401k Plan data: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST plan

MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST
Plan identification number	001

MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.

401k Sponsoring company profile

AMI MANCHESTER, LLC has sponsored the creation of one or more 401k plans.

Company Name: AMI MANCHESTER, LLC

Employer identification number (EIN): 201006144

NAIC Classification: 332110

Additional information about AMI MANCHESTER, LLC

Jurisdiction of Incorporation: Michigan Secretary of State

Incorporation Date: 2004-03-22

Company Identification Number: B3032Q

Legal Registered Office Address: W. AUSTIN RD MANCHESTER 48158

United States of America (USA)
17951

More information about AMI MANCHESTER, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 VINCENT HENDERSON
001 2009-01-01 ROGER GOLDBAUM
001 2008-01-01 ROGER GOLDBAUM
001 2006-01-01 ROGER GOLDBAUM

Plan Statistics for MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST

Measure Date Value
2017: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 33
Number of retired or separated participants receiving benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 36
Total participants 2017-01-01 36
2016: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 33
Number of retired or separated participants receiving benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 35
Total participants 2016-01-01 35
2015: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 30
Number of retired or separated participants receiving benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 31
Total participants 2015-01-01 31
2014: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 29
Number of retired or separated participants receiving benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 32
Total participants 2014-01-01 32
2013: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 24
Number of retired or separated participants receiving benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 27
Total participants 2013-01-01 27
2012: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 26
Number of retired or separated participants receiving benefits 2012-01-01 4
Total of all active and inactive participants 2012-01-01 30
Total participants 2012-01-01 30
2009: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 41
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 30
Number of retired or separated participants receiving benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 35
Total participants 2009-01-01 35
2008: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2008 401k membership
Total participants, beginning-of-year 2008-01-01 51
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 39
Number of retired or separated participants receiving benefits 2008-01-01 2
Total of all active and inactive participants 2008-01-01 41
Total participants 2008-01-01 41
2006: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2006 401k membership
Total participants, beginning-of-year 2006-01-01 65
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 62
Total of all active and inactive participants 2006-01-01 62
Total participants 2006-01-01 62

Measure	Date	Value
2017: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	33
Number of retired or separated participants receiving benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	36
Total participants	2017-01-01	36
2016: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	33
Number of retired or separated participants receiving benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	35
Total participants	2016-01-01	35
2015: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	30
Number of retired or separated participants receiving benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	31
Total participants	2015-01-01	31
2014: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	29
Number of retired or separated participants receiving benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	32
Total participants	2014-01-01	32
2013: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	24
Number of retired or separated participants receiving benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	27
Total participants	2013-01-01	27
2012: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	26
Number of retired or separated participants receiving benefits	2012-01-01	4
Total of all active and inactive participants	2012-01-01	30
Total participants	2012-01-01	30
2009: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	41
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	30
Number of retired or separated participants receiving benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	35
Total participants	2009-01-01	35
2008: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2008 401k membership
Total participants, beginning-of-year	2008-01-01	51
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	39
Number of retired or separated participants receiving benefits	2008-01-01	2
Total of all active and inactive participants	2008-01-01	41
Total participants	2008-01-01	41
2006: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2006 401k membership
Total participants, beginning-of-year	2006-01-01	65
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	62
Total of all active and inactive participants	2006-01-01	62
Total participants	2006-01-01	62

