401k Plan data: AXA EQUITABLE LIFE INSURANCE COMPANY plan

AXA EQUITABLE LIFE INSURANCE COMPANY 401k Plan overview

Plan Name	AXA EQUITABLE LIFE INSURANCE COMPANY
Plan identification number	540

AXA EQUITABLE LIFE INSURANCE COMPANY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Supplemental unemployment Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

INTERFAITH CONFERENCE OF METROPOLITAN WASHINGTON INC. has sponsored the creation of one or more 401k plans.

Company Name: INTERFAITH CONFERENCE OF METROPOLITAN WASHINGTON INC.

Employer identification number (EIN): 521156410

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AXA EQUITABLE LIFE INSURANCE COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
540 2012-01-01 CYRUS DESAI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
540	2012-01-01	CYRUS DESAI

Plan Statistics for AXA EQUITABLE LIFE INSURANCE COMPANY

401k plan membership statisitcs for AXA EQUITABLE LIFE INSURANCE COMPANY

Measure Date Value
2012: AXA EQUITABLE LIFE INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Number of retired or separated participants receiving benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 4
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2012: AXA EQUITABLE LIFE INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Number of retired or separated participants receiving benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	4
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on AXA EQUITABLE LIFE INSURANCE COMPANY

Measure	Date	Value
2012 : AXA EQUITABLE LIFE INSURANCE COMPANY 2012 401k financial data
Total transfer of assets to this plan	2012-12-31	$0
Total transfer of assets from this plan	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$2,046
Total of all expenses incurred	2012-12-31	$297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$0
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,149
Value of total assets at end of year	2012-12-31	$11,860
Value of total assets at beginning of year	2012-12-31	$9,897
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$297
Total interest from all sources	2012-12-31	$44
Contributions received from participants	2012-12-31	$574
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$0
Value of net income/loss	2012-12-31	$1,749
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$11,860
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$9,897
Investment advisory and management fees	2012-12-31	$214
Value of interest in pooled separate accounts at end of year	2012-12-31	$10,342
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$8,406
Interest on participant loans	2012-12-31	$0
Interest earned on other investments	2012-12-31	$44
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,518
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,491
Net investment gain/loss from pooled separate accounts	2012-12-31	$853
Contributions received in cash from employer	2012-12-31	$575
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$0
Contract administrator fees	2012-12-31	$83
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0

Form 5500 Responses for AXA EQUITABLE LIFE INSURANCE COMPANY

2012: AXA EQUITABLE LIFE INSURANCE COMPANY 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	INTERFAITH CONFERENCE OF METROPOLITAN WASHINGTON INC.
Employer identification number (EIN):	521156410
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations