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GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 401k Plan overview

Plan NameGENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES
Plan identification number 002

GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily flat dollar (includes dollars per year of service)
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
  • 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

GENERAL EXTRUSIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:GENERAL EXTRUSIONS, INC.
Employer identification number (EIN):340706173
NAIC Classification:332900

Additional information about GENERAL EXTRUSIONS, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2000-02-18
Company Identification Number: 0013091306
Legal Registered Office Address: PO BOX 3488

YOUNGSTOWN
United States of America (USA)
44513

More information about GENERAL EXTRUSIONS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022013-02-01ROSEMARY ATHEY
0022012-02-01ROSEMARY ATHEY
0022011-02-01ROSEMARY ATHEY
0022009-02-01TERRY MALONEY

Plan Statistics for GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES

401k plan membership statisitcs for GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES

Measure Date Value
2013: GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-02-01309
Total number of active participants reported on line 7a of the Form 55002013-02-010
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-02-010
Total participants2013-02-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-02-010
2012: GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-02-01309
Total number of active participants reported on line 7a of the Form 55002012-02-0131
Number of retired or separated participants receiving benefits2012-02-0157
Number of other retired or separated participants entitled to future benefits2012-02-01204
Total of all active and inactive participants2012-02-01292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-02-0117
Total participants2012-02-01309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-02-010
2011: GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-02-01315
Total number of active participants reported on line 7a of the Form 55002011-02-0127
Number of retired or separated participants receiving benefits2011-02-0153
Number of other retired or separated participants entitled to future benefits2011-02-01214
Total of all active and inactive participants2011-02-01294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-02-0115
Total participants2011-02-01309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-02-010
2009: GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-02-01298
Total number of active participants reported on line 7a of the Form 55002009-02-0131
Number of retired or separated participants receiving benefits2009-02-0131
Number of other retired or separated participants entitled to future benefits2009-02-01245
Total of all active and inactive participants2009-02-01307
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-02-0114
Total participants2009-02-01321
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-02-010

