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AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 401k Plan overview

Plan NameAMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION)
Plan identification number 002

AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

AMERICAN INKS AND COATINGS, CORP has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN INKS AND COATINGS, CORP
Employer identification number (EIN):231271983
NAIC Classification:325500

Additional information about AMERICAN INKS AND COATINGS, CORP

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0004508

More information about AMERICAN INKS AND COATINGS, CORP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022017-01-01BRUCE HARRISON
0022017-01-01
0022016-01-01BRUCE HARRISON
0022015-01-01JERRY L. MOSLEY
0022014-01-01JERRY L. MOSLEY
0022013-01-01JERRY L. MOSLEY
0022012-01-01JERRY L. MOSLEY JERRY L MOSLEY2013-10-09
0022011-01-01JERRY L. MOSLEY JERRY L MOSLEY2012-10-08
0022010-01-01JERRY L MOSLEY
0022009-01-01JERRY L MOSLEY

Plan Statistics for AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION)

401k plan membership statisitcs for AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION)

Measure Date Value
2017: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2017 401k membership
Market value of plan assets2017-12-283,226,379
Acturial value of plan assets2017-12-283,226,379
Funding target for retired participants and beneficiaries receiving payment2017-12-282,281,575
Number of terminated vested participants2017-12-2830
Fundng target for terminated vested participants2017-12-28806,796
Active participant vested funding target2017-12-28332,643
Number of active participants2017-12-286
Total funding liabilities for active participants2017-12-28332,643
Total participant count2017-12-2870
Total funding target for all participants2017-12-283,421,014
Prefunding balance at beginning of prior year after applicable adjustments2017-12-2858,714
Prefunding balanced used to offset prior years funding requirement2017-12-2858,714
Present value of excess contributions2017-12-288,442
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-289,396
Total employer contributions2017-12-28120,000
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-28115,315
Net shortfall amortization installment of oustanding balance2017-12-28194,635
Total funding amount beforereflecting carryover/prefunding balances2017-12-2840,271
Additional cash requirement2017-12-2840,271
Contributions allocatedtoward minimum required contributions for current year2017-12-28115,315
Unpaid minimum required contributions for all years2017-12-280
Total participants, beginning-of-year2017-01-0171
Total number of active participants reported on line 7a of the Form 55002017-01-016
Number of retired or separated participants receiving benefits2017-01-0134
Number of other retired or separated participants entitled to future benefits2017-01-0130
Total of all active and inactive participants2017-01-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2016 401k membership
Market value of plan assets2016-12-313,098,305
Acturial value of plan assets2016-12-313,098,305
Funding target for retired participants and beneficiaries receiving payment2016-12-312,318,391
Number of terminated vested participants2016-12-3135
Fundng target for terminated vested participants2016-12-31839,384
Active participant vested funding target2016-12-31316,601
Number of active participants2016-12-316
Total funding liabilities for active participants2016-12-31316,601
Total participant count2016-12-3171
Total funding target for all participants2016-12-313,474,376
Prefunding balance at beginning of prior year after applicable adjustments2016-12-3161,065
Amount remaining of prefunding balance2016-12-3161,065
Balance of prefunding at beginning of current year2016-12-3158,714
Total employer contributions2016-12-3125,000
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-3123,217
Net shortfall amortization installment of oustanding balance2016-12-31444,785
Total funding amount beforereflecting carryover/prefunding balances2016-12-3173,489
Prefunding balance elected to use to offset funding requirement2016-12-3158,714
Additional cash requirement2016-12-3114,775
Contributions allocatedtoward minimum required contributions for current year2016-12-3123,217
Unpaid minimum required contributions for all years2016-12-310
Total participants, beginning-of-year2016-01-0171
Total number of active participants reported on line 7a of the Form 55002016-01-016
Number of retired or separated participants receiving benefits2016-01-0129
Number of other retired or separated participants entitled to future benefits2016-01-0135
Total of all active and inactive participants2016-01-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2015 401k membership
Total participants, beginning-of-year2015-01-0172
Total number of active participants reported on line 7a of the Form 55002015-01-016
Number of retired or separated participants receiving benefits2015-01-0129
Number of other retired or separated participants entitled to future benefits2015-01-0135
Total of all active and inactive participants2015-01-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2014 401k membership
Total participants, beginning-of-year2014-01-0172
Total number of active participants reported on line 7a of the Form 55002014-01-016
Number of retired or separated participants receiving benefits2014-01-0127
Number of other retired or separated participants entitled to future benefits2014-01-0138
Total of all active and inactive participants2014-01-0171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2013 401k membership
Total participants, beginning-of-year2013-01-0172
Total number of active participants reported on line 7a of the Form 55002013-01-016
Number of retired or separated participants receiving benefits2013-01-0126
Number of other retired or separated participants entitled to future benefits2013-01-0139
Total of all active and inactive participants2013-01-0171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2012 401k membership
Total participants, beginning-of-year2012-01-0172
Total number of active participants reported on line 7a of the Form 55002012-01-016
Number of retired or separated participants receiving benefits2012-01-0126
Number of other retired or separated participants entitled to future benefits2012-01-0140
Total of all active and inactive participants2012-01-0172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2011 401k membership
Total participants, beginning-of-year2011-01-0172
Total number of active participants reported on line 7a of the Form 55002011-01-017
Number of retired or separated participants receiving benefits2011-01-0125
Number of other retired or separated participants entitled to future benefits2011-01-0140
Total of all active and inactive participants2011-01-0172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2010 401k membership
Total participants, beginning-of-year2010-01-0172
Total number of active participants reported on line 7a of the Form 55002010-01-017
Number of retired or separated participants receiving benefits2010-01-0123
Number of other retired or separated participants entitled to future benefits2010-01-0142
Total of all active and inactive participants2010-01-0172
Total participants2010-01-0172
2009: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2009 401k membership
Total participants, beginning-of-year2009-01-0172
Total number of active participants reported on line 7a of the Form 55002009-01-019
Number of retired or separated participants receiving benefits2009-01-0120
Number of other retired or separated participants entitled to future benefits2009-01-0143
Total of all active and inactive participants2009-01-0172
Total participants2009-01-0172

