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NORJENES DAYCARE CENTER PENSION PLAN 401k Plan overview

Plan NameNORJENES DAYCARE CENTER PENSION PLAN
Plan identification number 001

NORJENES DAYCARE CENTER PENSION PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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.
  • 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

NORJENES DAYCARE CENTER has sponsored the creation of one or more 401k plans.

Company Name:NORJENES DAYCARE CENTER
Employer identification number (EIN):222991922
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORJENES DAYCARE CENTER PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01NORMA ADAMS2023-05-15
0012021-01-01NORMA ADAMS2022-05-09
0012020-01-01NORMA ADAMS2021-07-29
0012019-01-01NORMA ADAMS2020-06-17
0012018-01-01NORMA ADAMS2019-09-26
0012017-01-01NORMA ADAMS2018-10-09
0012016-01-01NORMA ADAMS2017-07-20
0012015-01-01NORMA ADAMS2016-07-29
0012014-01-01NORMA ADAMS2015-10-09 NORMA ADAMS2015-10-09
0012013-01-01NORMA ADAMS2014-08-18 NORMA ADAMS2014-08-18
0012012-01-01NORMA ADAMS2013-07-30 NORMA ADAMS2013-07-30
0012011-01-01NORMA ADAMS NORMA ADAMS2012-10-12
0012007-01-01NORMA ADAMS
0012006-01-01NORMA ADAMS
0012003-01-01NORMA ADAMS

Plan Statistics for NORJENES DAYCARE CENTER PENSION PLAN

401k plan membership statisitcs for NORJENES DAYCARE CENTER PENSION PLAN

Measure Date Value
2011: NORJENES DAYCARE CENTER PENSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0149
Total number of active participants reported on line 7a of the Form 55002011-01-0125
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0118
Total of all active and inactive participants2011-01-0143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-0144
Number of participants with account balances2011-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2007: NORJENES DAYCARE CENTER PENSION PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-0155
Total number of active participants reported on line 7a of the Form 55002007-01-0129
Number of retired or separated participants receiving benefits2007-01-010
Number of other retired or separated participants entitled to future benefits2007-01-0115
Total of all active and inactive participants2007-01-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-010
Total participants2007-01-0144
Number of participants with account balances2007-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-011
Number of employers contributing to the scheme2007-01-010
2006: NORJENES DAYCARE CENTER PENSION PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-0159
Total number of active participants reported on line 7a of the Form 55002006-01-0123
Number of retired or separated participants receiving benefits2006-01-010
Number of other retired or separated participants entitled to future benefits2006-01-0114
Total of all active and inactive participants2006-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2006-01-011
Total participants2006-01-0138
Number of participants with account balances2006-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2006-01-011
Number of employers contributing to the scheme2006-01-010
2003: NORJENES DAYCARE CENTER PENSION PLAN 2003 401k membership
Total participants, beginning-of-year2003-01-0152
Total number of active participants reported on line 7a of the Form 55002003-01-0124
Number of retired or separated participants receiving benefits2003-01-010
Number of other retired or separated participants entitled to future benefits2003-01-014
Total of all active and inactive participants2003-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2003-01-010
Total participants2003-01-0128
Number of participants with account balances2003-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2003-01-012
Number of employers contributing to the scheme2003-01-010

Financial Data on NORJENES DAYCARE CENTER PENSION PLAN

Measure Date Value
2011 : NORJENES DAYCARE CENTER PENSION PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$57,725
Expenses. Total of all expenses incurred2011-12-31$6,186
Benefits paid (including direct rollovers)2011-12-31$0
Total plan assets at end of year2011-12-31$721,959
Total plan assets at beginning of year2011-12-31$670,420
Value of fidelity bond covering the plan2011-12-31$1,000,000
Assets. Value of tangible personal property2011-12-31$0
Total contributions received or receivable from participants2011-12-31$0
Assets. Value of loans (other than to participants)2011-12-31$0
Expenses. Other expenses not covered elsewhere2011-12-31$6,186
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-6,053
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$51,539
Net plan assets at end of year (total assets less liabilities)2011-12-31$721,959
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$670,420
Assets. Value of participant loans2011-12-31$41,818
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2011-12-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2011-12-31$0
Assets. Value of assets in partnership/joint-venture interests2011-12-31$0
Assets. Value of real-estate (other than employer real property)2011-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022011-12-31$0
Assets. Value of employer securities2011-12-31$0
Assets. Value of employer real property2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$63,778
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$-63,778
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$63,778
2010 : NORJENES DAYCARE CENTER PENSION PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$129,125
Expenses. Total of all expenses incurred2010-12-31$41,040
Benefits paid (including direct rollovers)2010-12-31$35,307
Total plan assets at end of year2010-12-31$670,415
Total plan assets at beginning of year2010-12-31$582,330
Value of fidelity bond covering the plan2010-12-31$1,000,000
Assets. Value of tangible personal property2010-12-31$0
Total contributions received or receivable from participants2010-12-31$0
Assets. Value of loans (other than to participants)2010-12-31$0
Expenses. Other expenses not covered elsewhere2010-12-31$5,733
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$43,906
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$88,085
Net plan assets at end of year (total assets less liabilities)2010-12-31$670,415
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$582,330
Assets. Value of participant loans2010-12-31$19,737
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2010-12-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2010-12-31$0
Assets. Value of assets in partnership/joint-venture interests2010-12-31$0
Assets. Value of real-estate (other than employer real property)2010-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$0
Assets. Value of employer securities2010-12-31$0
Assets. Value of employer real property2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$85,219
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$-41,741
Minimum employer required contribution for this plan year2010-12-31$64,942
Amount contributed by the employer to the plan for this plan year2010-12-31$106,683
2008 : NORJENES DAYCARE CENTER PENSION PLAN 2008 401k financial data
Transfers to/from the plan2008-12-31$0
Total plan liabilities at end of year2008-12-31$0
Total plan liabilities at beginning of year2008-12-31$0
Total income from all sources2008-12-31$47,118
Expenses. Total of all expenses incurred2008-12-31$5,847
Benefits paid (including direct rollovers)2008-12-31$5,161
Total plan assets at end of year2008-12-31$446,302
Total plan assets at beginning of year2008-12-31$405,031
Total contributions received or receivable from participants2008-12-31$0
Expenses. Other expenses not covered elsewhere2008-12-31$686
Contributions received from other sources (not participants or employers)2008-12-31$0
Other income received2008-12-31$-52,450
Noncash contributions received2008-12-31$0
Net income (gross income less expenses)2008-12-31$41,271
Net plan assets at end of year (total assets less liabilities)2008-12-31$446,302
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$405,031
Total contributions received or receivable from employer(s)2008-12-31$99,568
Value of certain deemed distributions of participant loans2008-12-31$0
Value of corrective distributions2008-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2008-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2008-12-31$0
Funding deficiency by the employer to the plan for this plan year2008-12-31$-99,568
Minimum employer required contribution for this plan year2008-12-31$0
Amount contributed by the employer to the plan for this plan year2008-12-31$99,568
2007 : NORJENES DAYCARE CENTER PENSION PLAN 2007 401k financial data
Transfers to/from the plan2007-12-31$0
Total plan liabilities at end of year2007-12-31$0
Total plan liabilities at beginning of year2007-12-31$0
Total income from all sources2007-12-31$95,675
Expenses. Total of all expenses incurred2007-12-31$630
Benefits paid (including direct rollovers)2007-12-31$0
Total plan assets at end of year2007-12-31$405,031
Total plan assets at beginning of year2007-12-31$309,986
Total contributions received or receivable from participants2007-12-31$0
Expenses. Other expenses not covered elsewhere2007-12-31$630
Contributions received from other sources (not participants or employers)2007-12-31$0
Other income received2007-12-31$18,226
Noncash contributions received2007-12-31$0
Net income (gross income less expenses)2007-12-31$95,045
Net plan assets at end of year (total assets less liabilities)2007-12-31$405,031
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$309,986
Total contributions received or receivable from employer(s)2007-12-31$77,449
Value of certain deemed distributions of participant loans2007-12-31$0
Value of corrective distributions2007-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2007-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2007-12-31$0
Funding deficiency by the employer to the plan for this plan year2007-12-31$-77,449
Minimum employer required contribution for this plan year2007-12-31$0
Amount contributed by the employer to the plan for this plan year2007-12-31$77,449
2006 : NORJENES DAYCARE CENTER PENSION PLAN 2006 401k financial data
Transfers to/from the plan2006-12-31$0
Total plan liabilities at end of year2006-12-31$0
Total plan liabilities at beginning of year2006-12-31$0
Total income from all sources2006-12-31$85,374
Expenses. Total of all expenses incurred2006-12-31$20,419
Benefits paid (including direct rollovers)2006-12-31$19,832
Total plan assets at end of year2006-12-31$309,986
Total plan assets at beginning of year2006-12-31$245,031
Total contributions received or receivable from participants2006-12-31$0
Expenses. Other expenses not covered elsewhere2006-12-31$587
Contributions received from other sources (not participants or employers)2006-12-31$0
Other income received2006-12-31$16,753
Noncash contributions received2006-12-31$0
Net income (gross income less expenses)2006-12-31$64,955
Net plan assets at end of year (total assets less liabilities)2006-12-31$309,986
Net plan assets at beginning of year (total assets less liabilities)2006-12-31$245,031
Total contributions received or receivable from employer(s)2006-12-31$68,621
Value of certain deemed distributions of participant loans2006-12-31$0
Value of corrective distributions2006-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2006-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2006-12-31$0
Funding deficiency by the employer to the plan for this plan year2006-12-31$0
Minimum employer required contribution for this plan year2006-12-31$0
Amount contributed by the employer to the plan for this plan year2006-12-31$0
2005 : NORJENES DAYCARE CENTER PENSION PLAN 2005 401k financial data
Transfers to/from the plan2005-12-31$0
Total plan liabilities at end of year2005-12-31$0
Total plan liabilities at beginning of year2005-12-31$0
Total income from all sources2005-12-31$68,387
Expenses. Total of all expenses incurred2005-12-31$1,572
Benefits paid (including direct rollovers)2005-12-31$949
Total plan assets at end of year2005-12-31$249,597
Total plan assets at beginning of year2005-12-31$182,782
Total contributions received or receivable from participants2005-12-31$0
Expenses. Other expenses not covered elsewhere2005-12-31$623
Contributions received from other sources (not participants or employers)2005-12-31$0
Other income received2005-12-31$8,813
Noncash contributions received2005-12-31$0
Net income (gross income less expenses)2005-12-31$66,815
Net plan assets at end of year (total assets less liabilities)2005-12-31$249,597
Net plan assets at beginning of year (total assets less liabilities)2005-12-31$182,782
Total contributions received or receivable from employer(s)2005-12-31$59,574
Value of certain deemed distributions of participant loans2005-12-31$0
Value of corrective distributions2005-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2005-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2005-12-31$0
Funding deficiency by the employer to the plan for this plan year2005-12-31$0
Minimum employer required contribution for this plan year2005-12-31$80,318
Amount contributed by the employer to the plan for this plan year2005-12-31$80,318
2004 : NORJENES DAYCARE CENTER PENSION PLAN 2004 401k financial data
Transfers to/from the plan2004-12-31$0
Total plan liabilities at end of year2004-12-31$0
Total plan liabilities at beginning of year2004-12-31$0
Total income from all sources2004-12-31$50,140
Expenses. Total of all expenses incurred2004-12-31$8,901
Benefits paid (including direct rollovers)2004-12-31$8,395
Total plan assets at end of year2004-12-31$177,647
Total plan assets at beginning of year2004-12-31$136,408
Total contributions received or receivable from participants2004-12-31$0
Expenses. Other expenses not covered elsewhere2004-12-31$506
Contributions received from other sources (not participants or employers)2004-12-31$0
Other income received2004-12-31$9,888
Noncash contributions received2004-12-31$0
Net income (gross income less expenses)2004-12-31$41,239
Net plan assets at end of year (total assets less liabilities)2004-12-31$177,647
Net plan assets at beginning of year (total assets less liabilities)2004-12-31$136,408
Total contributions received or receivable from employer(s)2004-12-31$40,252
Value of certain deemed distributions of participant loans2004-12-31$0
Value of corrective distributions2004-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2004-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2004-12-31$0
Funding deficiency by the employer to the plan for this plan year2004-12-31$0
Minimum employer required contribution for this plan year2004-12-31$0
Amount contributed by the employer to the plan for this plan year2004-12-31$0
2003 : NORJENES DAYCARE CENTER PENSION PLAN 2003 401k financial data
Transfers to/from the plan2003-12-31$0
Total plan liabilities at end of year2003-12-31$0
Total plan liabilities at beginning of year2003-12-31$0
Total income from all sources2003-12-31$74,484
Expenses. Total of all expenses incurred2003-12-31$446
Benefits paid (including direct rollovers)2003-12-31$0
Total plan assets at end of year2003-12-31$136,408
Total plan assets at beginning of year2003-12-31$62,370
Total contributions received or receivable from participants2003-12-31$0
Expenses. Other expenses not covered elsewhere2003-12-31$446
Contributions received from other sources (not participants or employers)2003-12-31$0
Other income received2003-12-31$13,500
Noncash contributions received2003-12-31$0
Net income (gross income less expenses)2003-12-31$74,038
Net plan assets at end of year (total assets less liabilities)2003-12-31$136,408
Net plan assets at beginning of year (total assets less liabilities)2003-12-31$62,370
Total contributions received or receivable from employer(s)2003-12-31$60,984
Value of certain deemed distributions of participant loans2003-12-31$0
Value of corrective distributions2003-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2003-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2003-12-31$0
Funding deficiency by the employer to the plan for this plan year2003-12-31$0
Minimum employer required contribution for this plan year2003-12-31$0
Amount contributed by the employer to the plan for this plan year2003-12-31$0

Form 5500 Responses for NORJENES DAYCARE CENTER PENSION PLAN

2011: NORJENES DAYCARE CENTER PENSION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2007: NORJENES DAYCARE CENTER PENSION PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan benefit arrangement – InsuranceYes
2006: NORJENES DAYCARE CENTER PENSION PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan benefit arrangement – InsuranceYes
2003: NORJENES DAYCARE CENTER PENSION PLAN 2003 form 5500 responses
2003-01-01Type of plan entitySingle employer plan
2003-01-01Submission has been amendedNo
2003-01-01This submission is the final filingNo
2003-01-01This return/report is a short plan year return/report (less than 12 months)No
2003-01-01Plan is a collectively bargained planNo
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number222991922Z1
Policy instance 1
Insurance contract or identification number222991922Z1
Number of Individuals Covered48
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number222991922Z1
Policy instance 1
Insurance contract or identification number222991922Z1
Number of Individuals Covered49
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number222991922Z1
Policy instance 1
Insurance contract or identification number222991922Z1
Number of Individuals Covered52
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number222991922Z1
Policy instance 1
Insurance contract or identification number222991922Z1
Number of Individuals Covered54
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number222991922Z1
Policy instance 1
Insurance contract or identification number222991922Z1
Number of Individuals Covered55
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number222991922Z1
Policy instance 1
Insurance contract or identification number222991922Z1
Number of Individuals Covered43
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number222991922Z1
Policy instance 1
Insurance contract or identification number222991922Z1
Number of Individuals Covered60
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number222991922Z1
Policy instance 1
Insurance contract or identification number222991922Z1
Number of Individuals Covered62
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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