ALLINA 401K RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	ALLINA 401K RETIREMENT SAVINGS PLAN
Plan identification number	002

ALLINA 401K RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1. Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met. Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash. Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities. Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll. Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account. Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ALLINA HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:	ALLINA HEALTH SYSTEM
Employer identification number (EIN):	363261413
NAIC Classification:	622000
NAIC Description:	Hospitals

Additional information about ALLINA HEALTH SYSTEM

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	904432

More information about ALLINA HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALLINA 401K RETIREMENT SAVINGS PLAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2023-01-01
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01	ROBERT BRAUSEN
002	2017-01-01	PAMELA J. PRICE
002	2016-01-01	PAMELA J. PRICE
002	2015-01-01	STEVE WALLNER
002	2014-01-01	JOHN T KNIGHT
002	2013-01-01	JOHN T KNIGHT
002	2012-01-01	STEVE WALLNER
002	2011-01-01	KRISTYN MULLIN
002	2009-01-01	KRISTYN MULLIN		KRISTYN MULLIN	2010-07-22

Plan Statistics for ALLINA 401K RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for ALLINA 401K RETIREMENT SAVINGS PLAN

Measure	Date	Value
2023: ALLINA 401K RETIREMENT SAVINGS PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	37,092
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	29,592
Number of retired or separated participants receiving benefits	2023-01-01	236
Number of other retired or separated participants entitled to future benefits	2023-01-01	8,168
Total of all active and inactive participants	2023-01-01	37,996
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	76
Total participants	2023-01-01	38,072
Number of participants with account balances	2023-01-01	35,919
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	34
2022: ALLINA 401K RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	35,552
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	29,148
Number of retired or separated participants receiving benefits	2022-01-01	217
Number of other retired or separated participants entitled to future benefits	2022-01-01	7,658
Total of all active and inactive participants	2022-01-01	37,023
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	69
Total participants	2022-01-01	37,092
Number of participants with account balances	2022-01-01	34,554
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	150
2021: ALLINA 401K RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	34,654
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	28,249
Number of retired or separated participants receiving benefits	2021-01-01	197
Number of other retired or separated participants entitled to future benefits	2021-01-01	7,046
Total of all active and inactive participants	2021-01-01	35,492
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	60
Total participants	2021-01-01	35,552
Number of participants with account balances	2021-01-01	33,143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	163
2020: ALLINA 401K RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	33,980
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	28,702
Number of retired or separated participants receiving benefits	2020-01-01	90
Number of other retired or separated participants entitled to future benefits	2020-01-01	5,798
Total of all active and inactive participants	2020-01-01	34,590
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	64
Total participants	2020-01-01	34,654
Number of participants with account balances	2020-01-01	32,203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	112
2019: ALLINA 401K RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	33,591
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	28,732
Number of retired or separated participants receiving benefits	2019-01-01	143
Number of other retired or separated participants entitled to future benefits	2019-01-01	5,062
Total of all active and inactive participants	2019-01-01	33,937
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	43
Total participants	2019-01-01	33,980
Number of participants with account balances	2019-01-01	31,689
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	122
2018: ALLINA 401K RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	32,739
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	28,935
Number of retired or separated participants receiving benefits	2018-01-01	128
Number of other retired or separated participants entitled to future benefits	2018-01-01	4,493
Total of all active and inactive participants	2018-01-01	33,556
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	35
Total participants	2018-01-01	33,591
Number of participants with account balances	2018-01-01	31,099
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	101
2017: ALLINA 401K RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	31,150
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	28,738
Number of retired or separated participants receiving benefits	2017-01-01	101
Number of other retired or separated participants entitled to future benefits	2017-01-01	3,867
Total of all active and inactive participants	2017-01-01	32,706
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	33
Total participants	2017-01-01	32,739
Number of participants with account balances	2017-01-01	30,128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	93
2016: ALLINA 401K RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	29,857
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	27,521
Number of retired or separated participants receiving benefits	2016-01-01	76
Number of other retired or separated participants entitled to future benefits	2016-01-01	3,510
Total of all active and inactive participants	2016-01-01	31,107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	43
Total participants	2016-01-01	31,150
Number of participants with account balances	2016-01-01	28,544
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	81
2015: ALLINA 401K RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	28,211
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	26,887
Number of retired or separated participants receiving benefits	2015-01-01	60
Number of other retired or separated participants entitled to future benefits	2015-01-01	2,876
Total of all active and inactive participants	2015-01-01	29,823
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	34
Total participants	2015-01-01	29,857
Number of participants with account balances	2015-01-01	27,084
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	19
2014: ALLINA 401K RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	27,689
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	25,847
Number of retired or separated participants receiving benefits	2014-01-01	43
Number of other retired or separated participants entitled to future benefits	2014-01-01	2,302
Total of all active and inactive participants	2014-01-01	28,192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	19
Total participants	2014-01-01	28,211
Number of participants with account balances	2014-01-01	25,455
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ALLINA 401K RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	25,461