Financial Data on AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION)

Measure Date Value
2017 : AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2017 401k financial data
Transfers to/from the plan2017-12-28$-3,541,253
Total income from all sources2017-12-28$621,812
Expenses. Total of all expenses incurred2017-12-28$282,345
Benefits paid (including direct rollovers)2017-12-28$282,345
Total plan assets at end of year2017-12-28$3,541,253
Total plan assets at beginning of year2017-12-28$3,201,786
Value of fidelity bond covering the plan2017-12-28$500,000
Other income received2017-12-28$521,812
Net income (gross income less expenses)2017-12-28$339,467
Net plan assets at end of year (total assets less liabilities)2017-12-28$3,541,253
Net plan assets at beginning of year (total assets less liabilities)2017-12-28$3,201,786
Total contributions received or receivable from employer(s)2017-12-28$100,000
2016 : AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2016 401k financial data
Total income from all sources2016-12-31$336,859
Expenses. Total of all expenses incurred2016-12-31$233,378
Benefits paid (including direct rollovers)2016-12-31$233,378
Total plan assets at end of year2016-12-31$3,201,786
Total plan assets at beginning of year2016-12-31$3,098,305
Value of fidelity bond covering the plan2016-12-31$500,000
Other income received2016-12-31$336,859
Net income (gross income less expenses)2016-12-31$103,481
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,201,786
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,098,305
2015 : AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2015 401k financial data
Total income from all sources2015-12-31$-128,681
Expenses. Total of all expenses incurred2015-12-31$234,237
Benefits paid (including direct rollovers)2015-12-31$234,237
Total plan assets at end of year2015-12-31$3,098,305
Total plan assets at beginning of year2015-12-31$3,461,223
Value of fidelity bond covering the plan2015-12-31$500,000
Other income received2015-12-31$-128,681
Net income (gross income less expenses)2015-12-31$-362,918
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,098,305
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,461,223
2014 : AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2014 401k financial data
Total income from all sources2014-12-31$187,202
Expenses. Total of all expenses incurred2014-12-31$227,016
Benefits paid (including direct rollovers)2014-12-31$227,016
Total plan assets at end of year2014-12-31$3,461,223
Total plan assets at beginning of year2014-12-31$3,501,037
Value of fidelity bond covering the plan2014-12-31$500,000
Other income received2014-12-31$187,202
Net income (gross income less expenses)2014-12-31$-39,814
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,461,223
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,501,037
2013 : AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2013 401k financial data
Total income from all sources2013-12-31$961,574
Expenses. Total of all expenses incurred2013-12-31$214,315
Benefits paid (including direct rollovers)2013-12-31$214,315
Total plan assets at end of year2013-12-31$3,501,037
Total plan assets at beginning of year2013-12-31$2,753,778
Value of fidelity bond covering the plan2013-12-31$500,000
Other income received2013-12-31$698,642
Net income (gross income less expenses)2013-12-31$747,259
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,501,037
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,753,778
Total contributions received or receivable from employer(s)2013-12-31$262,932
2012 : AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2012 401k financial data
Total income from all sources2012-12-31$1,075,622
Expenses. Total of all expenses incurred2012-12-31$702,919
Benefits paid (including direct rollovers)2012-12-31$426,938
Total plan assets at end of year2012-12-31$2,753,778
Total plan assets at beginning of year2012-12-31$2,381,075
Value of fidelity bond covering the plan2012-12-31$500,000
Expenses. Other expenses not covered elsewhere2012-12-31$275,981
Other income received2012-12-31$545,022
Net income (gross income less expenses)2012-12-31$372,703
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,753,778
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,381,075
Total contributions received or receivable from employer(s)2012-12-31$530,600
2011 : AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2011 401k financial data
Total income from all sources2011-12-31$3,022,181
Expenses. Total of all expenses incurred2011-12-31$3,080,494
Benefits paid (including direct rollovers)2011-12-31$416,564
Total plan assets at end of year2011-12-31$2,381,075
Total plan assets at beginning of year2011-12-31$2,439,388
Value of fidelity bond covering the plan2011-12-31$500,000
Expenses. Other expenses not covered elsewhere2011-12-31$2,663,930
Other income received2011-12-31$2,536,460
Net income (gross income less expenses)2011-12-31$-58,313
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,381,075
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,439,388
Total contributions received or receivable from employer(s)2011-12-31$485,721
2010 : AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2010 401k financial data
Total income from all sources2010-12-31$486,418
Expenses. Total of all expenses incurred2010-12-31$204,207
Benefits paid (including direct rollovers)2010-12-31$204,207
Total plan assets at end of year2010-12-31$2,439,388
Total plan assets at beginning of year2010-12-31$2,157,177
Value of fidelity bond covering the plan2010-12-31$500,000
Other income received2010-12-31$265,657
Net income (gross income less expenses)2010-12-31$282,211
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,439,388
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,157,177
Total contributions received or receivable from employer(s)2010-12-31$220,761

Form 5500 Responses for AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION)

2017: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: AMERICAN INKS AND COATINGS CORP. RETIREMENT INCOME PLAN (NON-UNION) 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberHASA 300253
Policy instance 1
Insurance contract or identification numberHASA 300253
Number of Individuals Covered70
Insurance policy start date2017-01-01
Insurance policy end date2017-12-28
Total amount of commissions paid to insurance brokerUSD $8,279
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 BrokerUSD $8,279
Insurance broker organization code?3
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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
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
Insurance broker nameEDWARD JONES & CO
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberHASA 300253
Policy instance 1
Insurance contract or identification numberHASA 300253
Number of Individuals Covered71
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,556
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 BrokerUSD $8,556
Insurance broker organization code?3
Insurance broker nameEDWARD JONES & CO
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-300253
Policy instance 1
Insurance contract or identification numberGA-300253
Insurance policy start date2014-01-01
Insurance policy end date2014-06-20
Total amount of commissions paid to insurance brokerUSD $2,013
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 BrokerUSD $2,013
Insurance broker organization code?3
Insurance broker nameEDWARD D. JONES
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberHASA 300253
Policy instance 2
Insurance contract or identification numberHASA 300253
Number of Individuals Covered72
Insurance policy start date2014-06-21
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,172
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 BrokerUSD $4,172
Insurance broker organization code?3
Insurance broker nameEDWARD JONES & CO
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-300253
Policy instance 1
Insurance contract or identification numberGA-300253
Number of Individuals Covered72
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,089
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 BrokerUSD $5,089
Insurance broker organization code?3
Insurance broker nameEDWARD D. JONES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-300253
Policy instance 1
Insurance contract or identification numberGA-300253
Number of Individuals Covered72
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,186
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 BrokerUSD $4,186
Insurance broker organization code?3
Insurance broker nameEDWARD D. JONES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-300253
Policy instance 1
Insurance contract or identification numberGA-300253
Number of Individuals Covered72
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,136
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-300253
Policy instance 1
Insurance contract or identification numberGA-300253
Number of Individuals Covered72
Total amount of commissions paid to insurance brokerUSD $3,916
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
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $3,916
Insurance broker nameEDWARD JONES

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