401k Plan data: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN plan

WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN
Plan identification number	002

WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
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

WINGED FOOT GOLF CLUB has sponsored the creation of one or more 401k plans.

Company Name: WINGED FOOT GOLF CLUB

Employer identification number (EIN): 131737538

NAIC Classification: 713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 BRENDAN MCGUIRE 2023-08-09
002 2021-01-01 BRENDAN MCGUIRE 2022-07-28 BRENDAN MCGUIRE 2022-07-28
002 2020-01-01 BRENDAN MCGUIRE 2021-07-13 BRENDAN MCGUIRE 2021-07-13
002 2019-01-01 BRENDAN MCGUIRE 2020-07-22 BRENDAN MCGUIRE 2020-07-22
002 2018-01-01 BRENDAN MCGUIRE 2019-10-10 BRENDAN MCGUIRE 2019-10-10
002 2017-01-01 ROBERT W. DOUGHERTY, JR 2018-06-28
002 2016-01-01 ROBERT W. DOUGHERTY, JR. 2017-06-12
002 2015-01-01 ROBERT DOUGHERTY 2016-06-10 ROBERT DOUGHERTY 2016-06-10
002 2014-01-01 ROBERT DOUGHERTY
002 2013-01-01 SARAH HONG SARAH HONG 2014-06-13
002 2012-01-01 ROBERT DOUGHERTY
002 2011-01-01 ROBERT DOUGHERTY
002 2009-01-01 ROBERT DOUGHERTY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	BRENDAN MCGUIRE	2023-08-09
002	2021-01-01	BRENDAN MCGUIRE	2022-07-28	BRENDAN MCGUIRE	2022-07-28
002	2020-01-01	BRENDAN MCGUIRE	2021-07-13	BRENDAN MCGUIRE	2021-07-13
002	2019-01-01	BRENDAN MCGUIRE	2020-07-22	BRENDAN MCGUIRE	2020-07-22
002	2018-01-01	BRENDAN MCGUIRE	2019-10-10	BRENDAN MCGUIRE	2019-10-10
002	2017-01-01	ROBERT W. DOUGHERTY, JR	2018-06-28
002	2016-01-01	ROBERT W. DOUGHERTY, JR.	2017-06-12
002	2015-01-01	ROBERT DOUGHERTY	2016-06-10	ROBERT DOUGHERTY	2016-06-10
002	2014-01-01	ROBERT DOUGHERTY
002	2013-01-01	SARAH HONG		SARAH HONG	2014-06-13
002	2012-01-01	ROBERT DOUGHERTY
002	2011-01-01	ROBERT DOUGHERTY
002	2009-01-01	ROBERT DOUGHERTY

Plan Statistics for WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN

401k plan membership statisitcs for WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN

Measure Date Value
2014: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 91
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 39
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 51
Total of all active and inactive participants 2014-01-01 90
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 90
Number of participants with account balances 2014-01-01 87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 10
2013: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 75
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 39
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 44
Total of all active and inactive participants 2013-01-01 83
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 83
Number of participants with account balances 2013-01-01 78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 11
2012: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 70
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 32
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 47
Total of all active and inactive participants 2012-01-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 79
Number of participants with account balances 2012-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 66
2011: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 71
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 33
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 35
Total of all active and inactive participants 2011-01-01 68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 68
Number of participants with account balances 2011-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 53
Number of other retired or separated participants entitled to future benefits 2009-01-01 21
Total of all active and inactive participants 2009-01-01 74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 74
Number of participants with account balances 2009-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	91
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	39
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	51
Total of all active and inactive participants	2014-01-01	90
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	90
Number of participants with account balances	2014-01-01	87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	10
2013: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	75
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	39
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	44
Total of all active and inactive participants	2013-01-01	83
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	83
Number of participants with account balances	2013-01-01	78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	11
2012: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	70
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	32
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	47
Total of all active and inactive participants	2012-01-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	79
Number of participants with account balances	2012-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	66
2011: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	71
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	33
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	35
Total of all active and inactive participants	2011-01-01	68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	68
Number of participants with account balances	2011-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	53
Number of other retired or separated participants entitled to future benefits	2009-01-01	21
Total of all active and inactive participants	2009-01-01	74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	74
Number of participants with account balances	2009-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN

Measure	Date	Value
2014 : WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$9
Total income from all sources	2014-12-31	$741,265
Expenses. Total of all expenses incurred	2014-12-31	$116,294
Benefits paid (including direct rollovers)	2014-12-31	$115,880
Total plan assets at end of year	2014-12-31	$5,343,047
Total plan assets at beginning of year	2014-12-31	$4,718,067
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$229,112
Expenses. Other expenses not covered elsewhere	2014-12-31	$414
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$212,543
Net income (gross income less expenses)	2014-12-31	$624,971
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$5,343,047
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$4,718,067
Assets. Value of participant loans	2014-12-31	$157,223
Total contributions received or receivable from employer(s)	2014-12-31	$299,610
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
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 : WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$421
Total income from all sources	2013-12-31	$1,229,993
Expenses. Total of all expenses incurred	2013-12-31	$358,817
Benefits paid (including direct rollovers)	2013-12-31	$358,507
Total plan assets at end of year	2013-12-31	$4,718,067
Total plan assets at beginning of year	2013-12-31	$3,846,470
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$215,917
Expenses. Other expenses not covered elsewhere	2013-12-31	$310
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$740,270
Net income (gross income less expenses)	2013-12-31	$871,176
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$4,718,067
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,846,470
Assets. Value of participant loans	2013-12-31	$43,830
Total contributions received or receivable from employer(s)	2013-12-31	$273,806
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
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 : WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$905,420
Expenses. Total of all expenses incurred	2012-12-31	$17,740
Benefits paid (including direct rollovers)	2012-12-31	$17,666
Total plan assets at end of year	2012-12-31	$3,846,470
Total plan assets at beginning of year	2012-12-31	$2,958,790
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$218,148
Expenses. Other expenses not covered elsewhere	2012-12-31	$74
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$387,694
Net income (gross income less expenses)	2012-12-31	$887,680
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,846,470
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,958,790
Assets. Value of participant loans	2012-12-31	$29,825
Total contributions received or receivable from employer(s)	2012-12-31	$299,578
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
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	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$334,331
Expenses. Total of all expenses incurred	2011-12-31	$59,251
Benefits paid (including direct rollovers)	2011-12-31	$59,127
Total plan assets at end of year	2011-12-31	$2,958,790
Total plan assets at beginning of year	2011-12-31	$2,683,710
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$196,209
Expenses. Other expenses not covered elsewhere	2011-12-31	$124
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-135,081
Net income (gross income less expenses)	2011-12-31	$275,080
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,958,790
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,683,710
Assets. Value of participant loans	2011-12-31	$40,458
Total contributions received or receivable from employer(s)	2011-12-31	$273,203
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
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	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$1,026,395
Total income from all sources	2010-12-31	$564,221
Expenses. Total of all expenses incurred	2010-12-31	$107,434
Benefits paid (including direct rollovers)	2010-12-31	$107,216
Total plan assets at end of year	2010-12-31	$2,683,710
Total plan assets at beginning of year	2010-12-31	$1,200,528
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$190,617
Expenses. Other expenses not covered elsewhere	2010-12-31	$218
Contributions received from other sources (not participants or employers)	2010-12-31	$65,787
Other income received	2010-12-31	$105,868
Net income (gross income less expenses)	2010-12-31	$456,787
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,683,710
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,200,528
Assets. Value of participant loans	2010-12-31	$50,507
Total contributions received or receivable from employer(s)	2010-12-31	$201,949
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
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	$133,050
Amount contributed by the employer to the plan for this plan year	2010-12-31	$133,050
2009 : WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$2

Form 5500 Responses for WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN

2014: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: WINGED FOOT GOLF CLUB 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820169

Policy instance

Insurance contract or identification number	GA-820169
Number of Individuals Covered	87
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $3,516
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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
Commission paid to Insurance Broker	USD $3,516
Insurance broker organization code?	3
Insurance broker name	AXA NETWORK LLC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820169

Policy instance

Insurance contract or identification number	GA-820169
Number of Individuals Covered	78
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,429
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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
Commission paid to Insurance Broker	USD $3,429
Insurance broker organization code?	3
Insurance broker name	AXA NETWORK LLC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820169

Policy instance

Insurance contract or identification number	GA-820169
Number of Individuals Covered	68
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,266
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820169

Policy instance

Insurance contract or identification number	GA-820169
Number of Individuals Covered	60
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $13,024
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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:	WINGED FOOT GOLF CLUB
Employer identification number (EIN):	131737538
NAIC Classification:	713900