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WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 401k Plan overview

Plan NameWRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN
Plan identification number 002

WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN Benefits

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

401k Sponsoring company profile

WRIGHTWOOD PRECISION PRODUCTS COMPANY has sponsored the creation of one or more 401k plans.

Company Name:WRIGHTWOOD PRECISION PRODUCTS COMPANY
Employer identification number (EIN):362597002
NAIC Classification:332700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022012-05-01JOSEPH FOLKER2016-11-03
0022011-05-01
0022010-05-01
0022009-05-01
0022008-05-01
0022007-05-01
0022006-05-01
0022005-05-01
0022004-05-01
0022003-05-01

Plan Statistics for WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN

401k plan membership statisitcs for WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN

Measure Date Value
2008: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2008 401k membership
Total participants, beginning-of-year2008-05-0125
Total number of active participants reported on line 7a of the Form 55002008-05-0120
Number of retired or separated participants receiving benefits2008-05-010
Number of other retired or separated participants entitled to future benefits2008-05-017
Total of all active and inactive participants2008-05-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-05-010
Total participants2008-05-0127
Number of participants with account balances2008-05-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-05-010
2007: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2007 401k membership
Total participants, beginning-of-year2007-05-0123
Total number of active participants reported on line 7a of the Form 55002007-05-0118
Number of retired or separated participants receiving benefits2007-05-010
Number of other retired or separated participants entitled to future benefits2007-05-017
Total of all active and inactive participants2007-05-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-05-010
Total participants2007-05-0125
Number of participants with account balances2007-05-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-05-012
2006: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2006 401k membership
Total participants, beginning-of-year2006-05-0122
Total number of active participants reported on line 7a of the Form 55002006-05-0118
Number of retired or separated participants receiving benefits2006-05-010
Number of other retired or separated participants entitled to future benefits2006-05-015
Total of all active and inactive participants2006-05-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2006-05-010
Total participants2006-05-0123
Number of participants with account balances2006-05-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2006-05-011
2005: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2005 401k membership
Total participants, beginning-of-year2005-05-0116
Total number of active participants reported on line 7a of the Form 55002005-05-0116
Number of retired or separated participants receiving benefits2005-05-010
Number of other retired or separated participants entitled to future benefits2005-05-015
Total of all active and inactive participants2005-05-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2005-05-010
Total participants2005-05-0121
Number of participants with account balances2005-05-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2005-05-011
2004: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2004 401k membership
Total participants, beginning-of-year2004-05-0115
Total number of active participants reported on line 7a of the Form 55002004-05-0113
Number of retired or separated participants receiving benefits2004-05-010
Number of other retired or separated participants entitled to future benefits2004-05-012
Total of all active and inactive participants2004-05-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2004-05-010
Total participants2004-05-0115
Number of participants with account balances2004-05-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2004-05-011
2003: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2003 401k membership
Total participants, beginning-of-year2003-05-0110
Total number of active participants reported on line 7a of the Form 55002003-05-0110
Number of retired or separated participants receiving benefits2003-05-010
Number of other retired or separated participants entitled to future benefits2003-05-011
Total of all active and inactive participants2003-05-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2003-05-010
Total participants2003-05-0111
Number of participants with account balances2003-05-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2003-05-010

Financial Data on WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN

Measure Date Value
2009 : WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2009 401k financial data
Total income from all sources2009-04-30$64,013
Expenses. Total of all expenses incurred2009-04-30$0
Total plan assets at end of year2009-04-30$662,553
Total plan assets at beginning of year2009-04-30$598,540
Noncash contributions received2009-04-30$25,586
Net income (gross income less expenses)2009-04-30$64,013
Net plan assets at end of year (total assets less liabilities)2009-04-30$662,553
Net plan assets at beginning of year (total assets less liabilities)2009-04-30$598,540
Total contributions received or receivable from employer(s)2009-04-30$38,427
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-04-30$0
Funding deficiency by the employer to the plan for this plan year2009-04-30$0
Minimum employer required contribution for this plan year2009-04-30$43,469
Amount contributed by the employer to the plan for this plan year2009-04-30$43,469
2008 : WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2008 401k financial data
Total income from all sources2008-04-30$59,927
Expenses. Total of all expenses incurred2008-04-30$62,379
Benefits paid (including direct rollovers)2008-04-30$62,379
Total plan assets at end of year2008-04-30$598,540
Total plan assets at beginning of year2008-04-30$600,992
Other income received2008-04-30$19,425
Net income (gross income less expenses)2008-04-30$-2,452
Net plan assets at end of year (total assets less liabilities)2008-04-30$598,540
Net plan assets at beginning of year (total assets less liabilities)2008-04-30$600,992
Total contributions received or receivable from employer(s)2008-04-30$40,502
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2008-04-30$0
Funding deficiency by the employer to the plan for this plan year2008-04-30$0
Minimum employer required contribution for this plan year2008-04-30$38,427
Amount contributed by the employer to the plan for this plan year2008-04-30$38,427
2007 : WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2007 401k financial data
Total income from all sources2007-04-30$59,068
Expenses. Total of all expenses incurred2007-04-30$1,294
Benefits paid (including direct rollovers)2007-04-30$1,294
Total plan assets at end of year2007-04-30$600,992
Total plan assets at beginning of year2007-04-30$543,218
Total contributions received or receivable from participants2007-04-30$38,049
Other income received2007-04-30$21,019
Net income (gross income less expenses)2007-04-30$57,774
Net plan assets at end of year (total assets less liabilities)2007-04-30$600,992
Net plan assets at beginning of year (total assets less liabilities)2007-04-30$543,218
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2007-04-30$0
Funding deficiency by the employer to the plan for this plan year2007-04-30$0
Minimum employer required contribution for this plan year2007-04-30$40,502
Amount contributed by the employer to the plan for this plan year2007-04-30$40,502
2006 : WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2006 401k financial data
Total income from all sources2006-04-30$50,564
Expenses. Total of all expenses incurred2006-04-30$0
Total plan assets at end of year2006-04-30$543,218
Total plan assets at beginning of year2006-04-30$492,654
Other income received2006-04-30$19,057
Net income (gross income less expenses)2006-04-30$50,564
Net plan assets at end of year (total assets less liabilities)2006-04-30$543,218
Net plan assets at beginning of year (total assets less liabilities)2006-04-30$492,654
Total contributions received or receivable from employer(s)2006-04-30$31,507
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2006-04-30$0
Funding deficiency by the employer to the plan for this plan year2006-04-30$0
Minimum employer required contribution for this plan year2006-04-30$38,049
Amount contributed by the employer to the plan for this plan year2006-04-30$38,049
2005 : WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2005 401k financial data
Total income from all sources2005-04-30$47,437
Expenses. Total of all expenses incurred2005-04-30$0
Total plan assets at end of year2005-04-30$492,654
Total plan assets at beginning of year2005-04-30$445,217
Other income received2005-04-30$21,149
Net income (gross income less expenses)2005-04-30$47,437
Net plan assets at end of year (total assets less liabilities)2005-04-30$492,654
Net plan assets at beginning of year (total assets less liabilities)2005-04-30$445,217
Total contributions received or receivable from employer(s)2005-04-30$26,288
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2005-04-30$0
Funding deficiency by the employer to the plan for this plan year2005-04-30$0
Minimum employer required contribution for this plan year2005-04-30$31,507
Amount contributed by the employer to the plan for this plan year2005-04-30$31,507
2004 : WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2004 401k financial data
Total income from all sources2004-04-30$18,565
Expenses. Total of all expenses incurred2004-04-30$153
Benefits paid (including direct rollovers)2004-04-30$153
Total plan assets at end of year2004-04-30$445,217
Total plan assets at beginning of year2004-04-30$426,805
Other income received2004-04-30$18,565
Net income (gross income less expenses)2004-04-30$18,412
Net plan assets at end of year (total assets less liabilities)2004-04-30$445,217
Net plan assets at beginning of year (total assets less liabilities)2004-04-30$426,805
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2004-04-30$0
Funding deficiency by the employer to the plan for this plan year2004-04-30$0
Minimum employer required contribution for this plan year2004-04-30$26,288
Amount contributed by the employer to the plan for this plan year2004-04-30$26,288

Form 5500 Responses for WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN

2008: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2008 form 5500 responses
2008-05-01Type of plan entitySingle employer plan
2008-05-01Submission has been amendedNo
2008-05-01This submission is the final filingNo
2008-05-01This return/report is a short plan year return/report (less than 12 months)No
2008-05-01Plan is a collectively bargained planNo
2008-05-01Plan funding arrangement – InsuranceYes
2008-05-01Plan funding arrangement – TrustYes
2008-05-01Plan benefit arrangement – InsuranceYes
2008-05-01Plan benefit arrangement - TrustYes
2007: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2007 form 5500 responses
2007-05-01Type of plan entitySingle employer plan
2007-05-01Submission has been amendedNo
2007-05-01This submission is the final filingNo
2007-05-01This return/report is a short plan year return/report (less than 12 months)No
2007-05-01Plan is a collectively bargained planNo
2007-05-01Plan funding arrangement – InsuranceYes
2007-05-01Plan funding arrangement – TrustYes
2007-05-01Plan benefit arrangement – InsuranceYes
2007-05-01Plan benefit arrangement - TrustYes
2006: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2006 form 5500 responses
2006-05-01Type of plan entitySingle employer plan
2006-05-01Submission has been amendedNo
2006-05-01This submission is the final filingNo
2006-05-01This return/report is a short plan year return/report (less than 12 months)No
2006-05-01Plan is a collectively bargained planNo
2006-05-01Plan funding arrangement – InsuranceYes
2006-05-01Plan funding arrangement – TrustYes
2006-05-01Plan benefit arrangement – InsuranceYes
2006-05-01Plan benefit arrangement - TrustYes
2005: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2005 form 5500 responses
2005-05-01Type of plan entitySingle employer plan
2005-05-01Submission has been amendedNo
2005-05-01This submission is the final filingNo
2005-05-01This return/report is a short plan year return/report (less than 12 months)No
2005-05-01Plan is a collectively bargained planNo
2005-05-01Plan funding arrangement – InsuranceYes
2005-05-01Plan funding arrangement – TrustYes
2005-05-01Plan benefit arrangement – InsuranceYes
2005-05-01Plan benefit arrangement - TrustYes
2004: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2004 form 5500 responses
2004-05-01Type of plan entitySingle employer plan
2004-05-01Submission has been amendedNo
2004-05-01This submission is the final filingNo
2004-05-01This return/report is a short plan year return/report (less than 12 months)No
2004-05-01Plan is a collectively bargained planNo
2004-05-01Plan funding arrangement – InsuranceYes
2004-05-01Plan funding arrangement – TrustYes
2004-05-01Plan benefit arrangement – InsuranceYes
2004-05-01Plan benefit arrangement - TrustYes
2003: WRIGHTWOOD PRECISION PRODUCTS COMPANY PENSION PLAN 2003 form 5500 responses
2003-05-01Type of plan entitySingle employer plan
2003-05-01Submission has been amendedNo
2003-05-01This submission is the final filingNo
2003-05-01This return/report is a short plan year return/report (less than 12 months)No
2003-05-01Plan is a collectively bargained planNo
2003-05-01Plan funding arrangement – InsuranceYes
2003-05-01Plan funding arrangement – TrustYes
2003-05-01Plan benefit arrangement – InsuranceYes
2003-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberUL0472283
Policy instance 2
Insurance contract or identification numberUL0472283
Number of Individuals Covered14
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
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 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
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 BenefitYes
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract number1A4203930
Policy instance 1
Insurance contract or identification number1A4203930
Number of Individuals Covered4
Insurance policy start date2008-05-01
Insurance policy end date2009-04-30
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 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
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 BenefitYes
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
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberUL0472283
Policy instance 2
Insurance contract or identification numberUL0472283
Number of Individuals Covered10
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
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 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
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 BenefitYes
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract number1A4203930
Policy instance 1
Insurance contract or identification number1A4203930
Number of Individuals Covered4
Insurance policy start date2007-05-01
Insurance policy end date2008-04-30
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 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
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 BenefitYes
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
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberUL0472283
Policy instance 2
Insurance contract or identification numberUL0472283
Number of Individuals Covered10
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $1,957
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 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
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 BenefitYes
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 $1,957
Insurance broker organization code?3
Insurance broker nameDAVID DUERWACHTER AGENCY
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract number1A4203930
Policy instance 1
Insurance contract or identification number1A4203930
Number of Individuals Covered4
Insurance policy start date2006-05-01
Insurance policy end date2007-04-30
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 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
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 BenefitYes
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
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberUL0472283
Policy instance 2
Insurance contract or identification numberUL0472283
Number of Individuals Covered3
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $55
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 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
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 BenefitYes
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 $55
Insurance broker organization code?3
Insurance broker nameDAVID DUERWACHTER AGENCY
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract number1A4203930
Policy instance 1
Insurance contract or identification number1A4203930
Number of Individuals Covered4
Insurance policy start date2005-05-01
Insurance policy end date2006-04-30
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 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
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 BenefitYes
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
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberUL0472283
Policy instance 2
Insurance contract or identification numberUL0472283
Number of Individuals Covered3
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $55
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 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
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 BenefitYes
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 $55
Insurance broker organization code?3
Insurance broker nameDAVID A. DUERWACHTER
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract number1A4203930
Policy instance 1
Insurance contract or identification number1A4203930
Number of Individuals Covered4
Insurance policy start date2004-05-01
Insurance policy end date2005-04-30
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 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
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 BenefitYes
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
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberUL0472283
Policy instance 2
Insurance contract or identification numberUL0472283
Number of Individuals Covered6
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $181
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 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
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 BenefitYes
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 $181
Insurance broker organization code?3
Insurance broker nameDAVID A. DUERWACHTER
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract number1A4203930
Policy instance 1
Insurance contract or identification number1A4203930
Number of Individuals Covered4
Insurance policy start date2003-05-01
Insurance policy end date2004-04-30
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 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
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 BenefitYes
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

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