Financial Data on GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES

Measure Date Value
2014 : GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-01-31$0
Total transfer of assets from this plan2014-01-31$6,867,665
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$0
Total income from all sources (including contributions)2014-01-31$685,989
Total loss/gain on sale of assets2014-01-31$0
Total of all expenses incurred2014-01-31$559,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-01-31$492,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-01-31$0
Value of total assets at end of year2014-01-31$6,867,665
Value of total assets at beginning of year2014-01-31$6,741,489
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-01-31$67,466
Total interest from all sources2014-01-31$4,531
Total dividends received (eg from common stock, registered investment company shares)2014-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-01-31No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2014-01-31$0
Administrative expenses professional fees incurred2014-01-31$2,900
Was this plan covered by a fidelity bond2014-01-31Yes
Value of fidelity bond cover2014-01-31$2,000,000
If this is an individual account plan, was there a blackout period2014-01-31No
Were there any nonexempt tranactions with any party-in-interest2014-01-31No
Administrative expenses (other) incurred2014-01-31$64,566
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Value of net income/loss2014-01-31$126,176
Value of net assets at end of year (total assets less liabilities)2014-01-31$6,867,665
Value of net assets at beginning of year (total assets less liabilities)2014-01-31$6,741,489
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-01-31No
Were any leases to which the plan was party in default or uncollectible2014-01-31No
Value of interest in pooled separate accounts at end of year2014-01-31$6,754,470
Value of interest in pooled separate accounts at beginning of year2014-01-31$6,423,012
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-01-31$4,531
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-01-31$113,195
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-01-31$246,477
Net investment gain/loss from pooled separate accounts2014-01-31$681,458
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-01-31No
Was there a failure to transmit to the plan any participant contributions2014-01-31No
Has the plan failed to provide any benefit when due under the plan2014-01-31No
Contributions received in cash from employer2014-01-31$0
Employer contributions (assets) at end of year2014-01-31$0
Employer contributions (assets) at beginning of year2014-01-31$72,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-01-31$492,347
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-01-31No
Did the plan have assets held for investment2014-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-01-31Yes
Opinion of an independent qualified public accountant for this plan2014-01-31Disclaimer
Accountancy firm name2014-01-31YRURCHYK & DAVIS CPA'S, INC
Accountancy firm EIN2014-01-31341638235
2013 : GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$0
Total income from all sources (including contributions)2013-01-31$737,204
Total loss/gain on sale of assets2013-01-31$0
Total of all expenses incurred2013-01-31$550,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-01-31$491,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-01-31$72,000
Value of total assets at end of year2013-01-31$6,741,489
Value of total assets at beginning of year2013-01-31$6,554,768
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-01-31$58,948
Total interest from all sources2013-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-01-31No
Administrative expenses professional fees incurred2013-01-31$7,300
Was this plan covered by a fidelity bond2013-01-31Yes
Value of fidelity bond cover2013-01-31$2,000,000
If this is an individual account plan, was there a blackout period2013-01-31No
Were there any nonexempt tranactions with any party-in-interest2013-01-31No
Administrative expenses (other) incurred2013-01-31$51,648
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Value of net income/loss2013-01-31$186,721
Value of net assets at end of year (total assets less liabilities)2013-01-31$6,741,489
Value of net assets at beginning of year (total assets less liabilities)2013-01-31$6,554,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-01-31No
Were any leases to which the plan was party in default or uncollectible2013-01-31No
Value of interest in pooled separate accounts at end of year2013-01-31$6,423,012
Value of interest in pooled separate accounts at beginning of year2013-01-31$6,465,909
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-01-31$246,477
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-01-31$88,859
Net investment gain/loss from pooled separate accounts2013-01-31$665,204
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-01-31No
Was there a failure to transmit to the plan any participant contributions2013-01-31No
Has the plan failed to provide any benefit when due under the plan2013-01-31No
Contributions received in cash from employer2013-01-31$72,000
Employer contributions (assets) at end of year2013-01-31$72,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-01-31$491,535
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-01-31No
Did the plan have assets held for investment2013-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-01-31Yes
Opinion of an independent qualified public accountant for this plan2013-01-31Disclaimer
Accountancy firm name2013-01-31YRURCHYK & DAVIS CPA'S, INC
Accountancy firm EIN2013-01-31341638235
2012 : GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$0
Total income from all sources (including contributions)2012-01-31$257,825
Total loss/gain on sale of assets2012-01-31$0
Total of all expenses incurred2012-01-31$488,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-31$480,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-31$0
Value of total assets at end of year2012-01-31$6,554,768
Value of total assets at beginning of year2012-01-31$6,785,348
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-31$8,032
Total interest from all sources2012-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-31No
Was this plan covered by a fidelity bond2012-01-31Yes
Value of fidelity bond cover2012-01-31$2,000,000
If this is an individual account plan, was there a blackout period2012-01-31No
Were there any nonexempt tranactions with any party-in-interest2012-01-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Value of net income/loss2012-01-31$-230,580
Value of net assets at end of year (total assets less liabilities)2012-01-31$6,554,768
Value of net assets at beginning of year (total assets less liabilities)2012-01-31$6,785,348
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-31No
Were any leases to which the plan was party in default or uncollectible2012-01-31No
Value of interest in pooled separate accounts at end of year2012-01-31$6,465,909
Value of interest in pooled separate accounts at beginning of year2012-01-31$6,695,076
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-01-31$88,859
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-01-31$90,272
Net investment gain/loss from pooled separate accounts2012-01-31$257,825
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-31No
Was there a failure to transmit to the plan any participant contributions2012-01-31No
Has the plan failed to provide any benefit when due under the plan2012-01-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-31$480,373
Contract administrator fees2012-01-31$8,032
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-01-31No
Did the plan have assets held for investment2012-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-31Yes
Opinion of an independent qualified public accountant for this plan2012-01-31Disclaimer
Accountancy firm name2012-01-31YRURCHYK & DAVIS CPA'S, INC.
Accountancy firm EIN2012-01-31341638235
2011 : GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$0
Total income from all sources (including contributions)2011-01-31$760,715
Total loss/gain on sale of assets2011-01-31$0
Total of all expenses incurred2011-01-31$378,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-01-31$366,578
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-01-31$0
Value of total assets at end of year2011-01-31$6,785,348
Value of total assets at beginning of year2011-01-31$6,403,201
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-01-31$11,990
Total interest from all sources2011-01-31$6,747
Total dividends received (eg from common stock, registered investment company shares)2011-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-01-31No
Was this plan covered by a fidelity bond2011-01-31Yes
Value of fidelity bond cover2011-01-31$2,000,000
If this is an individual account plan, was there a blackout period2011-01-31No
Were there any nonexempt tranactions with any party-in-interest2011-01-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-01-31$286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Value of net income/loss2011-01-31$382,147
Value of net assets at end of year (total assets less liabilities)2011-01-31$6,785,348
Value of net assets at beginning of year (total assets less liabilities)2011-01-31$6,403,201
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-01-31No
Were any leases to which the plan was party in default or uncollectible2011-01-31No
Value of interest in pooled separate accounts at end of year2011-01-31$6,695,076
Value of interest in pooled separate accounts at beginning of year2011-01-31$6,064,500
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-01-31$6,747
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-01-31$90,272
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-01-31$262,093
Net investment gain/loss from pooled separate accounts2011-01-31$753,968
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-01-31No
Was there a failure to transmit to the plan any participant contributions2011-01-31No
Has the plan failed to provide any benefit when due under the plan2011-01-31No
Employer contributions (assets) at beginning of year2011-01-31$76,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-01-31$366,578
Contract administrator fees2011-01-31$11,990
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-01-31No
Did the plan have assets held for investment2011-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-01-31Yes
Opinion of an independent qualified public accountant for this plan2011-01-31Disclaimer
Accountancy firm name2011-01-31YRURCHYK & DAVIS CPA'S, INC.
Accountancy firm EIN2011-01-31341638235
2010 : GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-01-31$0

Form 5500 Responses for GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES

2013: GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedYes
2013-02-01This submission is the final filingYes
2013-02-01Plan is a collectively bargained planYes
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement - TrustYes
2012: GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planYes
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement - TrustYes
2011: GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planYes
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes
2009: GENERAL EXTRUSIONS INC. RETIREMENT PLAN AND TRUST FOR EMPLOYEES 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planYes
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-1667
Policy instance 1
Insurance contract or identification numberGA-1667
Number of Individuals Covered304
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $12,793
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,793
Insurance broker organization code?7
Insurance broker nameJHW FINANCIAL SERVICES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-1667
Policy instance 1
Insurance contract or identification numberGA-1667
Number of Individuals Covered309
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $16,334
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $16,334
Insurance broker organization code?7
Insurance broker nameJHW FINANCIAL SERVICES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-1667
Policy instance 1
Insurance contract or identification numberGA-1667
Number of Individuals Covered309
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $16,618
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-1667
Policy instance 1
Insurance contract or identification numberGA-1667
Number of Individuals Covered315
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $16,299
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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

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