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	25,908
Number of retired or separated participants receiving benefits	2013-01-01	31
Number of other retired or separated participants entitled to future benefits	2013-01-01	1,731
Total of all active and inactive participants	2013-01-01	27,670
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	19
Total participants	2013-01-01	27,689
Number of participants with account balances	2013-01-01	24,421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	14
2012: ALLINA 401K RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	24,759
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	24,200
Number of retired or separated participants receiving benefits	2012-01-01	41
Number of other retired or separated participants entitled to future benefits	2012-01-01	1,207
Total of all active and inactive participants	2012-01-01	25,448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	13
Total participants	2012-01-01	25,461
Number of participants with account balances	2012-01-01	22,404
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	120
2011: ALLINA 401K RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	23,442
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	23,796
Number of retired or separated participants receiving benefits	2011-01-01	47
Number of other retired or separated participants entitled to future benefits	2011-01-01	897
Total of all active and inactive participants	2011-01-01	24,740
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	19
Total participants	2011-01-01	24,759
Number of participants with account balances	2011-01-01	21,430
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	136
2009: ALLINA 401K RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,122
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,638
Number of retired or separated participants receiving benefits	2009-01-01	19
Number of other retired or separated participants entitled to future benefits	2009-01-01	437
Total of all active and inactive participants	2009-01-01	2,094
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	5
Total participants	2009-01-01	2,099
Number of participants with account balances	2009-01-01	1,929
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ALLINA 401K RETIREMENT SAVINGS PLAN

Measure	Date	Value
2023 : ALLINA 401K RETIREMENT SAVINGS PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total income from all sources (including contributions)	2023-12-31	$765,760,754
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$257,979,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$255,350,783
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$313,673,742
Value of total assets at end of year	2023-12-31	$3,186,058,657
Value of total assets at beginning of year	2023-12-31	$2,678,277,538
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$2,628,852
Total interest from all sources	2023-12-31	$10,352,444
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$19,701,730
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$19,701,730
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$199,939,231
Participant contributions at end of year	2023-12-31	$39,983,043
Participant contributions at beginning of year	2023-12-31	$35,430,490
Assets. Other investments not covered elsewhere at end of year	2023-12-31	$220,032,272
Assets. Other investments not covered elsewhere at beginning of year	2023-12-31	$199,554,901
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$23,142,047
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$507,781,119
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$3,186,058,657
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$2,678,277,538
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Investment advisory and management fees	2023-12-31	$778,492
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$761,067,122
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$589,407,668
Value of interest in pooled separate accounts at end of year	2023-12-31	$1,174,526
Value of interest in pooled separate accounts at beginning of year	2023-12-31	$1,224,346
Interest on participant loans	2023-12-31	$2,128,107
Interest earned on other investments	2023-12-31	$8,224,337
Value of interest in common/collective trusts at end of year	2023-12-31	$1,816,330,076
Value of interest in common/collective trusts at beginning of year	2023-12-31	$1,493,731,249
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-12-31	$291,001,290
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-12-31	$306,400,392
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$114,371,255
Net investment gain/loss from pooled separate accounts	2023-12-31	$195,268
Net investment gain or loss from common/collective trusts	2023-12-31	$307,466,315
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$90,592,464
Employer contributions (assets) at end of year	2023-12-31	$56,470,328
Employer contributions (assets) at beginning of year	2023-12-31	$52,528,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$255,350,783
Contract administrator fees	2023-12-31	$81,111
Did the plan have assets held for investment	2023-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2023-12-31	410746749
2022 : ALLINA 401K RETIREMENT SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-194,431,742
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$228,957,558
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$226,424,868
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$290,442,399
Value of total assets at end of year	2022-12-31	$2,678,277,538
Value of total assets at beginning of year	2022-12-31	$3,101,666,838
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$2,532,690
Total interest from all sources	2022-12-31	$7,350,052
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$27,396,416
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$27,396,416
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$183,678,477
Participant contributions at end of year	2022-12-31	$35,430,490
Participant contributions at beginning of year	2022-12-31	$35,513,062
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$199,554,901
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$248,149,554
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$22,879,150
Total non interest bearing cash at end of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-423,389,300
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,678,277,538
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,101,666,838
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$2,532,120
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$589,407,668
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$616,895,057
Value of interest in pooled separate accounts at end of year	2022-12-31	$1,224,346
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$1,723,250
Interest on participant loans	2022-12-31	$1,657,324
Interest earned on other investments	2022-12-31	$5,692,728
Value of interest in common/collective trusts at end of year	2022-12-31	$1,493,731,249
Value of interest in common/collective trusts at beginning of year	2022-12-31	$1,829,046,530
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$306,400,392
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$320,138,290
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-148,219,009
Net investment gain/loss from pooled separate accounts	2022-12-31	$-280,666
Net investment gain or loss from common/collective trusts	2022-12-31	$-371,120,934
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$83,884,772
Employer contributions (assets) at end of year	2022-12-31	$52,528,492
Employer contributions (assets) at beginning of year	2022-12-31	$50,201,095
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$226,424,868
Contract administrator fees	2022-12-31	$570
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-12-31	410746749
2021 : ALLINA 401K RETIREMENT SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$648,146,939
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$236,526,558
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$234,048,999
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$281,624,529
Value of total assets at end of year	2021-12-31	$3,101,666,838
Value of total assets at beginning of year	2021-12-31	$2,690,046,457
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$2,477,559
Total interest from all sources	2021-12-31	$8,035,811
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$37,383,065
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$37,383,065
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$175,420,662
Participant contributions at end of year	2021-12-31	$35,513,062
Participant contributions at beginning of year	2021-12-31	$35,904,373
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$248,149,554
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$225,075,746
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$26,847,046
Total non interest bearing cash at end of year	2021-12-31	$0
Total non interest bearing cash at beginning of year	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$411,620,381
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,101,666,838
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,690,046,457
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$2,477,014
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$616,895,057
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,094,087,234
Value of interest in pooled separate accounts at end of year	2021-12-31	$1,723,250
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$1,435,461
Interest on participant loans	2021-12-31	$1,919,902
Interest earned on other investments	2021-12-31	$6,115,909
Value of interest in common/collective trusts at end of year	2021-12-31	$1,829,046,530
Value of interest in common/collective trusts at beginning of year	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$320,138,290
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$285,102,148
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$320,815,064
Net investment gain/loss from pooled separate accounts	2021-12-31	$288,470
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$79,356,821
Employer contributions (assets) at end of year	2021-12-31	$50,201,095
Employer contributions (assets) at beginning of year	2021-12-31	$48,441,495
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$234,048,999
Contract administrator fees	2021-12-31	$545
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-12-31	410746749
2020 : ALLINA 401K RETIREMENT SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$621,882,468
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$191,637,783
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$189,776,781
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$249,461,934
Value of total assets at end of year	2020-12-31	$2,690,046,457
Value of total assets at beginning of year	2020-12-31	$2,259,801,772
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,861,002
Total interest from all sources	2020-12-31	$7,894,464
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$69,216,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$69,216,127
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$162,889,367
Participant contributions at end of year	2020-12-31	$35,904,373
Participant contributions at beginning of year	2020-12-31	$36,189,334
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$225,075,746
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$210,091,906
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$23,999,117
Total non interest bearing cash at end of year	2020-12-31	$0
Total non interest bearing cash at beginning of year	2020-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$430,244,685
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,690,046,457
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,259,801,772
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$1,860,432
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,094,087,234
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,712,183,879
Value of interest in pooled separate accounts at end of year	2020-12-31	$1,435,461
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$1,322,393
Interest on participant loans	2020-12-31	$1,914,051
Interest earned on other investments	2020-12-31	$5,980,413
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$285,102,148
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$251,052,837
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$295,176,295
Net investment gain/loss from pooled separate accounts	2020-12-31	$133,648
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$62,573,450
Employer contributions (assets) at end of year	2020-12-31	$48,441,495
Employer contributions (assets) at beginning of year	2020-12-31	$48,961,423
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$189,776,781
Contract administrator fees	2020-12-31	$570
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-12-31	410746749
2019 : ALLINA 401K RETIREMENT SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$613,149,048
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$156,772,984
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$154,478,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$262,312,278
Value of total assets at end of year	2019-12-31	$2,259,801,772
Value of total assets at beginning of year	2019-12-31	$1,803,425,708
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,294,254
Total interest from all sources	2019-12-31	$7,056,101
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$54,782,418
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$54,782,418
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$160,136,148
Participant contributions at end of year	2019-12-31	$36,189,334
Participant contributions at beginning of year	2019-12-31	$31,937,863
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$210,091,906
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$174,445,023
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$24,801,862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$456,376,064
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,259,801,772
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,803,425,708
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$2,293,638
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,712,183,879
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,308,127,010
Value of interest in pooled separate accounts at end of year	2019-12-31	$1,322,393
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,108,826
Interest on participant loans	2019-12-31	$1,867,340
Interest earned on other investments	2019-12-31	$5,188,761
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$251,052,837
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$241,081,620
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$288,735,323
Net investment gain/loss from pooled separate accounts	2019-12-31	$262,928
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$77,374,268
Employer contributions (assets) at end of year	2019-12-31	$48,961,423
Employer contributions (assets) at beginning of year	2019-12-31	$46,725,366
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$154,478,730
Contract administrator fees	2019-12-31	$616
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-12-31	410746749
2018 : ALLINA 401K RETIREMENT SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$0
Total transfer of assets from this plan	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$140,180,648
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$118,461,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$116,269,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$241,185,433
Value of total assets at end of year	2018-12-31	$1,803,425,708
Value of total assets at beginning of year	2018-12-31	$1,781,706,095
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$2,191,190
Total interest from all sources	2018-12-31	$5,261,732
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$50,775,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$50,775,009
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$148,495,971
Participant contributions at end of year	2018-12-31	$31,937,863
Participant contributions at beginning of year	2018-12-31	$27,384,102
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$174,445,023
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$173,623,253
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$18,845,299
Total non interest bearing cash at end of year	2018-12-31	$0
Total non interest bearing cash at beginning of year	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$21,719,613
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,803,425,708
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,781,706,095
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$2,190,565
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,308,127,010
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,337,894,396
Value of interest in pooled separate accounts at end of year	2018-12-31	$1,108,826
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$1,230,980
Interest on participant loans	2018-12-31	$1,463,446
Interest earned on other investments	2018-12-31	$3,798,286
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$241,081,620
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$197,078,748
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-156,919,958
Net investment gain/loss from pooled separate accounts	2018-12-31	$-121,568
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$73,844,163
Employer contributions (assets) at end of year	2018-12-31	$46,725,366
Employer contributions (assets) at beginning of year	2018-12-31	$44,494,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$116,269,845
Contract administrator fees	2018-12-31	$625
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-12-31	410746749
2017 : ALLINA 401K RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$468,372,194
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$129,274,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$128,207,179
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$224,384,458
Value of total assets at end of year	2017-12-31	$1,781,706,095
Value of total assets at beginning of year	2017-12-31	$1,442,608,156
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,067,076
Total interest from all sources	2017-12-31	$3,914,418
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$48,181,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$48,181,009
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$136,993,967
Participant contributions at end of year	2017-12-31	$27,384,102
Participant contributions at beginning of year	2017-12-31	$23,723,823
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$173,623,253
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$17,331,969
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$339,097,939
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,781,706,095
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,442,608,156
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$1,066,339
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,337,894,396
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,205,780,877
Value of interest in pooled separate accounts at end of year	2017-12-31	$1,230,980
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$1,348,497
Interest on participant loans	2017-12-31	$1,125,390
Interest earned on other investments	2017-12-31	$2,789,028
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$197,078,748
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$169,592,442
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$191,690,373
Net investment gain/loss from pooled separate accounts	2017-12-31	$201,936
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$70,058,522
Employer contributions (assets) at end of year	2017-12-31	$44,494,616
Employer contributions (assets) at beginning of year	2017-12-31	$42,162,517
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$128,207,179
Contract administrator fees	2017-12-31	$737
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2017-12-31	410746749
2016 : ALLINA 401K RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$303,407,459
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$91,991,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$91,305,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$215,263,436
Value of total assets at end of year	2016-12-31	$1,442,608,156
Value of total assets at beginning of year	2016-12-31	$1,231,192,531
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$686,398
Total interest from all sources	2016-12-31	$3,380,176
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$35,592,974
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$35,592,974
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$125,691,449
Participant contributions at end of year	2016-12-31	$23,723,823
Participant contributions at beginning of year	2016-12-31	$19,180,490
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$22,893,899
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$211,415,625
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,442,608,156
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,231,192,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$685,603
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,205,780,877
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,008,662,296
Value of interest in pooled separate accounts at end of year	2016-12-31	$1,348,497
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,366,685
Interest on participant loans	2016-12-31	$895,401
Interest earned on other investments	2016-12-31	$2,484,775
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$169,592,442
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$161,537,502
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$49,061,783
Net investment gain/loss from pooled separate accounts	2016-12-31	$109,090
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$66,678,088
Employer contributions (assets) at end of year	2016-12-31	$42,162,517
Employer contributions (assets) at beginning of year	2016-12-31	$40,445,558
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$91,305,436
Contract administrator fees	2016-12-31	$795
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-12-31	410746749
2015 : ALLINA 401K RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$215,970,637
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$88,473,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$87,867,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$215,938,944
Value of total assets at end of year	2015-12-31	$1,231,192,531
Value of total assets at beginning of year	2015-12-31	$1,103,695,683
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$606,181
Total interest from all sources	2015-12-31	$2,868,418
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$42,975,547
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$42,975,547
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$120,631,252
Participant contributions at end of year	2015-12-31	$19,180,490
Participant contributions at beginning of year	2015-12-31	$14,602,263
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$31,566,779
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$127,496,848
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,231,192,531
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,103,695,683
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$605,271
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,008,662,296
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$931,659,033
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,366,685
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$1,479,661
Interest on participant loans	2015-12-31	$722,506
Interest earned on other investments	2015-12-31	$2,145,912
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$161,537,502
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$117,751,150
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-45,781,698
Net investment gain/loss from pooled separate accounts	2015-12-31	$-30,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$63,740,913
Employer contributions (assets) at end of year	2015-12-31	$40,445,558
Employer contributions (assets) at beginning of year	2015-12-31	$38,203,576
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$87,867,608
Contract administrator fees	2015-12-31	$910
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2015-12-31	410746749
2014 : ALLINA 401K RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$251,583,300
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$70,006,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$69,510,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$197,986,639
Value of total assets at end of year	2014-12-31	$1,103,695,683
Value of total assets at beginning of year	2014-12-31	$922,119,203
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$496,382
Total interest from all sources	2014-12-31	$2,664,726
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$43,990,920
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$43,990,920
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$109,925,493
Participant contributions at end of year	2014-12-31	$14,602,263
Participant contributions at beginning of year	2014-12-31	$8,525,540
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$28,282,490
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$181,576,480
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,103,695,683
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$922,119,203
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$495,467
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$931,659,033
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$775,144,553
Value of interest in pooled separate accounts at end of year	2014-12-31	$1,479,661
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,542,921
Interest on participant loans	2014-12-31	$477,079
Interest earned on other investments	2014-12-31	$2,187,647
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$117,751,150
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$101,632,041
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$6,839,387
Net investment gain/loss from pooled separate accounts	2014-12-31	$101,628
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$59,778,656
Employer contributions (assets) at end of year	2014-12-31	$38,203,576
Employer contributions (assets) at beginning of year	2014-12-31	$35,274,148
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$69,510,438
Contract administrator fees	2014-12-31	$915
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2014-12-31	410746749
2013 : ALLINA 401K RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$434,865,548
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$53,550,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$53,177,420
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$317,595,600
Value of total assets at end of year	2013-12-31	$922,119,203
Value of total assets at beginning of year	2013-12-31	$540,804,141
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$373,066
Total interest from all sources	2013-12-31	$1,992,076
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$26,998,676
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$26,998,676
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$100,797,984
Participant contributions at end of year	2013-12-31	$8,525,540
Participant contributions at beginning of year	2013-12-31	$4,518,845
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$161,651,138
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$381,315,062
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$922,119,203
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$540,804,141
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$372,100
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$775,144,553
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$443,276,841
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,542,921
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,404,198
Interest on participant loans	2013-12-31	$247,085
Interest earned on other investments	2013-12-31	$1,744,185
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$806
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$101,632,041
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$58,121,974
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$87,952,657
Net investment gain/loss from pooled separate accounts	2013-12-31	$326,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$55,146,478
Employer contributions (assets) at end of year	2013-12-31	$35,274,148
Employer contributions (assets) at beginning of year	2013-12-31	$33,482,283
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$53,177,420
Contract administrator fees	2013-12-31	$966
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2013-12-31	410746749
2012 : ALLINA 401K RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$215,138,456
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$25,887,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$25,705,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$165,219,024
Value of total assets at end of year	2012-12-31	$540,804,141
Value of total assets at beginning of year	2012-12-31	$351,552,839
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$181,857
Total interest from all sources	2012-12-31	$1,440,750
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$12,774,196
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$12,774,196
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$94,175,218