Financial Data on MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2017 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2017 401k financial data
Total income from all sources	2017-12-31	$219,229
Expenses. Total of all expenses incurred	2017-12-31	$5,944
Benefits paid (including direct rollovers)	2017-12-31	$4,986
Total plan assets at end of year	2017-12-31	$1,314,060
Total plan assets at beginning of year	2017-12-31	$1,100,775
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$71,537
Contributions received from other sources (not participants or employers)	2017-12-31	$2,037
Other income received	2017-12-31	$134,097
Net income (gross income less expenses)	2017-12-31	$213,285
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,314,060
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,100,775
Assets. Value of participant loans	2017-12-31	$17,606
Total contributions received or receivable from employer(s)	2017-12-31	$11,558
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$958
2016 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$155,446
Expenses. Total of all expenses incurred	2016-12-31	$17,392
Benefits paid (including direct rollovers)	2016-12-31	$16,973
Total plan assets at end of year	2016-12-31	$1,100,775
Total plan assets at beginning of year	2016-12-31	$962,721
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$71,940
Contributions received from other sources (not participants or employers)	2016-12-31	$2,116
Other income received	2016-12-31	$69,896
Net income (gross income less expenses)	2016-12-31	$138,054
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,100,775
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$962,721
Assets. Value of participant loans	2016-12-31	$21,051
Total contributions received or receivable from employer(s)	2016-12-31	$11,494
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$419
2015 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2015 401k financial data
Transfers to/from the plan	2015-12-31	$14,682
Total income from all sources	2015-12-31	$55,478
Expenses. Total of all expenses incurred	2015-12-31	$35,944
Benefits paid (including direct rollovers)	2015-12-31	$32,386
Total plan assets at end of year	2015-12-31	$962,721
Total plan assets at beginning of year	2015-12-31	$928,505
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$55,941
Contributions received from other sources (not participants or employers)	2015-12-31	$1,815
Other income received	2015-12-31	$-12,057
Net income (gross income less expenses)	2015-12-31	$19,534
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$962,721
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$928,505
Assets. Value of participant loans	2015-12-31	$14,998
Total contributions received or receivable from employer(s)	2015-12-31	$9,779
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$3,558
2014 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$94,911
Expenses. Total of all expenses incurred	2014-12-31	$99,570
Benefits paid (including direct rollovers)	2014-12-31	$96,241
Total plan assets at end of year	2014-12-31	$928,505
Total plan assets at beginning of year	2014-12-31	$933,164
Total contributions received or receivable from participants	2014-12-31	$45,936
Contributions received from other sources (not participants or employers)	2014-12-31	$1,427
Other income received	2014-12-31	$39,475
Net income (gross income less expenses)	2014-12-31	$-4,659
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$928,505
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$933,164
Assets. Value of participant loans	2014-12-31	$6,057
Total contributions received or receivable from employer(s)	2014-12-31	$8,073
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$3,329
2013 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$173,947
Expenses. Total of all expenses incurred	2013-12-31	$149,039
Benefits paid (including direct rollovers)	2013-12-31	$146,029
Total plan assets at end of year	2013-12-31	$933,164
Total plan assets at beginning of year	2013-12-31	$908,256
Total contributions received or receivable from participants	2013-12-31	$37,120
Contributions received from other sources (not participants or employers)	2013-12-31	$1,822
Other income received	2013-12-31	$128,048
Net income (gross income less expenses)	2013-12-31	$24,908
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$933,164
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$908,256
Assets. Value of participant loans	2013-12-31	$14,451
Total contributions received or receivable from employer(s)	2013-12-31	$6,957
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$3,010
2012 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$186,319
Expenses. Total of all expenses incurred	2012-12-31	$23,783
Benefits paid (including direct rollovers)	2012-12-31	$20,990
Total plan assets at end of year	2012-12-31	$908,256
Total plan assets at beginning of year	2012-12-31	$745,720
Total contributions received or receivable from participants	2012-12-31	$29,529
Contributions received from other sources (not participants or employers)	2012-12-31	$73,346
Other income received	2012-12-31	$77,687
Net income (gross income less expenses)	2012-12-31	$162,536
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$908,256
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$745,720
Assets. Value of participant loans	2012-12-31	$24,074
Total contributions received or receivable from employer(s)	2012-12-31	$5,757
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,793
2010 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$109,442
Expenses. Total of all expenses incurred	2010-12-31	$35,005
Benefits paid (including direct rollovers)	2010-12-31	$32,798
Total plan assets at end of year	2010-12-31	$776,504
Total plan assets at beginning of year	2010-12-31	$702,067
Total contributions received or receivable from participants	2010-12-31	$34,765
Other income received	2010-12-31	$70,782
Net income (gross income less expenses)	2010-12-31	$74,437
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$776,504
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$702,067
Assets. Value of participant loans	2010-12-31	$43,998
Total contributions received or receivable from employer(s)	2010-12-31	$3,895
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$2,207
2009 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2009 401k financial data
Total income from all sources	2009-12-31	$160,430
Expenses. Total of all expenses incurred	2009-12-31	$162,355
Benefits paid (including direct rollovers)	2009-12-31	$160,331
Total plan assets at end of year	2009-12-31	$702,067
Total plan assets at beginning of year	2009-12-31	$703,992
Total contributions received or receivable from participants	2009-12-31	$34,355
Other income received	2009-12-31	$121,700
Net income (gross income less expenses)	2009-12-31	$-1,925
Net plan assets at end of year (total assets less liabilities)	2009-12-31	$702,067
Net plan assets at beginning of year (total assets less liabilities)	2009-12-31	$703,992
Assets. Value of participant loans	2009-12-31	$49,807
Total contributions received or receivable from employer(s)	2009-12-31	$4,375
Expenses. Administrative service providers (salaries,fees and commissions)	2009-12-31	$2,024
2008 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2008 401k financial data
Total income from all sources	2008-12-31	$-189,576
Expenses. Total of all expenses incurred	2008-12-31	$79,099
Benefits paid (including direct rollovers)	2008-12-31	$76,918
Total plan assets at end of year	2008-12-31	$703,992
Total plan assets at beginning of year	2008-12-31	$972,667
Total contributions received or receivable from participants	2008-12-31	$59,043
Other income received	2008-12-31	$-256,043
Net income (gross income less expenses)	2008-12-31	$-268,675
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$703,992
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$972,667
Assets. Value of participant loans	2008-12-31	$43,515
Total contributions received or receivable from employer(s)	2008-12-31	$7,424
Expenses. Administrative service providers (salaries,fees and commissions)	2008-12-31	$2,181
2007 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2007 401k financial data
Total income from all sources	2007-12-31	$135,190
Expenses. Total of all expenses incurred	2007-12-31	$229,533
Benefits paid (including direct rollovers)	2007-12-31	$227,378
Total plan assets at end of year	2007-12-31	$972,667
Total plan assets at beginning of year	2007-12-31	$1,067,010
Total contributions received or receivable from participants	2007-12-31	$81,661
Contributions received from other sources (not participants or employers)	2007-12-31	$564
Other income received	2007-12-31	$44,601
Net income (gross income less expenses)	2007-12-31	$-94,343
Net plan assets at end of year (total assets less liabilities)	2007-12-31	$972,667
Net plan assets at beginning of year (total assets less liabilities)	2007-12-31	$1,067,010
Assets. Value of participant loans	2007-12-31	$62,666
Total contributions received or receivable from employer(s)	2007-12-31	$8,364
Expenses. Administrative service providers (salaries,fees and commissions)	2007-12-31	$2,155
2006 : MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2006 401k financial data
Total income from all sources	2006-12-31	$216,680
Expenses. Total of all expenses incurred	2006-12-31	$165,592
Benefits paid (including direct rollovers)	2006-12-31	$163,613
Total plan assets at end of year	2006-12-31	$1,067,010
Total plan assets at beginning of year	2006-12-31	$1,015,923
Total contributions received or receivable from participants	2006-12-31	$96,233
Expenses. Other expenses not covered elsewhere	2006-12-31	$1,979
Contributions received from other sources (not participants or employers)	2006-12-31	$4,112
Other income received	2006-12-31	$106,040
Net income (gross income less expenses)	2006-12-31	$51,088
Net plan assets at end of year (total assets less liabilities)	2006-12-31	$1,067,010
Net plan assets at beginning of year (total assets less liabilities)	2006-12-31	$1,015,923
Assets. Value of participant loans	2006-12-31	$105,082
Total contributions received or receivable from employer(s)	2006-12-31	$10,295

Form 5500 Responses for MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST

2017: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2009: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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
2008: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes
2006: MANCHESTER STAMPING 401K PROFIT SHARING PLAN & TRUST 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Trust	Yes
2006-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

930690-01

Policy instance

Insurance contract or identification number	930690-01
Number of Individuals Covered	36
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

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

Policy contract number

930690-01

Policy instance

Insurance contract or identification number	930690-01
Number of Individuals Covered	31
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,583
Total amount of fees paid to insurance company	USD $0
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
Commission paid to Insurance Broker	USD $1,583
Insurance broker organization code?	3
Insurance broker name	GROUP ASSOCIATES, INC

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

Policy contract number

930690-01

Policy instance

Insurance contract or identification number	930690-01
Number of Individuals Covered	32
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,930
Total amount of fees paid to insurance company	USD $0
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 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
Commission paid to Insurance Broker	USD $1,930
Insurance broker organization code?	3
Insurance broker name	GROUP ASSOCIATES, INC

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

Policy contract number

930690-01

Policy instance

Insurance contract or identification number	930690-01
Number of Individuals Covered	27
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,799
Total amount of fees paid to insurance company	USD $0
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 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
Commission paid to Insurance Broker	USD $1,799
Insurance broker organization code?	3
Insurance broker name	GROUP ASSOCIATES, INC

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

Policy contract number

930690-01

Policy instance

Insurance contract or identification number	930690-01
Number of Individuals Covered	30
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,708
Total amount of fees paid to insurance company	USD $0
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 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
Commission paid to Insurance Broker	USD $1,708
Insurance broker organization code?	3
Insurance broker name	GROUP ASSOCIATES, INC

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Company Name:	AMI MANCHESTER, LLC
Employer identification number (EIN):	201006144
NAIC Classification:	332110

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	2004-03-22
Company Identification Number:	B3032Q
Legal Registered Office Address:	W. AUSTIN RD MANCHESTER 48158 United States of America (USA) 17951