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TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 401k Plan overview

Plan NameTRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN
Plan identification number 002

TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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

TRULL BROOK GOLF COURSE, INC has sponsored the creation of one or more 401k plans.

Company Name:TRULL BROOK GOLF COURSE, INC
Employer identification number (EIN):042300490
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-11-01
0022021-11-01
0022020-11-01
0022020-11-01
0022019-11-01
0022018-11-01
0022017-11-01
0022016-11-01ROY C TRULL ROY C TRULL2018-07-11
0022015-11-01ROY C TRULL ROY C TRULL2017-08-03
0022014-11-01ROY C TRULL ROY C TRULL2016-07-15
0022013-11-01ROY C TRULL ROY C TRULL2015-07-28
0022012-11-01ROY C TRULL ROY C TRULL2014-06-16
0022011-11-01ROY TRULL ROY TRULL2013-05-30

Plan Statistics for TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN

401k plan membership statisitcs for TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN

Measure Date Value
2022: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-11-0127
Total number of active participants reported on line 7a of the Form 55002022-11-0112
Number of retired or separated participants receiving benefits2022-11-010
Number of other retired or separated participants entitled to future benefits2022-11-0113
Total of all active and inactive participants2022-11-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-11-011
Total participants2022-11-0126
Number of participants with account balances2022-11-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-11-010
2021: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-0123
Total number of active participants reported on line 7a of the Form 55002021-11-0112
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-0114
Total of all active and inactive participants2021-11-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-11-011
Total participants2021-11-0127
Number of participants with account balances2021-11-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-11-010
2020: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-0122
Total number of active participants reported on line 7a of the Form 55002020-11-0110
Number of retired or separated participants receiving benefits2020-11-010
Number of other retired or separated participants entitled to future benefits2020-11-0112
Total of all active and inactive participants2020-11-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-11-011
Total participants2020-11-0123
Number of participants with account balances2020-11-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-11-011
2019: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-0123
Total number of active participants reported on line 7a of the Form 55002019-11-0110
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-0111
Total of all active and inactive participants2019-11-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-11-011
Total participants2019-11-0122
Number of participants with account balances2019-11-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-11-011
2018: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-0118
Total number of active participants reported on line 7a of the Form 55002018-11-0112
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-0110
Total of all active and inactive participants2018-11-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-11-011
Total participants2018-11-0123
Number of participants with account balances2018-11-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-11-010
2017: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-0118
Total number of active participants reported on line 7a of the Form 55002017-11-0110
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-017
Total of all active and inactive participants2017-11-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-11-011
Total participants2017-11-0118
Number of participants with account balances2017-11-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-11-010
2016: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-0118
Total number of active participants reported on line 7a of the Form 55002016-11-0110
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-017
Total of all active and inactive participants2016-11-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-11-011
Total participants2016-11-0118
Number of participants with account balances2016-11-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-11-010
2015: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-0119
Total number of active participants reported on line 7a of the Form 55002015-11-0110
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-017
Total of all active and inactive participants2015-11-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-11-011
Total participants2015-11-0118
Number of participants with account balances2015-11-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-11-012
2014: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-0118
Total number of active participants reported on line 7a of the Form 55002014-11-0111
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-018
Total of all active and inactive participants2014-11-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-11-010
Total participants2014-11-0119
Number of participants with account balances2014-11-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-11-011
2013: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-0119
Total number of active participants reported on line 7a of the Form 55002013-11-0110
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-018
Total of all active and inactive participants2013-11-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-11-010
Total participants2013-11-0118
Number of participants with account balances2013-11-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-11-010
2012: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-0119
Total number of active participants reported on line 7a of the Form 55002012-11-0112
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-016
Total of all active and inactive participants2012-11-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-011
Total participants2012-11-0119
Number of participants with account balances2012-11-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-11-010
2011: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-0118
Total number of active participants reported on line 7a of the Form 55002011-11-0113
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-016
Total of all active and inactive participants2011-11-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-0119
Number of participants with account balances2011-11-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-011