Participant contributions at end of year	2012-12-31	$4,518,845
Participant contributions at beginning of year	2012-12-31	$2,448,496
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$18,984,409
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$189,251,302
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$540,804,141
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$351,552,839
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$180,737
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$443,276,841
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$271,170,842
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,404,198
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,628,834
Interest on participant loans	2012-12-31	$138,663
Interest earned on other investments	2012-12-31	$1,300,668
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$1,419
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$58,121,974
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$44,958,993
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$35,502,249
Net investment gain/loss from pooled separate accounts	2012-12-31	$202,237
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$52,059,397
Employer contributions (assets) at end of year	2012-12-31	$33,482,283
Employer contributions (assets) at beginning of year	2012-12-31	$31,345,674
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$25,705,297
Contract administrator fees	2012-12-31	$1,120
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2012-12-31	410746749
2011 : ALLINA 401K RETIREMENT SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$151,787,483
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$21,677,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$21,534,493
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$158,995,837
Value of total assets at end of year	2011-12-31	$351,552,839
Value of total assets at beginning of year	2011-12-31	$221,443,082
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$143,233
Total interest from all sources	2011-12-31	$1,239,456
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$6,365,039
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$6,365,039
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$86,431,304
Participant contributions at end of year	2011-12-31	$2,448,496
Participant contributions at beginning of year	2011-12-31	$1,572,042
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$24,288,639
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$130,109,757
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$351,552,839
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$221,443,082
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$142,057
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$271,170,842
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$158,569,206
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,628,834
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,688,605
Interest on participant loans	2011-12-31	$93,143
Interest earned on other investments	2011-12-31	$1,145,342
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$971
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$44,958,993
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$30,634,363
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-14,777,492
Net investment gain/loss from pooled separate accounts	2011-12-31	$-35,357
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$48,275,894
Employer contributions (assets) at end of year	2011-12-31	$31,345,674
Employer contributions (assets) at beginning of year	2011-12-31	$28,978,866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$21,534,493
Contract administrator fees	2011-12-31	$1,176
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2011-12-31	410746749
2010 : ALLINA 401K RETIREMENT SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$65,950,452
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$13,071,835
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$12,987,604
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$45,858,361
Value of total assets at end of year	2010-12-31	$221,443,082
Value of total assets at beginning of year	2010-12-31	$168,564,465
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$84,231
Total interest from all sources	2010-12-31	$1,233,329
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$3,035,512
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$3,035,512
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$13,020,046
Participant contributions at end of year	2010-12-31	$1,572,042
Participant contributions at beginning of year	2010-12-31	$1,294,944
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$709,429
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$52,878,617
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$221,443,082
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$168,564,465
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$83,029
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$158,569,206
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$139,476,111
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,688,605
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,503,663
Interest on participant loans	2010-12-31	$82,063
Interest earned on other investments	2010-12-31	$1,149,590
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1,676
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$30,634,363
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$23,443,384
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$15,635,409
Net investment gain/loss from pooled separate accounts	2010-12-31	$187,841
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$32,128,886
Employer contributions (assets) at end of year	2010-12-31	$28,978,866
Employer contributions (assets) at beginning of year	2010-12-31	$2,846,363
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$12,987,604
Contract administrator fees	2010-12-31	$1,202
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LARSONALLEN LLP
Accountancy firm EIN	2010-12-31	410746749
2009 : ALLINA 401K RETIREMENT SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for ALLINA 401K RETIREMENT SAVINGS PLAN

2023: ALLINA 401K RETIREMENT SAVINGS PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: ALLINA 401K RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ALLINA 401K RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ALLINA 401K RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ALLINA 401K RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ALLINA 401K RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ALLINA 401K RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ALLINA 401K RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ALLINA 401K RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ALLINA 401K RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ALLINA 401K RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ALLINA 401K RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ALLINA 401K RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ALLINA 401K RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 34419 Insurance policy start date 2023-01-01 Insurance policy end date 2023-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 21 Insurance policy start date 2023-01-01 Insurance policy end date 2023-12-31 Total amount of commissions paid to insurance broker USD $792 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 21 Insurance policy start date 2023-01-01 Insurance policy end date 2023-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 22 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 27 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Total amount of commissions paid to insurance broker USD $731 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $731 Insurance broker organization code? 4
