TGM PIZZA, INC. has sponsored the creation of one or more 401k plans.
Additional information about TGM PIZZA, INC.
| Measure | Date | Value |
|---|
| 2023: TGM PIZZA INC RETIREMENT PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 29 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 15 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 44 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2023-01-01 | 0 |
| Total participants | 2023-01-01 | 44 |
| Number of participants with account balances | 2023-01-01 | 29 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2023-01-01 | 0 |
| 2022: TGM PIZZA INC RETIREMENT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 31 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 17 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 13 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 30 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2022-01-01 | 0 |
| Total participants | 2022-01-01 | 30 |
| Number of participants with account balances | 2022-01-01 | 30 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2022-01-01 | 0 |
| 2021: TGM PIZZA INC RETIREMENT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 19 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 12 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 31 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2021-01-01 | 0 |
| Total participants | 2021-01-01 | 31 |
| Number of participants with account balances | 2021-01-01 | 31 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2021-01-01 | 0 |
| 2020: TGM PIZZA INC RETIREMENT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 25 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 16 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 11 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 27 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2020-01-01 | 0 |
| Total participants | 2020-01-01 | 27 |
| Number of participants with account balances | 2020-01-01 | 27 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2020-01-01 | 0 |
| 2019: TGM PIZZA INC RETIREMENT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 14 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 14 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 25 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-01-01 | 0 |
| Total participants | 2019-01-01 | 25 |
| Number of participants with account balances | 2019-01-01 | 25 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-01-01 | 0 |
| 2018: TGM PIZZA INC RETIREMENT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 14 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 14 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 14 |
| Number of participants with account balances | 2018-01-01 | 14 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 0 |
| 2017: TGM PIZZA INC RETIREMENT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 9 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 13 |
| Number of participants with account balances | 2017-01-01 | 13 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| 2016: TGM PIZZA INC RETIREMENT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 10 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 13 |
| Number of participants with account balances | 2016-01-01 | 13 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: TGM PIZZA INC RETIREMENT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 9 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 11 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 11 |
| Number of participants with account balances | 2015-01-01 | 11 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 0 |
| 2014: TGM PIZZA INC RETIREMENT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 11 |
| 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 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 11 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 11 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2023 : TGM PIZZA INC RETIREMENT PLAN 2023 401k financial data |
|---|
| Total income from all sources | 2023-12-31 | $246,266 |
| Expenses. Total of all expenses incurred | 2023-12-31 | $62,640 |
| Benefits paid (including direct rollovers) | 2023-12-31 | $54,268 |
| Total plan assets at end of year | 2023-12-31 | $875,916 |
| Total plan assets at beginning of year | 2023-12-31 | $692,290 |
| Value of fidelity bond covering the plan | 2023-12-31 | $90,000 |
| Total contributions received or receivable from participants | 2023-12-31 | $92,041 |
| Other income received | 2023-12-31 | $122,920 |
| Net income (gross income less expenses) | 2023-12-31 | $183,626 |
| Net plan assets at end of year (total assets less liabilities) | 2023-12-31 | $875,916 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-12-31 | $692,290 |
| Total contributions received or receivable from employer(s) | 2023-12-31 | $31,305 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-12-31 | $8,372 |
| 2022 : TGM PIZZA INC RETIREMENT PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-12-31 | $39,962 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $27,566 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $19,720 |
| Total plan assets at end of year | 2022-12-31 | $692,290 |
| Total plan assets at beginning of year | 2022-12-31 | $679,894 |
| Value of fidelity bond covering the plan | 2022-12-31 | $70,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $127,106 |
| Other income received | 2022-12-31 | $-122,123 |
| Net income (gross income less expenses) | 2022-12-31 | $12,396 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $692,290 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $679,894 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $34,979 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $7,846 |
| 2021 : TGM PIZZA INC RETIREMENT PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $194,661 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $26,717 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $19,791 |
| Total plan assets at end of year | 2021-12-31 | $679,894 |
| Total plan assets at beginning of year | 2021-12-31 | $511,950 |
| Value of fidelity bond covering the plan | 2021-12-31 | $70,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $87,760 |
| Other income received | 2021-12-31 | $67,799 |
| Net income (gross income less expenses) | 2021-12-31 | $167,944 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $679,894 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $511,950 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $39,102 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $6,926 |
| 2020 : TGM PIZZA INC RETIREMENT PLAN 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $180,803 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $85,092 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $80,086 |
| Total plan assets at end of year | 2020-12-31 | $511,950 |
| Total plan assets at beginning of year | 2020-12-31 | $416,239 |
| Value of fidelity bond covering the plan | 2020-12-31 | $60,000 |
| Total contributions received or receivable from participants | 2020-12-31 | $77,397 |
| Other income received | 2020-12-31 | $70,621 |
| Net income (gross income less expenses) | 2020-12-31 | $95,711 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $511,950 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $416,239 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $32,785 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $5,006 |
| 2019 : TGM PIZZA INC RETIREMENT PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $153,913 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $6,720 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $2,844 |
| Total plan assets at end of year | 2019-12-31 | $416,239 |
| Total plan assets at beginning of year | 2019-12-31 | $269,046 |
| Value of fidelity bond covering the plan | 2019-12-31 | $50,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $61,607 |
| Other income received | 2019-12-31 | $64,240 |
| Net income (gross income less expenses) | 2019-12-31 | $147,193 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $416,239 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $269,046 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $28,066 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $3,876 |
| 2018 : TGM PIZZA INC RETIREMENT PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $49,572 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $2,934 |
| Total plan assets at end of year | 2018-12-31 | $269,046 |
| Total plan assets at beginning of year | 2018-12-31 | $222,408 |
| Value of fidelity bond covering the plan | 2018-12-31 | $30,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $48,994 |
| Other income received | 2018-12-31 | $-20,176 |
| Net income (gross income less expenses) | 2018-12-31 | $46,638 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $269,046 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $222,408 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $20,754 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $2,934 |
| 2017 : TGM PIZZA INC RETIREMENT PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $84,190 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $1,947 |
| Total plan assets at end of year | 2017-12-31 | $222,408 |
| Total plan assets at beginning of year | 2017-12-31 | $140,165 |
| Value of fidelity bond covering the plan | 2017-12-31 | $20,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $38,639 |
| Other income received | 2017-12-31 | $28,341 |
| Net income (gross income less expenses) | 2017-12-31 | $82,243 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $222,408 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $140,165 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $17,210 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $1,947 |
| 2016 : TGM PIZZA INC RETIREMENT PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $63,472 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $1,118 |
| Total plan assets at end of year | 2016-12-31 | $140,165 |
| Total plan assets at beginning of year | 2016-12-31 | $77,811 |
| Value of fidelity bond covering the plan | 2016-12-31 | $20,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $35,577 |
| Other income received | 2016-12-31 | $13,063 |
| Net income (gross income less expenses) | 2016-12-31 | $62,354 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $140,165 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $77,811 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $14,832 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $1,118 |
| 2015 : TGM PIZZA INC RETIREMENT PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $51,306 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $428 |
| Total plan assets at end of year | 2015-12-31 | $77,811 |
| Total plan assets at beginning of year | 2015-12-31 | $26,933 |
| Value of fidelity bond covering the plan | 2015-12-31 | $20,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $36,920 |
| Other income received | 2015-12-31 | $-1,851 |
| Net income (gross income less expenses) | 2015-12-31 | $50,878 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $77,811 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $26,933 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $16,237 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $428 |
| 2014 : TGM PIZZA INC RETIREMENT PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $26,933 |
| Total plan assets at end of year | 2014-12-31 | $26,933 |
| Total plan assets at beginning of year | 2014-12-31 | $0 |
| Value of fidelity bond covering the plan | 2014-12-31 | $20,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $20,294 |
| Other income received | 2014-12-31 | $243 |
| Net income (gross income less expenses) | 2014-12-31 | $26,933 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $26,933 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $6,396 |
| 2023: TGM PIZZA INC RETIREMENT PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – Trust | Yes |
| 2023-01-01 | Plan benefit arrangement - Trust | Yes |
| 2022: TGM PIZZA INC RETIREMENT PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: TGM PIZZA INC RETIREMENT PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: TGM PIZZA INC RETIREMENT PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: TGM PIZZA INC RETIREMENT PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: TGM PIZZA INC RETIREMENT PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: TGM PIZZA INC RETIREMENT PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: TGM PIZZA INC RETIREMENT PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: TGM PIZZA INC RETIREMENT PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: TGM PIZZA INC RETIREMENT PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) |
| Policy contract number | 371820-01 |
| Policy instance | 1 |
| Insurance contract or identification number | 371820-01 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | 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 | 371820-01 |
| Policy instance | 1 |
| Insurance contract or identification number | 371820-01 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) |
| Policy contract number | 371820-01 |
| Policy instance | 1 |
| Insurance contract or identification number | 371820-01 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) |
| Policy contract number | 371820-01 |
| Policy instance | 1 |
| Insurance contract or identification number | 371820-01 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) |
| Policy contract number | 371820-01 |
| Policy instance | 1 |
| Insurance contract or identification number | 371820-01 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) |
| Policy contract number | 371820-01 |
| Policy instance | 1 |
| Insurance contract or identification number | 371820-01 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1 | | 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 | | Insurance broker organization code? | 3 |
|
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) |
| Policy contract number | 371820-01 |
| Policy instance | 1 |
| Insurance contract or identification number | 371820-01 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | CORY PREUSS |
|
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) |
| Policy contract number | 371820-01 |
| Policy instance | 1 |
| Insurance contract or identification number | 371820-01 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
