401k Plan data: THE GEORGE EVANS CORPORATION 401(K) PLAN plan

THE GEORGE EVANS CORPORATION 401(K) PLAN 401k Plan overview

Plan Name	THE GEORGE EVANS CORPORATION 401(K) PLAN
Plan identification number	002

THE GEORGE EVANS CORPORATION 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

THE GEORGE EVANS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: THE GEORGE EVANS CORPORATION

Employer identification number (EIN): 361050880

NAIC Classification: 332900

Additional information about THE GEORGE EVANS CORPORATION

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 568241

More information about THE GEORGE EVANS CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE GEORGE EVANS CORPORATION 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-10-01 LAURA HULSLANDER 2024-05-28
002 2021-10-01 LAURA HULSLANDER 2023-02-02
002 2021-10-01 LAURA HULSLANDER 2023-07-09
002 2020-10-01 LAURA HULSLANDER 2022-07-12
002 2020-10-01 LAURA HULSLANDER 2023-02-02
002 2019-10-01
002 2018-10-01
002 2017-10-01
002 2016-10-01
002 2015-10-01 HELENNA FREEMAN 2017-01-26
002 2014-10-01 DAVID EVANS 2015-12-14
002 2013-10-01 DAVID EVANS 2015-01-06
002 2012-10-01 DAVID EVANS 2014-02-11
002 2011-10-01 DAVID EVANS 2013-06-10
002 2010-10-01 DAVID EVANS 2012-04-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-10-01	LAURA HULSLANDER	2024-05-28
002	2021-10-01	LAURA HULSLANDER	2023-02-02
002	2021-10-01	LAURA HULSLANDER	2023-07-09
002	2020-10-01	LAURA HULSLANDER	2022-07-12
002	2020-10-01	LAURA HULSLANDER	2023-02-02
002	2019-10-01
002	2018-10-01
002	2017-10-01
002	2016-10-01
002	2015-10-01	HELENNA FREEMAN	2017-01-26
002	2014-10-01	DAVID EVANS	2015-12-14
002	2013-10-01	DAVID EVANS	2015-01-06
002	2012-10-01	DAVID EVANS	2014-02-11
002	2011-10-01	DAVID EVANS	2013-06-10
002	2010-10-01	DAVID EVANS	2012-04-24

Plan Statistics for THE GEORGE EVANS CORPORATION 401(K) PLAN

401k plan membership statisitcs for THE GEORGE EVANS CORPORATION 401(K) PLAN

Measure Date Value
2022: THE GEORGE EVANS CORPORATION 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-10-01 162
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 84
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 35
Total of all active and inactive participants 2022-10-01 119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-10-01 0
Total participants 2022-10-01 119
Number of participants with account balances 2022-10-01 115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-10-01 25
2021: THE GEORGE EVANS CORPORATION 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 138
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 87
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 73
Total of all active and inactive participants 2021-10-01 160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-10-01 1
Total participants 2021-10-01 161
Number of participants with account balances 2021-10-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-10-01 27
2020: THE GEORGE EVANS CORPORATION 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 121
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 105
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 30
Total of all active and inactive participants 2020-10-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-10-01 0
Total participants 2020-10-01 135
Number of participants with account balances 2020-10-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-10-01 30

Measure	Date	Value
2022: THE GEORGE EVANS CORPORATION 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	162
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	84
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	35
Total of all active and inactive participants	2022-10-01	119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-10-01	0
Total participants	2022-10-01	119
Number of participants with account balances	2022-10-01	115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-10-01	25
2021: THE GEORGE EVANS CORPORATION 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	138
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	87
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	73
Total of all active and inactive participants	2021-10-01	160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-10-01	1
Total participants	2021-10-01	161
Number of participants with account balances	2021-10-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-10-01	27
2020: THE GEORGE EVANS CORPORATION 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	121
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	105
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	30
Total of all active and inactive participants	2020-10-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-10-01	0
Total participants	2020-10-01	135
Number of participants with account balances	2020-10-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-10-01	30

Financial Data on THE GEORGE EVANS CORPORATION 401(K) PLAN

Measure	Date	Value
2023 : THE GEORGE EVANS CORPORATION 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-09-30	$0
Total income from all sources (including contributions)	2023-09-30	$708,032
Total loss/gain on sale of assets	2023-09-30	$0
Total of all expenses incurred	2023-09-30	$130,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-09-30	$117,534
Value of total corrective distributions	2023-09-30	$7,403
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-09-30	$488,460
Value of total assets at end of year	2023-09-30	$2,563,426
Value of total assets at beginning of year	2023-09-30	$1,985,862
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-09-30	$5,531
Total interest from all sources	2023-09-30	$4,690
Total dividends received (eg from common stock, registered investment company shares)	2023-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-09-30	No
Was this plan covered by a fidelity bond	2023-09-30	Yes
Value of fidelity bond cover	2023-09-30	$200,000
If this is an individual account plan, was there a blackout period	2023-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2023-09-30	No
Contributions received from participants	2023-09-30	$248,694
Participant contributions at end of year	2023-09-30	$51,231
Participant contributions at beginning of year	2023-09-30	$58,490
Income. Received or receivable in cash from other sources (including rollovers)	2023-09-30	$130,453
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-09-30	No
Value of net income/loss	2023-09-30	$577,564
Value of net assets at end of year (total assets less liabilities)	2023-09-30	$2,563,426
Value of net assets at beginning of year (total assets less liabilities)	2023-09-30	$1,985,862
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-09-30	No
Were any leases to which the plan was party in default or uncollectible	2023-09-30	No
Value of interest in pooled separate accounts at end of year	2023-09-30	$2,102,262
Value of interest in pooled separate accounts at beginning of year	2023-09-30	$1,578,655
Interest on participant loans	2023-09-30	$2,660
Interest earned on other investments	2023-09-30	$2,030
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-09-30	$409,933
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-09-30	$344,290
Net investment gain/loss from pooled separate accounts	2023-09-30	$214,882
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-09-30	No
Was there a failure to transmit to the plan any participant contributions	2023-09-30	No
Has the plan failed to provide any benefit when due under the plan	2023-09-30	No
Contributions received in cash from employer	2023-09-30	$109,313
Employer contributions (assets) at end of year	2023-09-30	$0
Employer contributions (assets) at beginning of year	2023-09-30	$4,427
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-09-30	$117,534
Contract administrator fees	2023-09-30	$5,531
Did the plan have assets held for investment	2023-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-09-30	No
Opinion of an independent qualified public accountant for this plan	2023-09-30	Unqualified
Accountancy firm name	2023-09-30	BT & CO., P.A.
Accountancy firm EIN	2023-09-30	481066439
2022 : THE GEORGE EVANS CORPORATION 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total income from all sources (including contributions)	2022-09-30	$-50,163
Total loss/gain on sale of assets	2022-09-30	$0
Total of all expenses incurred	2022-09-30	$131,631
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-09-30	$127,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-09-30	$367,341
Value of total assets at end of year	2022-09-30	$1,981,435
Value of total assets at beginning of year	2022-09-30	$2,163,229
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-09-30	$4,581
Total interest from all sources	2022-09-30	$3,481
Total dividends received (eg from common stock, registered investment company shares)	2022-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-09-30	No
Was this plan covered by a fidelity bond	2022-09-30	Yes
Value of fidelity bond cover	2022-09-30	$200,000
If this is an individual account plan, was there a blackout period	2022-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-09-30	No
Contributions received from participants	2022-09-30	$268,027
Participant contributions at end of year	2022-09-30	$58,490
Participant contributions at beginning of year	2022-09-30	$44,758
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-09-30	No
Value of net income/loss	2022-09-30	$-181,794
Value of net assets at end of year (total assets less liabilities)	2022-09-30	$1,981,435
Value of net assets at beginning of year (total assets less liabilities)	2022-09-30	$2,163,229
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-09-30	No
Were any leases to which the plan was party in default or uncollectible	2022-09-30	No
Value of interest in pooled separate accounts at end of year	2022-09-30	$1,578,655
Value of interest in pooled separate accounts at beginning of year	2022-09-30	$1,753,625
Interest on participant loans	2022-09-30	$1,500
Interest earned on other investments	2022-09-30	$1,981
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-09-30	$344,290
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-09-30	$357,353
Net investment gain/loss from pooled separate accounts	2022-09-30	$-420,985
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-09-30	No
Was there a failure to transmit to the plan any participant contributions	2022-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2022-09-30	No
Contributions received in cash from employer	2022-09-30	$99,314
Employer contributions (assets) at end of year	2022-09-30	$0
Employer contributions (assets) at beginning of year	2022-09-30	$7,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-09-30	$127,050
Contract administrator fees	2022-09-30	$4,581
Did the plan have assets held for investment	2022-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-09-30	No
Opinion of an independent qualified public accountant for this plan	2022-09-30	Disclaimer
Accountancy firm name	2022-09-30	RSM US LLP
Accountancy firm EIN	2022-09-30	420714325
2021 : THE GEORGE EVANS CORPORATION 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-09-30	$0
Total income from all sources (including contributions)	2021-09-30	$1,240,889
Total loss/gain on sale of assets	2021-09-30	$0
Total of all expenses incurred	2021-09-30	$343,220
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-09-30	$339,825
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-09-30	$908,265
Value of total assets at end of year	2021-09-30	$2,155,736
Value of total assets at beginning of year	2021-09-30	$1,258,067
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-09-30	$3,395
Total interest from all sources	2021-09-30	$3,588
Total dividends received (eg from common stock, registered investment company shares)	2021-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-09-30	No
Was this plan covered by a fidelity bond	2021-09-30	Yes
Value of fidelity bond cover	2021-09-30	$200,000
If this is an individual account plan, was there a blackout period	2021-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-09-30	No
Contributions received from participants	2021-09-30	$234,947
Participant contributions at end of year	2021-09-30	$44,758
Participant contributions at beginning of year	2021-09-30	$42,511
Income. Received or receivable in cash from other sources (including rollovers)	2021-09-30	$571,586
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-09-30	No
Value of net income/loss	2021-09-30	$897,669
Value of net assets at end of year (total assets less liabilities)	2021-09-30	$2,155,736
Value of net assets at beginning of year (total assets less liabilities)	2021-09-30	$1,258,067
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-09-30	No
Were any leases to which the plan was party in default or uncollectible	2021-09-30	No
Value of interest in pooled separate accounts at end of year	2021-09-30	$1,753,625
Value of interest in pooled separate accounts at beginning of year	2021-09-30	$940,273
Interest on participant loans	2021-09-30	$1,649
Interest earned on other investments	2021-09-30	$1,939
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-09-30	$357,353
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-09-30	$275,283
Net investment gain/loss from pooled separate accounts	2021-09-30	$329,036
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-09-30	No
Was there a failure to transmit to the plan any participant contributions	2021-09-30	No
Has the plan failed to provide any benefit when due under the plan	2021-09-30	No
Contributions received in cash from employer	2021-09-30	$101,732
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-09-30	$339,825
Contract administrator fees	2021-09-30	$3,395
Did the plan have assets held for investment	2021-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-09-30	No
Opinion of an independent qualified public accountant for this plan	2021-09-30	Unqualified
Accountancy firm name	2021-09-30	RSM US LLP
Accountancy firm EIN	2021-09-30	420714325

Form 5500 Responses for THE GEORGE EVANS CORPORATION 401(K) PLAN

2022: THE GEORGE EVANS CORPORATION 401(K) PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Submission has been amended	No
2022-10-01	This submission is the final filing	No
2022-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-10-01	Plan is a collectively bargained plan	No
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan funding arrangement – Trust	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement - Trust	Yes
2021: THE GEORGE EVANS CORPORATION 401(K) PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	Yes
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – Trust	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement - Trust	Yes
2020: THE GEORGE EVANS CORPORATION 401(K) PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – Trust	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801538

Policy instance

Insurance contract or identification number	801538
Number of Individuals Covered	119
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Total amount of commissions paid to insurance broker	USD $5,182
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,182
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801538

Policy instance

Insurance contract or identification number	801538
Number of Individuals Covered	161
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $4,226
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,226
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801538

Policy instance

Insurance contract or identification number	801538
Number of Individuals Covered	135
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $6,793
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,793
Insurance broker organization code?	3

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Company Name:	THE GEORGE EVANS CORPORATION
Employer identification number (EIN):	361050880
NAIC Classification:	332900

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	568241