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 33029 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 31509 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 28 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $895 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $895 Insurance broker organization code? 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 26 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 29 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 29 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $674 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $674 Insurance broker organization code? 4
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 30336 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 29526 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 30 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $704 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $704 Insurance broker organization code? 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 33 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 28997 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 32 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $764 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $764 Insurance broker organization code? 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 36 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INVESTORS (National Association of Insurance Commissioners NAIC id number: 80950 )
Policy contract number	910326
Policy instance	4
Insurance contract or identification number 910326 Number of Individuals Covered 0 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 28050 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 33 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $1,199 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $1,199 Insurance broker organization code? 4 Insurance broker name BRIGHTHOUSE SECURITIES, LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 39 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $51 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $51 Insurance broker organization code? 4 Insurance broker name MSI FINANCIAL SERVICES INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 45 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $1,941 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $1,941 Insurance broker organization code? 4 Insurance broker name METLIFE SECURITIES INC
METLIFE INVESTORS (National Association of Insurance Commissioners NAIC id number: 80950 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 36 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $1,648 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $1,648 Insurance broker organization code? 4 Insurance broker name METLIFE SECURITIES, INC.
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 22906 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 21324 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 48 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $1,565 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $1,565 Insurance broker organization code? 4 Insurance broker name METLIFE SECURITIES INC
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 39 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $1,712 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $1,712 Insurance broker organization code? 4 Insurance broker name METLIFE SECURITIES, INC.
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	3
Insurance contract or identification number 439663/522200 Number of Individuals Covered 20352 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 49 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $4,065 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $4,065 Insurance broker organization code? 4 Insurance broker name METLIFE SECURITIES INC
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 39 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $1,696 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $1,696 Insurance broker organization code? 4 Insurance broker name METLIFE SECURITIES, INC.
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 40 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $1,656 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $1,656 Insurance broker organization code? 4 Insurance broker name METLIFE SECURITIES, INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 54 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $4,106 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $4,106 Insurance broker organization code? 4 Insurance broker name METLIFE SECURITIES INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663
Policy instance	3
Insurance contract or identification number 439663 Number of Individuals Covered 0 Insurance policy start date 2012-01-01 Insurance policy end date 2012-01-01 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663/522200
Policy instance	4
Insurance contract or identification number 439663/522200 Number of Individuals Covered 18540 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 63 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $5,640 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663
Policy instance	3
Insurance contract or identification number 439663 Number of Individuals Covered 17403 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 42 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $1,626 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	910326
Policy instance	2
Insurance contract or identification number 910326 Number of Individuals Covered 43 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $1,680 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $1,577 Insurance broker organization code? 4 Insurance broker name ACCOUNTX
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number	PS42341
Policy instance	1
Insurance contract or identification number PS42341 Number of Individuals Covered 66 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $4,635 Total amount of fees paid to insurance company USD $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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $3,515 Insurance broker organization code? 4 Insurance broker name LINCOLN FINANCIAL ADVISORS
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	439663
Policy instance	3
Insurance contract or identification number 439663 Number of Individuals Covered 15301 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $36,583 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 plan No Contracts With Unallocated Funds Deposit Administration 0 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? Yes Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No 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 Broker USD $0 Amount paid for insurance broker fees 36583 Additional information about fees paid to insurance broker REFERRAL/SERVICE FEE Insurance broker organization code? 3 Insurance broker name FIDELITY INVESTMENTS TAX-EXEMPT SER