42,197
Total plan assets at end of year2015-12-31$1,012,302
Total plan assets at beginning of year2015-12-31$970,105
Other income received2015-12-31$42,197
Net income (gross income less expenses)2015-12-31$42,197
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,011,742
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$969,545
2014 : JAMES A. ADNEY PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$560
Total plan liabilities at beginning of year2014-12-31$560
Total income from all sources2014-12-31$40,439
Total plan assets at end of year2014-12-31$970,105
Total plan assets at beginning of year2014-12-31$929,666
Other income received2014-12-31$40,439
Net income (gross income less expenses)2014-12-31$40,439
Net plan assets at end of year (total assets less liabilities)2014-12-31$969,545
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$929,106
2013 : JAMES A. ADNEY PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$560
Total plan liabilities at beginning of year2013-12-31$560
Total income from all sources2013-12-31$38,752
Total plan assets at end of year2013-12-31$929,666
Total plan assets at beginning of year2013-12-31$890,914
Other income received2013-12-31$38,752
Net income (gross income less expenses)2013-12-31$38,752
Net plan assets at end of year (total assets less liabilities)2013-12-31$929,106
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$890,354
2012 : JAMES A. ADNEY PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$560
Total plan liabilities at beginning of year2012-12-31$560
Total income from all sources2012-12-31$37,137
Total plan assets at end of year2012-12-31$890,914
Total plan assets at beginning of year2012-12-31$853,777
Other income received2012-12-31$37,137
Net income (gross income less expenses)2012-12-31$37,137
Net plan assets at end of year (total assets less liabilities)2012-12-31$890,354
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$853,217
2011 : JAMES A. ADNEY PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$560
Total plan liabilities at beginning of year2011-12-31$560
Total income from all sources2011-12-31$35,589
Total plan assets at end of year2011-12-31$853,777
Total plan assets at beginning of year2011-12-31$818,188
Other income received2011-12-31$35,589
Net income (gross income less expenses)2011-12-31$35,589
Net plan assets at end of year (total assets less liabilities)2011-12-31$853,217
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$817,628
2010 : JAMES A. ADNEY PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$560
Total plan liabilities at beginning of year2010-12-31$560
Total income from all sources2010-12-31$34,106
Total plan assets at end of year2010-12-31$818,188
Total plan assets at beginning of year2010-12-31$784,082
Other income received2010-12-31$34,106
Net income (gross income less expenses)2010-12-31$34,106
Net plan assets at end of year (total assets less liabilities)2010-12-31$817,628
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$783,522

Form 5500 Responses for JAMES A. ADNEY PROFIT SHARING PLAN

2023: JAMES A. ADNEY PROFIT SHARING PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: JAMES A. ADNEY PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: JAMES A. ADNEY PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: JAMES A. ADNEY PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: JAMES A. ADNEY PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: JAMES A. ADNEY PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: JAMES A. ADNEY PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: JAMES A. ADNEY PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: JAMES A. ADNEY PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: JAMES A. ADNEY PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: JAMES A. ADNEY PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: JAMES A. ADNEY PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: JAMES A. ADNEY PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: JAMES A. ADNEY PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
Insurance broker nameMCCLOW, MATTHEW GARY, MATTHEW
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
Insurance broker nameMCCLOW, MATTHEW GARY, MATTHEW
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
Insurance broker nameMCCLOW, MATTHEW GARY, MATTHEW
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
Insurance broker nameMCCLOW, MATTHEW GARY, MATTHEW
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
Insurance broker nameMCCLOW, MATTHEW GARY, MATTHEW
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
Insurance broker nameMCCLOW, MATTHEW GARY, MATTHEW
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP 1039587
Policy instance 1
Insurance contract or identification numberLP 1039587
Number of Individuals Covered2
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAUM/BTC
Insurance broker organization code?3
Insurance broker nameMCCLOW, MATTHEW GARY, MATTHEW

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