401k Plan data: THE BLACKBEARD COMPANIES 401(K) PLAN plan

THE BLACKBEARD COMPANIES 401(K) PLAN 401k Plan overview

Plan Name	THE BLACKBEARD COMPANIES 401(K) PLAN
Plan identification number	001

THE BLACKBEARD COMPANIES 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BLACKBEARD MANAGEMENT, LLC has sponsored the creation of one or more 401k plans.

Company Name: BLACKBEARD MANAGEMENT, LLC

Employer identification number (EIN): 842914378

NAIC Classification: 211120
NAIC Description: Crude Petroleum Extraction

Additional information about BLACKBEARD MANAGEMENT, LLC

Jurisdiction of Incorporation: Wyoming Corporations Division

Incorporation Date: 2020-07-29

Company Identification Number: 000933264

Legal Registered Office Address: 1751 River Run Ste 405

Fort Worth
United States of America (USA)
76107

More information about BLACKBEARD MANAGEMENT, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE BLACKBEARD COMPANIES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01

Plan Statistics for THE BLACKBEARD COMPANIES 401(K) PLAN

401k plan membership statisitcs for THE BLACKBEARD COMPANIES 401(K) PLAN

Measure Date Value
2022: THE BLACKBEARD COMPANIES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 321
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 280
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 111
Total of all active and inactive participants 2022-01-01 391
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 391
Number of participants with account balances 2022-01-01 381
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: THE BLACKBEARD COMPANIES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 344
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 230
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 91
Total of all active and inactive participants 2021-01-01 321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 321
Number of participants with account balances 2021-01-01 311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 4
2020: THE BLACKBEARD COMPANIES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 149
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 273
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 71
Total of all active and inactive participants 2020-01-01 344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 344
Number of participants with account balances 2020-01-01 320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0

Measure	Date	Value
2022: THE BLACKBEARD COMPANIES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	321
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	280
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	111
Total of all active and inactive participants	2022-01-01	391
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	391
Number of participants with account balances	2022-01-01	381
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: THE BLACKBEARD COMPANIES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	344
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	230
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	91
Total of all active and inactive participants	2021-01-01	321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	321
Number of participants with account balances	2021-01-01	311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	4
2020: THE BLACKBEARD COMPANIES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	273
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	71
Total of all active and inactive participants	2020-01-01	344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	344
Number of participants with account balances	2020-01-01	320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0

Financial Data on THE BLACKBEARD COMPANIES 401(K) PLAN

Measure	Date	Value
2022 : THE BLACKBEARD COMPANIES 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$1,030,368
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$3,329,129
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$3,241,557
Value of total corrective distributions	2022-12-31	$19,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$4,364,577
Value of total assets at end of year	2022-12-31	$19,619,899
Value of total assets at beginning of year	2022-12-31	$21,918,660
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$68,408
Total interest from all sources	2022-12-31	$24,516
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$615,367
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$615,367
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$2,386,577
Participant contributions at end of year	2022-12-31	$322,685
Participant contributions at beginning of year	2022-12-31	$246,244
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$60,299
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-2,298,761
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$19,619,899
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$21,918,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$68,408
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$18,189,920
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$20,160,545
Interest on participant loans	2022-12-31	$14,018
Interest earned on other investments	2022-12-31	$10,498
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,107,294
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$1,511,871
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-3,974,092
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,917,701
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$3,241,557
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	EIDE BAILLY, LP
Accountancy firm EIN	2022-12-31	450250958
2021 : THE BLACKBEARD COMPANIES 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$7,160,485
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$7,671,999
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$7,565,666
Expenses. Certain deemed distributions of participant loans	2021-12-31	$16,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$4,068,473
Value of total assets at end of year	2021-12-31	$21,918,660
Value of total assets at beginning of year	2021-12-31	$22,430,174
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$89,844
Total interest from all sources	2021-12-31	$27,329
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$885,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$885,007
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$2,132,907
Participant contributions at end of year	2021-12-31	$246,244
Participant contributions at beginning of year	2021-12-31	$243,316
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$320,157
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$-511,514
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$21,918,660
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$22,430,174
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$89,844
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$20,160,545
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$20,083,560
Interest on participant loans	2021-12-31	$11,040
Interest earned on other investments	2021-12-31	$16,289
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$1,511,871
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$2,103,298
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$2,179,676
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,615,409
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$7,565,666
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	EIDE BAILLY, LP
Accountancy firm EIN	2021-12-31	450250958
2020 : THE BLACKBEARD COMPANIES 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets to this plan	2020-12-31	$8,010,175
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$7,363,983
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$4,087,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$3,986,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,284,426
Value of total assets at end of year	2020-12-31	$22,430,174
Value of total assets at beginning of year	2020-12-31	$11,143,591
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$100,658
Total interest from all sources	2020-12-31	$29,596
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$571,815
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$571,815
Administrative expenses professional fees incurred	2020-12-31	$24,813
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$2,198,441
Participant contributions at end of year	2020-12-31	$243,316
Participant contributions at beginning of year	2020-12-31	$13,359
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$885
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$485,158
Other income not declared elsewhere	2020-12-31	$1,205
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$3,276,408
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$22,430,174
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$11,143,591
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$75,595
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$20,083,560
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$9,592,166
Interest on participant loans	2020-12-31	$10,252
Interest earned on other investments	2020-12-31	$19,344
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$2,103,298
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,536,297
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$2,476,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$1,600,827
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$884
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$3,986,917
Contract administrator fees	2020-12-31	$250
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	Yes
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	EIDE BAILLY, LP
Accountancy firm EIN	2020-12-31	450250958

Form 5500 Responses for THE BLACKBEARD COMPANIES 401(K) PLAN

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

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

370624-01

Policy instance

Insurance contract or identification number	370624-01
Number of Individuals Covered	66
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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	0
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?	Yes
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

370624-01

Policy instance

Insurance contract or identification number	370624-01
Number of Individuals Covered	78
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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	0
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?	Yes
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

370624-01

Policy instance

Insurance contract or identification number	370624-01
Number of Individuals Covered	111
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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	0
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?	Yes
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

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Company Name:	BLACKBEARD MANAGEMENT, LLC
Employer identification number (EIN):	842914378
NAIC Classification:	211120
NAIC Description:	Crude Petroleum Extraction

Jurisdiction of Incorporation:	Wyoming Corporations Division
Incorporation Date:	2020-07-29
Company Identification Number:	000933264
Legal Registered Office Address:	1751 River Run Ste 405 Fort Worth United States of America (USA) 76107