401k Plan data: EDWIN L. FROEHLICH MONEY PURCHASE PLAN plan

EDWIN L. FROEHLICH MONEY PURCHASE PLAN 401k Plan overview

Plan Name	EDWIN L. FROEHLICH MONEY PURCHASE PLAN
Plan identification number	001

EDWIN L. FROEHLICH MONEY PURCHASE PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) 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

EDWIN L. FROEHLICH has sponsored the creation of one or more 401k plans.

Company Name: EDWIN L. FROEHLICH

Employer identification number (EIN): 421126209

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EDWIN L. FROEHLICH MONEY PURCHASE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 EDWIN L. FROELICH 2020-07-06
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01 EDWIN L. FROEHLICH EDWIN L. FOREHLICH 2016-07-22
001 2014-01-01 EDWIN L. FROEHLICH EDWIN L. FOREHLICH 2015-08-13
001 2013-01-01 EDWIN L. FROEHLICH EDWIN L. FOREHLICH 2014-07-22
001 2012-01-01 EDWIN L. FROEHLICH EDWIN L. FROEHLICH 2013-05-31
001 2011-01-01 EDWIN L. FROEHLICH EDWIN L. FROEHLICH 2012-07-31
001 2009-01-01 EDWIN L. FROEHLICH EDWIN L. FROEHLICH 2010-05-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	EDWIN L. FROELICH		2020-07-06
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01	EDWIN L. FROEHLICH	EDWIN L. FOREHLICH	2016-07-22
001	2014-01-01	EDWIN L. FROEHLICH	EDWIN L. FOREHLICH	2015-08-13
001	2013-01-01	EDWIN L. FROEHLICH	EDWIN L. FOREHLICH	2014-07-22
001	2012-01-01	EDWIN L. FROEHLICH	EDWIN L. FROEHLICH	2013-05-31
001	2011-01-01	EDWIN L. FROEHLICH	EDWIN L. FROEHLICH	2012-07-31
001	2009-01-01	EDWIN L. FROEHLICH	EDWIN L. FROEHLICH	2010-05-12

Plan Statistics for EDWIN L. FROEHLICH MONEY PURCHASE PLAN

401k plan membership statisitcs for EDWIN L. FROEHLICH MONEY PURCHASE PLAN

Measure Date Value
2019: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Total participants 2019-01-01 0
2018: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1
Total of all active and inactive participants 2018-01-01 1
Total participants 2018-01-01 1
Number of participants with account balances 2018-01-01 1
2017: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1
Total of all active and inactive participants 2017-01-01 1
Total participants 2017-01-01 1
Number of participants with account balances 2017-01-01 1
2016: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1
Total of all active and inactive participants 2016-01-01 1
Total participants 2016-01-01 1
Number of participants with account balances 2016-01-01 1
2015: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1
Total of all active and inactive participants 2015-01-01 1
Total participants 2015-01-01 1
Number of participants with account balances 2015-01-01 1
2014: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
Total of all active and inactive participants 2014-01-01 1
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
2013: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
Total of all active and inactive participants 2013-01-01 1
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
2012: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
Total of all active and inactive participants 2012-01-01 2
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
2011: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Total of all active and inactive participants 2011-01-01 2
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
2009: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Total of all active and inactive participants 2009-01-01 2
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2019: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Total participants	2019-01-01	0
2018: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1
Total of all active and inactive participants	2018-01-01	1
Total participants	2018-01-01	1
Number of participants with account balances	2018-01-01	1
2017: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1
Total of all active and inactive participants	2017-01-01	1
Total participants	2017-01-01	1
Number of participants with account balances	2017-01-01	1
2016: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1
Total of all active and inactive participants	2016-01-01	1
Total participants	2016-01-01	1
Number of participants with account balances	2016-01-01	1
2015: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1
Total of all active and inactive participants	2015-01-01	1
Total participants	2015-01-01	1
Number of participants with account balances	2015-01-01	1
2014: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
Total of all active and inactive participants	2014-01-01	1
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
2013: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
Total of all active and inactive participants	2013-01-01	1
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
2012: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
Total of all active and inactive participants	2012-01-01	2
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
2011: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Total of all active and inactive participants	2011-01-01	2
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
2009: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Total of all active and inactive participants	2009-01-01	2
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on EDWIN L. FROEHLICH MONEY PURCHASE PLAN

Measure	Date	Value
2019 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$35,821
Expenses. Total of all expenses incurred	2019-12-31	$1,131,993
Benefits paid (including direct rollovers)	2019-12-31	$1,131,993
Total plan assets at end of year	2019-12-31	$0
Total plan assets at beginning of year	2019-12-31	$1,096,172
Other income received	2019-12-31	$35,821
Net income (gross income less expenses)	2019-12-31	$-1,096,172
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,096,172
Funding deficiency by the employer to the plan for this plan year	2019-12-31	$0
Minimum employer required contribution for this plan year	2019-12-31	$0
Amount contributed by the employer to the plan for this plan year	2019-12-31	$0
2018 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$38,645
Expenses. Total of all expenses incurred	2018-12-31	$56,000
Benefits paid (including direct rollovers)	2018-12-31	$56,000
Total plan assets at end of year	2018-12-31	$1,096,172
Total plan assets at beginning of year	2018-12-31	$1,113,527
Other income received	2018-12-31	$38,645
Net income (gross income less expenses)	2018-12-31	$-17,355
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,096,172
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,113,527
Funding deficiency by the employer to the plan for this plan year	2018-12-31	$0
Minimum employer required contribution for this plan year	2018-12-31	$0
Amount contributed by the employer to the plan for this plan year	2018-12-31	$0
2017 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$37,558
Total plan assets at end of year	2017-12-31	$1,113,527
Total plan assets at beginning of year	2017-12-31	$1,075,969
Other income received	2017-12-31	$37,558
Net income (gross income less expenses)	2017-12-31	$37,558
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,113,527
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,075,969
Funding deficiency by the employer to the plan for this plan year	2017-12-31	$0
Minimum employer required contribution for this plan year	2017-12-31	$0
Amount contributed by the employer to the plan for this plan year	2017-12-31	$0
2016 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$36,583
Total plan assets at end of year	2016-12-31	$1,075,969
Total plan assets at beginning of year	2016-12-31	$1,039,386
Other income received	2016-12-31	$36,583
Net income (gross income less expenses)	2016-12-31	$36,583
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,075,969
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,039,386
Funding deficiency by the employer to the plan for this plan year	2016-12-31	$0
Minimum employer required contribution for this plan year	2016-12-31	$0
Amount contributed by the employer to the plan for this plan year	2016-12-31	$0
2015 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$35,151
Total plan assets at end of year	2015-12-31	$1,039,386
Total plan assets at beginning of year	2015-12-31	$1,004,235
Other income received	2015-12-31	$35,151
Net income (gross income less expenses)	2015-12-31	$35,151
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,039,386
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,004,235
Funding deficiency by the employer to the plan for this plan year	2015-12-31	$0
Minimum employer required contribution for this plan year	2015-12-31	$0
Amount contributed by the employer to the plan for this plan year	2015-12-31	$0
2014 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$33,850
Total plan assets at end of year	2014-12-31	$1,004,235
Total plan assets at beginning of year	2014-12-31	$970,385
Other income received	2014-12-31	$33,850
Net income (gross income less expenses)	2014-12-31	$33,850
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,004,235
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$970,385
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$87,711
Expenses. Total of all expenses incurred	2013-12-31	$373,274
Benefits paid (including direct rollovers)	2013-12-31	$373,274
Total plan assets at end of year	2013-12-31	$970,385
Total plan assets at beginning of year	2013-12-31	$1,255,948
Other income received	2013-12-31	$87,711
Net income (gross income less expenses)	2013-12-31	$-285,563
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$970,385
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,255,948
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$122,835
Total plan assets at end of year	2012-12-31	$1,255,948
Total plan assets at beginning of year	2012-12-31	$1,133,113
Other income received	2012-12-31	$64,813
Net income (gross income less expenses)	2012-12-31	$122,835
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,255,948
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,133,113
Total contributions received or receivable from employer(s)	2012-12-31	$58,022
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$58,022
Amount contributed by the employer to the plan for this plan year	2012-12-31	$58,022
2011 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$77,028
Total plan assets at end of year	2011-12-31	$1,133,113
Total plan assets at beginning of year	2011-12-31	$1,056,085
Other income received	2011-12-31	$19,943
Net income (gross income less expenses)	2011-12-31	$77,028
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,133,113
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,056,085
Total contributions received or receivable from employer(s)	2011-12-31	$57,085
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$57,085
Amount contributed by the employer to the plan for this plan year	2011-12-31	$57,085
2010 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$106,805
Total plan assets at end of year	2010-12-31	$1,056,085
Total plan assets at beginning of year	2010-12-31	$949,280
Other income received	2010-12-31	$49,442
Net income (gross income less expenses)	2010-12-31	$106,805
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,056,085
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$949,280
Total contributions received or receivable from employer(s)	2010-12-31	$57,363
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$57,363
Amount contributed by the employer to the plan for this plan year	2010-12-31	$57,363
2009 : EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$57,080
Amount contributed by the employer to the plan for this plan year	2009-12-31	$57,080

Form 5500 Responses for EDWIN L. FROEHLICH MONEY PURCHASE PLAN

2019: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: EDWIN L. FROEHLICH MONEY PURCHASE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )

Policy contract number

LF-0913-3209

Policy instance

Insurance contract or identification number	LF-0913-3209
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $490
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $490
Insurance broker organization code?	3
Insurance broker name	EDWIN L. FROEHLICH

STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )

Policy contract number

LF-0913-3209

Policy instance

Insurance contract or identification number	LF-0913-3209
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $490
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $490
Insurance broker organization code?	3
Insurance broker name	EDWIN L. FROEHLICH

STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )

Policy contract number

LF-0913-3209

Policy instance

Insurance contract or identification number	LF-0913-3209
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $490
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )

Policy contract number

LF-0913-3209

Policy instance

Insurance contract or identification number	LF-0913-3209
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $490
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $490
Insurance broker organization code?	3
Insurance broker name	EDWIN L. FROEHLICH

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Company Name:	EDWIN L. FROEHLICH
Employer identification number (EIN):	421126209
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages