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DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 401k Plan overview

Plan NameDRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN
Plan identification number 001

DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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

DRURY DESIGN DYNAMICS, INC. has sponsored the creation of one or more 401k plans.

Company Name:DRURY DESIGN DYNAMICS, INC.
Employer identification number (EIN):133070512
NAIC Classification:541800

Additional information about DRURY DESIGN DYNAMICS, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1981-04-06
Company Identification Number: 690826
Legal Registered Office Address: 49 WEST 27 STREET
New York
NEW YORK
United States of America (USA)
10001

More information about DRURY DESIGN DYNAMICS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01RAYMOND CANOSA2023-09-05
0012021-01-01RAYMOND CANOSA2022-07-12 RAYMOND CANOSA2022-07-12
0012020-01-01RAYMOND CANOSA2021-07-09 RAYMOND CANOSA2021-07-09
0012019-01-01RAYMOND CANOSA2020-09-16 RAYMOND CANOSA2020-09-16
0012018-01-01RAYMOND CANOSA2019-06-13 RAYMOND CANOSA2019-06-13
0012017-01-01RAYMOND CANOSA2018-07-18
0012016-01-01RAYMOND CANOSA2017-07-10 RAYMOND CANOSA2017-07-10
0012015-01-01RAYMOND CANOSA2016-06-22 RAYMOND CANOSA2016-06-22
0012014-01-01RAYMOND CANOSA RAYMOND CANOSA2015-07-06
0012013-01-01RAYMOND J. CANOSA RAYMOND J. CANOSA2014-07-03
0012012-01-01RAYMOND CANOSA RAYMOND CANOSA2013-07-02
0012011-01-01RAYMOND J. CANOSA
0012010-01-01RAYMOND J. CANOSA RAYMOND J. CANOSA2011-07-06
0012009-01-01RAYMOND CANOSA

Plan Statistics for DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN

401k plan membership statisitcs for DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN

Measure Date Value
2014: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0157
Total number of active participants reported on line 7a of the Form 55002014-01-0143
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0112
Total of all active and inactive participants2014-01-0155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0155
Number of participants with account balances2014-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0161
Total number of active participants reported on line 7a of the Form 55002013-01-0148
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0114
Total of all active and inactive participants2013-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0162
Number of participants with account balances2013-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0161
Total number of active participants reported on line 7a of the Form 55002012-01-0147
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0114
Total of all active and inactive participants2012-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0161
Number of participants with account balances2012-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0125
2011: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0161
Total number of active participants reported on line 7a of the Form 55002011-01-0146
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-015
Total of all active and inactive participants2011-01-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0151
Number of participants with account balances2011-01-0151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0159
Total number of active participants reported on line 7a of the Form 55002010-01-0149
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-014
Total of all active and inactive participants2010-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0153
Number of participants with account balances2010-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0174
Total number of active participants reported on line 7a of the Form 55002009-01-0144
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0122
Total of all active and inactive participants2009-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0166
Number of participants with account balances2009-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN

Measure Date Value
2014 : DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$782,529
Expenses. Total of all expenses incurred2014-12-31$436,697
Benefits paid (including direct rollovers)2014-12-31$436,264
Total plan assets at end of year2014-12-31$7,679,976
Total plan assets at beginning of year2014-12-31$7,334,144
Value of fidelity bond covering the plan2014-12-31$600,000
Total contributions received or receivable from participants2014-12-31$357,696
Other income received2014-12-31$424,833
Net income (gross income less expenses)2014-12-31$345,832
Net plan assets at end of year (total assets less liabilities)2014-12-31$7,679,976
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$7,334,144
Assets. Value of participant loans2014-12-31$177,941
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$433
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,496,738
Expenses. Total of all expenses incurred2013-12-31$447,754
Benefits paid (including direct rollovers)2013-12-31$445,892
Total plan assets at end of year2013-12-31$7,334,144
Total plan assets at beginning of year2013-12-31$6,285,160
Value of fidelity bond covering the plan2013-12-31$600,000
Total contributions received or receivable from participants2013-12-31$326,134
Other income received2013-12-31$1,170,604
Net income (gross income less expenses)2013-12-31$1,048,984
Net plan assets at end of year (total assets less liabilities)2013-12-31$7,334,144
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$6,285,160
Assets. Value of participant loans2013-12-31$205,108
Value of corrective distributions2013-12-31$1,433
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$429
2012 : DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$1,075,551
Expenses. Total of all expenses incurred2012-12-31$239,647
Benefits paid (including direct rollovers)2012-12-31$239,204
Total plan assets at end of year2012-12-31$6,285,160
Total plan assets at beginning of year2012-12-31$5,449,256
Value of fidelity bond covering the plan2012-12-31$600,000
Total contributions received or receivable from participants2012-12-31$302,946
Expenses. Other expenses not covered elsewhere2012-12-31$443
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$772,605
Net income (gross income less expenses)2012-12-31$835,904
Net plan assets at end of year (total assets less liabilities)2012-12-31$6,285,160
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$5,449,256
Assets. Value of participant loans2012-12-31$234,506
Total contributions received or receivable from employer(s)2012-12-31$0
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$156,484
Expenses. Total of all expenses incurred2011-12-31$51,849
Benefits paid (including direct rollovers)2011-12-31$51,278
Total plan assets at end of year2011-12-31$5,449,256
Total plan assets at beginning of year2011-12-31$5,344,621
Value of fidelity bond covering the plan2011-12-31$600,000
Total contributions received or receivable from participants2011-12-31$358,020
Expenses. Other expenses not covered elsewhere2011-12-31$571
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-201,536
Net income (gross income less expenses)2011-12-31$104,635
Net plan assets at end of year (total assets less liabilities)2011-12-31$5,449,256
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$5,344,621
Assets. Value of participant loans2011-12-31$170,114
Total contributions received or receivable from employer(s)2011-12-31$0
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$879,381
Expenses. Total of all expenses incurred2010-12-31$314,739
Benefits paid (including direct rollovers)2010-12-31$314,181
Total plan assets at end of year2010-12-31$5,344,621
Total plan assets at beginning of year2010-12-31$4,779,979
Value of fidelity bond covering the plan2010-12-31$600,000
Total contributions received or receivable from participants2010-12-31$321,633
Expenses. Other expenses not covered elsewhere2010-12-31$558
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$557,748
Net income (gross income less expenses)2010-12-31$564,642
Net plan assets at end of year (total assets less liabilities)2010-12-31$5,344,621
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,779,979
Assets. Value of participant loans2010-12-31$163,431
Total contributions received or receivable from employer(s)2010-12-31$0
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN

2014: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: DRURY DESIGN DYNAMICS 401(K) PROFIT SHARING PLAN SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710200
Policy instance 1
Insurance contract or identification numberGA-710200
Number of Individuals Covered47
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $20,128
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $19,767
Insurance broker organization code?3
Insurance broker nameROYAL ALLIANCE ASSOCIATES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710200
Policy instance 1
Insurance contract or identification numberGA-710200
Number of Individuals Covered52
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $17,197
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $17,197
Insurance broker organization code?3
Insurance broker nameCITIGROUP LIFE AGENCY LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710200
Policy instance 1
Insurance contract or identification numberGA-710200
Number of Individuals Covered47
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $15,396
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $15,396
Insurance broker organization code?3
Insurance broker nameCITIGROUP LIFE AGENCY LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710200
Policy instance 1
Insurance contract or identification numberGA-710200
Number of Individuals Covered51
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $15,059
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 numberGA-710200
Policy instance 1
Insurance contract or identification numberGA-710200
Number of Individuals Covered53
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $13,208
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $13,208
Insurance broker organization code?3
Insurance broker nameCITIGROUP LIFE AGENCY LLC

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