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LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 401k Plan overview

Plan NameLEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN
Plan identification number 001

LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

LEO S. JONES PROPANE SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:LEO S. JONES PROPANE SERVICE, INC.
Employer identification number (EIN):943284866
NAIC Classification:221210
NAIC Description:Natural Gas Distribution

Additional information about LEO S. JONES PROPANE SERVICE, INC.

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1998-01-02
Company Identification Number: C2064279
Legal Registered Office Address: 12115 Fawn Dr

Redding
United States of America (USA)
96003

More information about LEO S. JONES PROPANE SERVICE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01DANIEL JONES DANIEL JONES2013-08-15
0012011-01-01DANIEL JONES DANIEL JONES2012-08-09
0012009-01-01DANIEL JONES

Plan Statistics for LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN

Measure Date Value
2016: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-018
Total number of active participants reported on line 7a of the Form 55002016-01-018
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-019
Number of participants with account balances2016-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-018
Total number of active participants reported on line 7a of the Form 55002015-01-016
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-017
Number of participants with account balances2015-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0110
Total number of active participants reported on line 7a of the Form 55002014-01-018
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-019
Number of participants with account balances2014-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0110
Total number of active participants reported on line 7a of the Form 55002013-01-018
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-019
Number of participants with account balances2013-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-018
Total number of active participants reported on line 7a of the Form 55002012-01-018
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0110
Number of participants with account balances2012-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-018
Total number of active participants reported on line 7a of the Form 55002011-01-016
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-018
Number of participants with account balances2011-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-019
Total number of active participants reported on line 7a of the Form 55002009-01-017
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-019
Number of participants with account balances2009-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN

Measure Date Value
2016 : LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$56,453
Expenses. Total of all expenses incurred2016-12-31$125
Total plan assets at end of year2016-12-31$619,031
Total plan assets at beginning of year2016-12-31$562,703
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$26,480
Assets. Value of loans (other than to participants)2016-12-31$0
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$18,352
Net income (gross income less expenses)2016-12-31$56,328
Net plan assets at end of year (total assets less liabilities)2016-12-31$619,031
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$562,703
Assets. Value of participant loans2016-12-31$15,610
Total contributions received or receivable from employer(s)2016-12-31$11,621
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$125
2015 : LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$22,765
Expenses. Total of all expenses incurred2015-12-31$125
Benefits paid (including direct rollovers)2015-12-31$0
Total plan assets at end of year2015-12-31$562,703
Total plan assets at beginning of year2015-12-31$540,063
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$16,740
Assets. Value of loans (other than to participants)2015-12-31$27,350
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-2,802
Net income (gross income less expenses)2015-12-31$22,640
Net plan assets at end of year (total assets less liabilities)2015-12-31$562,703
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$540,063
Assets. Value of participant loans2015-12-31$15,535
Total contributions received or receivable from employer(s)2015-12-31$8,827
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$125
2014 : LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$44,374
Expenses. Total of all expenses incurred2014-12-31$75
Total plan assets at end of year2014-12-31$540,063
Total plan assets at beginning of year2014-12-31$495,764
Value of fidelity bond covering the plan2014-12-31$100,000
Total contributions received or receivable from participants2014-12-31$16,200
Assets. Value of loans (other than to participants)2014-12-31$29,190
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$19,814
Net income (gross income less expenses)2014-12-31$44,299
Net plan assets at end of year (total assets less liabilities)2014-12-31$540,063
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$495,764
Assets. Value of participant loans2014-12-31$18,829
Total contributions received or receivable from employer(s)2014-12-31$8,360
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$75
2013 : LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$100,967
Expenses. Total of all expenses incurred2013-12-31$11,046
Benefits paid (including direct rollovers)2013-12-31$10,721
Total plan assets at end of year2013-12-31$495,764
Total plan assets at beginning of year2013-12-31$405,843
Value of fidelity bond covering the plan2013-12-31$100,000
Total contributions received or receivable from participants2013-12-31$19,400
Assets. Value of loans (other than to participants)2013-12-31$30,888
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$73,126
Net income (gross income less expenses)2013-12-31$89,921
Net plan assets at end of year (total assets less liabilities)2013-12-31$495,764
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$405,843
Assets. Value of participant loans2013-12-31$24,330
Total contributions received or receivable from employer(s)2013-12-31$8,441
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$325
2012 : LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$52,976
Expenses. Total of all expenses incurred2012-12-31$106,918
Benefits paid (including direct rollovers)2012-12-31$95,873
Total plan assets at end of year2012-12-31$405,843
Total plan assets at beginning of year2012-12-31$459,785
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$19,200
Assets. Value of loans (other than to participants)2012-12-31$32,457
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$25,918
Net income (gross income less expenses)2012-12-31$-53,942
Net plan assets at end of year (total assets less liabilities)2012-12-31$405,843
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$459,785
Assets. Value of participant loans2012-12-31$28,534
Total contributions received or receivable from employer(s)2012-12-31$7,858
Value of certain deemed distributions of participant loans2012-12-31$11,045
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
2011 : LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$25,738
Expenses. Total of all expenses incurred2011-12-31$259
Benefits paid (including direct rollovers)2011-12-31$0
Total plan assets at end of year2011-12-31$459,785
Total plan assets at beginning of year2011-12-31$434,306
Value of fidelity bond covering the plan2011-12-31$100,000
Total contributions received or receivable from participants2011-12-31$21,760
Assets. Value of loans (other than to participants)2011-12-31$33,905
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-3,415
Net income (gross income less expenses)2011-12-31$25,479
Net plan assets at end of year (total assets less liabilities)2011-12-31$459,785
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$434,306
Assets. Value of participant loans2011-12-31$50,459
Total contributions received or receivable from employer(s)2011-12-31$7,393
Value of certain deemed distributions of participant loans2011-12-31$259
2010 : LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$14,018
Expenses. Total of all expenses incurred2010-12-31$45,722
Benefits paid (including direct rollovers)2010-12-31$45,647
Total plan assets at end of year2010-12-31$434,306
Total plan assets at beginning of year2010-12-31$466,010
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$22,200
Assets. Value of loans (other than to participants)2010-12-31$35,349
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$-15,830
Net income (gross income less expenses)2010-12-31$-31,704
Net plan assets at end of year (total assets less liabilities)2010-12-31$434,306
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$466,010
Assets. Value of participant loans2010-12-31$38,807
Total contributions received or receivable from employer(s)2010-12-31$7,648
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$75

Form 5500 Responses for LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN

2016: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
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: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
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: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
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: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
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: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
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: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
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: LEO S. JONES PROPANE SERVICE, INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1009099090
Policy instance 1
Insurance contract or identification number1009099090
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameBRANDON J. PEREIRA
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3204969800
Policy instance 2
Insurance contract or identification number3204969800
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameBRANDON PEREIRA
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1009099090
Policy instance 1
Insurance contract or identification number1009099090
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Insurance broker organization code?4
Insurance broker nameBRANDON J. PEREIRA
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3204969800
Policy instance 2
Insurance contract or identification number3204969800
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameBRANDON PEREIRA
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1009099090
Policy instance 1
Insurance contract or identification number1009099090
Number of Individuals Covered2
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameMICHAEL P MULVEHILL
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3204969800
Policy instance 2
Insurance contract or identification number3204969800
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameMIKE MULVIHILL
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1009099090
Policy instance 1
Insurance contract or identification number1009099090
Number of Individuals Covered2
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,193
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,193
Insurance broker organization code?4
Insurance broker nameMICHAEL P MULVEHILL
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3204969800
Policy instance 2
Insurance contract or identification number3204969800
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?4
Insurance broker nameMIKE MULVIHILL
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1009099090
Policy instance 1
Insurance contract or identification number1009099090
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3204969800
Policy instance 2
Insurance contract or identification number3204969800
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1007467687
Policy instance 3
Insurance contract or identification number1007467687
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,928
Total amount of fees paid to insurance companyUSD $0
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1007467687
Policy instance 1
Insurance contract or identification number1007467687
Number of Individuals Covered1
Insurance policy start date2010-06-21
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $16,425
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,425
Insurance broker organization code?4
Insurance broker nameMICHAEL P. MULVEHILL

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