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AGT SERVICES, INC 401(K) PLAN 401k Plan overview

Plan NameAGT SERVICES, INC 401(K) PLAN
Plan identification number 001

AGT SERVICES, INC 401(K) 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

AGT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:AGT SERVICES, INC.
Employer identification number (EIN):141820089
NAIC Classification:811210
NAIC Description: Electronic and Precision Equipment Repair and Maintenance

Additional information about AGT SERVICES, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2000-01-20
Company Identification Number: 2463595
Legal Registered Office Address: 228 Church St
Montgomery
Saratoga Springs
United States of America (USA)
12866

More information about AGT SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AGT SERVICES, INC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01CLIFFORD J MARKS2023-09-26
0012021-01-01CLIFFORD J MARKS2022-06-03 CLIFFORD J MARKS2022-06-03
0012020-01-01CLIFFORD J MARKS2021-06-24 CLIFFORD J MARKS2021-06-24
0012019-01-01C. JAMES MARKS2020-06-01
0012018-01-01CLIFFORD J MARKS2019-05-29 CLIFFORD J MARKS2019-05-29
0012017-01-01C. JAMES MARKS2018-06-07 C. JAMES MARKS2018-06-07
0012016-01-01C. JAMES MARKS C. JAMES MARKS2017-06-30
0012015-01-01C. JAMES MARKS C. JAMES MARKS2016-07-18
0012014-01-01C. JAMES MARKS C. JAMES MARKS2015-07-20
0012014-01-012015-07-13
0012013-01-01C. JAMES MARKS C. JAMES MARKS2014-07-23
0012012-01-01C JAMES MARKS C JAMES MARKS2013-07-23
0012011-01-01C. JAMES MARKS
0012009-01-01CLIFFORD J MARKS CLIFFORD J MARKS2010-07-20

Plan Statistics for AGT SERVICES, INC 401(K) PLAN

401k plan membership statisitcs for AGT SERVICES, INC 401(K) PLAN

Measure Date Value
2016: AGT SERVICES, INC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0168
Total number of active participants reported on line 7a of the Form 55002016-01-0163
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-017
Total of all active and inactive participants2016-01-0171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0171
Number of participants with account balances2016-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: AGT SERVICES, INC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0162
Total number of active participants reported on line 7a of the Form 55002015-01-0165
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-0171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0171
Number of participants with account balances2015-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: AGT SERVICES, INC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0159
Total number of active participants reported on line 7a of the Form 55002014-01-0152
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0110
Total of all active and inactive participants2014-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0162
Number of participants with account balances2014-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: AGT SERVICES, INC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0164
Total number of active participants reported on line 7a of the Form 55002013-01-0153
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-018
Total of all active and inactive participants2013-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0161
Number of participants with account balances2013-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: AGT SERVICES, INC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0157
Total number of active participants reported on line 7a of the Form 55002012-01-0157
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0162
Number of participants with account balances2012-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0116
2011: AGT SERVICES, INC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0152
Total number of active participants reported on line 7a of the Form 55002011-01-0155
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0157
Number of participants with account balances2011-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: AGT SERVICES, INC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0151
Total number of active participants reported on line 7a of the Form 55002009-01-0145
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-017
Total of all active and inactive participants2009-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0152
Number of participants with account balances2009-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on AGT SERVICES, INC 401(K) PLAN

Measure Date Value
2016 : AGT SERVICES, INC 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$2,220,163
Expenses. Total of all expenses incurred2016-12-31$121,132
Benefits paid (including direct rollovers)2016-12-31$120,277
Total plan assets at end of year2016-12-31$12,944,450
Total plan assets at beginning of year2016-12-31$10,845,419
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$489,315
Contributions received from other sources (not participants or employers)2016-12-31$32,967
Other income received2016-12-31$831,977
Net income (gross income less expenses)2016-12-31$2,099,031
Net plan assets at end of year (total assets less liabilities)2016-12-31$12,944,450
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$10,845,419
Assets. Value of participant loans2016-12-31$165,909
Total contributions received or receivable from employer(s)2016-12-31$865,904
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$855
2015 : AGT SERVICES, INC 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,025,898
Expenses. Total of all expenses incurred2015-12-31$137,264
Benefits paid (including direct rollovers)2015-12-31$136,467
Total plan assets at end of year2015-12-31$10,845,419
Total plan assets at beginning of year2015-12-31$9,956,785
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$528,033
Contributions received from other sources (not participants or employers)2015-12-31$148,779
Other income received2015-12-31$-131,435
Net income (gross income less expenses)2015-12-31$888,634
Net plan assets at end of year (total assets less liabilities)2015-12-31$10,845,419
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$9,956,785
Assets. Value of participant loans2015-12-31$122,914
Total contributions received or receivable from employer(s)2015-12-31$480,521
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$797
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : AGT SERVICES, INC 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,090,340
Expenses. Total of all expenses incurred2014-12-31$34,882
Benefits paid (including direct rollovers)2014-12-31$30,899
Total plan assets at end of year2014-12-31$9,956,785
Total plan assets at beginning of year2014-12-31$8,901,327
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$422,880
Other income received2014-12-31$415,606
Net income (gross income less expenses)2014-12-31$1,055,458
Net plan assets at end of year (total assets less liabilities)2014-12-31$9,956,785
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$8,901,327
Assets. Value of participant loans2014-12-31$55,493
Total contributions received or receivable from employer(s)2014-12-31$251,854
Value of certain deemed distributions of participant loans2014-12-31$3,313
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$670
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 : AGT SERVICES, INC 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$3,133,355
Expenses. Total of all expenses incurred2013-12-31$741,912
Benefits paid (including direct rollovers)2013-12-31$741,308
Total plan assets at end of year2013-12-31$8,901,327
Total plan assets at beginning of year2013-12-31$6,509,884
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$449,471
Contributions received from other sources (not participants or employers)2013-12-31$829,009
Other income received2013-12-31$1,192,354
Net income (gross income less expenses)2013-12-31$2,391,443
Net plan assets at end of year (total assets less liabilities)2013-12-31$8,901,327
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$6,509,884
Assets. Value of participant loans2013-12-31$65,072
Total contributions received or receivable from employer(s)2013-12-31$662,521
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$604
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : AGT SERVICES, INC 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$1,383,483
Expenses. Total of all expenses incurred2012-12-31$420,397
Benefits paid (including direct rollovers)2012-12-31$419,690
Total plan assets at end of year2012-12-31$6,509,884
Total plan assets at beginning of year2012-12-31$5,546,798
Value of fidelity bond covering the plan2012-12-31$120,000
Total contributions received or receivable from participants2012-12-31$406,686
Expenses. Other expenses not covered elsewhere2012-12-31$707
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$740,144
Net income (gross income less expenses)2012-12-31$963,086
Net plan assets at end of year (total assets less liabilities)2012-12-31$6,509,884
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$5,546,798
Assets. Value of participant loans2012-12-31$104,038
Total contributions received or receivable from employer(s)2012-12-31$236,653
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 : AGT SERVICES, INC 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$834,984
Expenses. Total of all expenses incurred2011-12-31$30,802
Benefits paid (including direct rollovers)2011-12-31$30,313
Total plan assets at end of year2011-12-31$5,546,798
Total plan assets at beginning of year2011-12-31$4,742,616
Value of fidelity bond covering the plan2011-12-31$120,000
Total contributions received or receivable from participants2011-12-31$400,186
Expenses. Other expenses not covered elsewhere2011-12-31$489
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-171,087
Net income (gross income less expenses)2011-12-31$804,182
Net plan assets at end of year (total assets less liabilities)2011-12-31$5,546,798
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,742,616
Assets. Value of participant loans2011-12-31$62,254
Total contributions received or receivable from employer(s)2011-12-31$605,885
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 : AGT SERVICES, INC 401(K) PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$576
Total income from all sources2010-12-31$1,386,617
Expenses. Total of all expenses incurred2010-12-31$32,421
Benefits paid (including direct rollovers)2010-12-31$32,089
Total plan assets at end of year2010-12-31$4,742,616
Total plan assets at beginning of year2010-12-31$3,387,844
Value of fidelity bond covering the plan2010-12-31$120,000
Total contributions received or receivable from participants2010-12-31$417,341
Expenses. Other expenses not covered elsewhere2010-12-31$332
Contributions received from other sources (not participants or employers)2010-12-31$10,104
Other income received2010-12-31$430,225
Net income (gross income less expenses)2010-12-31$1,354,196
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,742,616
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,387,844
Assets. Value of participant loans2010-12-31$24,500
Total contributions received or receivable from employer(s)2010-12-31$528,947
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 : AGT SERVICES, INC 401(K) 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 AGT SERVICES, INC 401(K) PLAN

2016: AGT SERVICES, INC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: AGT SERVICES, INC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: AGT SERVICES, INC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
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: AGT SERVICES, INC 401(K) 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 - TrustYes
2012: AGT SERVICES, INC 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
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: AGT SERVICES, INC 401(K) 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
2009: AGT SERVICES, INC 401(K) 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-827711
Policy instance 1
Insurance contract or identification numberGA-827711
Number of Individuals Covered71
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $25,244
Total amount of fees paid to insurance companyUSD $4,150
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 $25,244
Insurance broker organization code?3
Amount paid for insurance broker fees4150
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMERRILL LYNCH, PIERCE, FENNER &
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-827711
Policy instance 1
Insurance contract or identification numberGA-827711
Number of Individuals Covered62
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $22,136
Total amount of fees paid to insurance companyUSD $3,659
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 $22,136
Insurance broker organization code?3
Amount paid for insurance broker fees3659
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMERRILL LYNCH, PIERCE, FENNER &
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-827711
Policy instance 1
Insurance contract or identification numberGA-827711
Number of Individuals Covered55
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $17,528
Total amount of fees paid to insurance companyUSD $2,868
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 $17,528
Insurance broker organization code?3
Amount paid for insurance broker fees2868
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMERRILL LYNCH PIERCE FENNER SMITH I
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-827711
Policy instance 1
Insurance contract or identification numberGA-827711
Number of Individuals Covered57
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $14,252
Total amount of fees paid to insurance companyUSD $2,174
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 $14,252
Insurance broker organization code?3
Amount paid for insurance broker fees2174
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMERRILL LYNCH PIERCE FENNER SMITH I
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-827711
Policy instance 1
Insurance contract or identification numberGA-827711
Number of Individuals Covered57
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $20,056
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-710125
Policy instance 1
Insurance contract or identification numberGA-710125
Number of Individuals Covered56
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $14,694
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 $14,694
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH LIFE AGENCY

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