Financial Data on TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN

Measure Date Value
2023 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2023 401k financial data
Total plan liabilities at end of year2023-10-31$5,423
Total income from all sources2023-10-31$113,313
Expenses. Total of all expenses incurred2023-10-31$22,382
Benefits paid (including direct rollovers)2023-10-31$22,382
Total plan assets at end of year2023-10-31$1,052,395
Total plan assets at beginning of year2023-10-31$956,041
Value of fidelity bond covering the plan2023-10-31$1,000,000
Other income received2023-10-31$53,313
Net income (gross income less expenses)2023-10-31$90,931
Net plan assets at end of year (total assets less liabilities)2023-10-31$1,046,972
Net plan assets at beginning of year (total assets less liabilities)2023-10-31$956,041
Total contributions received or receivable from employer(s)2023-10-31$60,000
2022 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-10-31$-116,562
Total plan assets at end of year2022-10-31$956,041
Total plan assets at beginning of year2022-10-31$1,072,603
Value of fidelity bond covering the plan2022-10-31$1,000,000
Other income received2022-10-31$-176,562
Net income (gross income less expenses)2022-10-31$-116,562
Net plan assets at end of year (total assets less liabilities)2022-10-31$956,041
Net plan assets at beginning of year (total assets less liabilities)2022-10-31$1,072,603
Total contributions received or receivable from employer(s)2022-10-31$60,000
2021 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-10-31$207,943
Expenses. Total of all expenses incurred2021-10-31$692
Benefits paid (including direct rollovers)2021-10-31$692
Total plan assets at end of year2021-10-31$1,072,603
Total plan assets at beginning of year2021-10-31$865,352
Value of fidelity bond covering the plan2021-10-31$1,000,000
Other income received2021-10-31$147,943
Net income (gross income less expenses)2021-10-31$207,251
Net plan assets at end of year (total assets less liabilities)2021-10-31$1,072,603
Net plan assets at beginning of year (total assets less liabilities)2021-10-31$865,352
Assets. Value of participant loans2021-10-31$0
Total contributions received or receivable from employer(s)2021-10-31$60,000
2020 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-10-31$142,270
Expenses. Total of all expenses incurred2020-10-31$51,248
Benefits paid (including direct rollovers)2020-10-31$51,248
Total plan assets at end of year2020-10-31$865,352
Total plan assets at beginning of year2020-10-31$774,330
Value of fidelity bond covering the plan2020-10-31$1,000,000
Other income received2020-10-31$82,270
Net income (gross income less expenses)2020-10-31$91,022
Net plan assets at end of year (total assets less liabilities)2020-10-31$865,352
Net plan assets at beginning of year (total assets less liabilities)2020-10-31$774,330
Assets. Value of participant loans2020-10-31$9,832
Total contributions received or receivable from employer(s)2020-10-31$60,000
2019 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-10-31$302,268
Expenses. Total of all expenses incurred2019-10-31$1,688,135
Benefits paid (including direct rollovers)2019-10-31$1,688,135
Total plan assets at end of year2019-10-31$774,330
Total plan assets at beginning of year2019-10-31$2,160,197
Value of fidelity bond covering the plan2019-10-31$1,000,000
Other income received2019-10-31$252,268
Net income (gross income less expenses)2019-10-31$-1,385,867
Net plan assets at end of year (total assets less liabilities)2019-10-31$774,330
Net plan assets at beginning of year (total assets less liabilities)2019-10-31$2,160,197
Assets. Value of participant loans2019-10-31$21,900
Total contributions received or receivable from employer(s)2019-10-31$50,000
2017 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-10-31$258,551
Expenses. Total of all expenses incurred2017-10-31$692
Benefits paid (including direct rollovers)2017-10-31$692
Total plan assets at end of year2017-10-31$2,094,939
Total plan assets at beginning of year2017-10-31$1,837,080
Value of fidelity bond covering the plan2017-10-31$1,000,000
Other income received2017-10-31$258,551
Net income (gross income less expenses)2017-10-31$257,859
Net plan assets at end of year (total assets less liabilities)2017-10-31$2,094,939
Net plan assets at beginning of year (total assets less liabilities)2017-10-31$1,837,080
Assets. Value of participant loans2017-10-31$43,046
2016 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-10-31$149,583
Expenses. Total of all expenses incurred2016-10-31$692
Benefits paid (including direct rollovers)2016-10-31$692
Total plan assets at end of year2016-10-31$1,837,080
Total plan assets at beginning of year2016-10-31$1,688,189
Value of fidelity bond covering the plan2016-10-31$1,000,000
Other income received2016-10-31$84,583
Net income (gross income less expenses)2016-10-31$148,891
Net plan assets at end of year (total assets less liabilities)2016-10-31$1,837,080
Net plan assets at beginning of year (total assets less liabilities)2016-10-31$1,688,189
Total contributions received or receivable from employer(s)2016-10-31$65,000
2015 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-10-31$109,533
Expenses. Total of all expenses incurred2015-10-31$51,995
Benefits paid (including direct rollovers)2015-10-31$51,995
Total plan assets at end of year2015-10-31$1,688,189
Total plan assets at beginning of year2015-10-31$1,630,651
Value of fidelity bond covering the plan2015-10-31$1,000,000
Other income received2015-10-31$59,533
Net income (gross income less expenses)2015-10-31$57,538
Net plan assets at end of year (total assets less liabilities)2015-10-31$1,688,189
Net plan assets at beginning of year (total assets less liabilities)2015-10-31$1,630,651
Assets. Value of participant loans2015-10-31$11,000
Total contributions received or receivable from employer(s)2015-10-31$50,000
2014 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-10-31$206,573
Expenses. Total of all expenses incurred2014-10-31$608,605
Benefits paid (including direct rollovers)2014-10-31$607,878
Total plan assets at end of year2014-10-31$1,630,651
Total plan assets at beginning of year2014-10-31$2,032,683
Value of fidelity bond covering the plan2014-10-31$1,000,000
Expenses. Other expenses not covered elsewhere2014-10-31$727
Other income received2014-10-31$205,881
Net income (gross income less expenses)2014-10-31$-402,032
Net plan assets at end of year (total assets less liabilities)2014-10-31$1,630,651
Net plan assets at beginning of year (total assets less liabilities)2014-10-31$2,032,683
Total contributions received or receivable from employer(s)2014-10-31$692
2013 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-10-31$284,392
Expenses. Total of all expenses incurred2013-10-31$2,598
Total plan assets at end of year2013-10-31$2,032,683
Total plan assets at beginning of year2013-10-31$1,750,889
Value of fidelity bond covering the plan2013-10-31$1,000,000
Expenses. Other expenses not covered elsewhere2013-10-31$2,598
Other income received2013-10-31$246,794
Net income (gross income less expenses)2013-10-31$281,794
Net plan assets at end of year (total assets less liabilities)2013-10-31$2,032,683
Net plan assets at beginning of year (total assets less liabilities)2013-10-31$1,750,889
Total contributions received or receivable from employer(s)2013-10-31$37,598
2012 : TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-10-31$239,384
Expenses. Total of all expenses incurred2012-10-31$52,234
Benefits paid (including direct rollovers)2012-10-31$49,636
Total plan assets at end of year2012-10-31$1,750,889
Total plan assets at beginning of year2012-10-31$1,563,739
Value of fidelity bond covering the plan2012-10-31$1,000,000
Expenses. Other expenses not covered elsewhere2012-10-31$2,598
Other income received2012-10-31$186,786
Net income (gross income less expenses)2012-10-31$187,150
Net plan assets at end of year (total assets less liabilities)2012-10-31$1,750,889
Net plan assets at beginning of year (total assets less liabilities)2012-10-31$1,563,739
Total contributions received or receivable from employer(s)2012-10-31$52,598

Form 5500 Responses for TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN

2022: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan funding arrangement – TrustYes
2022-11-01Plan benefit arrangement – InsuranceYes
2022-11-01Plan benefit arrangement - TrustYes
2021: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement - TrustYes
2020: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Submission has been amendedYes
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement - TrustYes
2019: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes
2018: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2016: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2015: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: TRULL BROOK GOLF COURSE INC EMPLOYEES PROFIT SHARING PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10UL207920
Policy instance 2
Insurance contract or identification number10UL207920
Number of Individuals Covered1
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10GA178062
Policy instance 1
Insurance contract or identification number10GA178062
Number of Individuals Covered26
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10UL207920
Policy instance 2
Insurance contract or identification number10UL207920
Number of Individuals Covered1
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10GA178062
Policy instance 1
Insurance contract or identification number10GA178062
Number of Individuals Covered23
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10UL207920
Policy instance 2
Insurance contract or identification number10UL207920
Number of Individuals Covered1
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10GA178062
Policy instance 1
Insurance contract or identification number10GA178062
Number of Individuals Covered23
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10UL207920
Policy instance 2
Insurance contract or identification number10UL207920
Number of Individuals Covered1
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10GA178062
Policy instance 1
Insurance contract or identification number10GA178062
Number of Individuals Covered22
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10UL207920
Policy instance 2
Insurance contract or identification number10UL207920
Number of Individuals Covered1
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10GA178062
Policy instance 1
Insurance contract or identification number10GA178062
Number of Individuals Covered23
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10UL207920
Policy instance 2
Insurance contract or identification number10UL207920
Number of Individuals Covered1
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ATHENE ANNUITY AND LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number10GA178062
Policy instance 1
Insurance contract or identification number10GA178062
Number of Individuals Covered18
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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