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MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 401k Plan overview

Plan NameMAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN
Plan identification number 001

MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN Benefits

401k Plan TypeDefined 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MAYVILLE STATE BANK has sponsored the creation of one or more 401k plans.

Company Name:MAYVILLE STATE BANK
Employer identification number (EIN):380803180
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01SHELLY M. BROOKS2024-09-16
0012022-01-01SHELLY M. BROOKS2023-10-11
0012021-01-01SHELLY M. BROOKS2022-10-04 SHELLY M. BROOKS2022-10-04
0012020-01-01SHELLY M. BROOKS2021-10-06 SHELLY M. BROOKS2021-10-06
0012019-01-01
0012018-01-01SHELLY M. BROOKS
0012017-01-01SHELLY M. BROOKS
0012016-01-01SHELLY M. BROOKS
0012015-01-01SHELLY M. BROOKS
0012014-01-01SHELLY M. BROOKS
0012013-01-01SHELLY M. BROOKS
0012012-01-01SHELLY M. RUTTER
0012011-01-01SHELLY M. RUTTER
0012010-01-01SHELLY M. RUTTER
0012009-01-01SHELLY RUTTER
0012009-01-01GARY A. HAAS

Financial Data on MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN

Measure Date Value
2023 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2023 401k financial data
Total plan liabilities at end of year2023-12-31$0
Total plan liabilities at beginning of year2023-12-31$992
Total income from all sources2023-12-31$591,116
Expenses. Total of all expenses incurred2023-12-31$1,191,023
Benefits paid (including direct rollovers)2023-12-31$1,181,612
Total plan assets at end of year2023-12-31$3,262,017
Total plan assets at beginning of year2023-12-31$3,862,916
Value of fidelity bond covering the plan2023-12-31$1,000,000
Total contributions received or receivable from participants2023-12-31$42,543
Other income received2023-12-31$518,573
Net income (gross income less expenses)2023-12-31$-599,907
Net plan assets at end of year (total assets less liabilities)2023-12-31$3,262,017
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$3,861,924
Assets. Value of employer securities2023-12-31$0
Total contributions received or receivable from employer(s)2023-12-31$30,000
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$9,411
2022 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$992
Total plan liabilities at beginning of year2022-12-31$2,079
Total income from all sources2022-12-31$-399,720
Expenses. Total of all expenses incurred2022-12-31$231,059
Benefits paid (including direct rollovers)2022-12-31$222,209
Total plan assets at end of year2022-12-31$3,862,916
Total plan assets at beginning of year2022-12-31$4,494,782
Value of fidelity bond covering the plan2022-12-31$1,000,000
Total contributions received or receivable from participants2022-12-31$31,946
Other income received2022-12-31$-461,666
Net income (gross income less expenses)2022-12-31$-630,779
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,861,924
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$4,492,703
Assets. Value of employer securities2022-12-31$665,137
Total contributions received or receivable from employer(s)2022-12-31$30,000
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$8,850
2021 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$2,079
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$580,778
Expenses. Total of all expenses incurred2021-12-31$172,898
Benefits paid (including direct rollovers)2021-12-31$160,186
Total plan assets at end of year2021-12-31$4,494,782
Total plan assets at beginning of year2021-12-31$4,084,823
Value of fidelity bond covering the plan2021-12-31$1,000,000
Total contributions received or receivable from participants2021-12-31$51,958
Other income received2021-12-31$498,820
Net income (gross income less expenses)2021-12-31$407,880
Net plan assets at end of year (total assets less liabilities)2021-12-31$4,492,703
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,084,823
Assets. Value of employer securities2021-12-31$530,541
Total contributions received or receivable from employer(s)2021-12-31$30,000
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$12,712
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2020 401k financial data
Total income from all sources2020-12-31$394,735
Expenses. Total of all expenses incurred2020-12-31$125,473
Benefits paid (including direct rollovers)2020-12-31$115,396
Total plan assets at end of year2020-12-31$4,084,823
Total plan assets at beginning of year2020-12-31$3,815,561
Value of fidelity bond covering the plan2020-12-31$1,000,000
Total contributions received or receivable from participants2020-12-31$64,763
Other income received2020-12-31$307,972
Net income (gross income less expenses)2020-12-31$269,262
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,084,823
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,815,561
Assets. Value of employer securities2020-12-31$828,322
Total contributions received or receivable from employer(s)2020-12-31$22,000
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$10,077
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2019 401k financial data
Total income from all sources2019-12-31$569,776
Expenses. Total of all expenses incurred2019-12-31$189,405
Benefits paid (including direct rollovers)2019-12-31$179,753
Total plan assets at end of year2019-12-31$3,815,561
Total plan assets at beginning of year2019-12-31$3,435,190
Value of fidelity bond covering the plan2019-12-31$1,000,000
Total contributions received or receivable from participants2019-12-31$57,519
Expenses. Other expenses not covered elsewhere2019-12-31$45
Other income received2019-12-31$486,757
Net income (gross income less expenses)2019-12-31$380,371
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,815,561
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,435,190
Assets. Value of employer securities2019-12-31$939,024
Total contributions received or receivable from employer(s)2019-12-31$25,500
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$9,607
2018 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2018 401k financial data
Total income from all sources2018-12-31$-49,230
Expenses. Total of all expenses incurred2018-12-31$100,620
Benefits paid (including direct rollovers)2018-12-31$92,493
Total plan assets at end of year2018-12-31$3,435,190
Total plan assets at beginning of year2018-12-31$3,585,040
Value of fidelity bond covering the plan2018-12-31$1,000,000
Total contributions received or receivable from participants2018-12-31$66,020
Other income received2018-12-31$-144,250
Net income (gross income less expenses)2018-12-31$-149,850
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,435,190
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,585,040
Assets. Value of employer securities2018-12-31$1,024,200
Total contributions received or receivable from employer(s)2018-12-31$29,000
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$8,127
2017 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2017 401k financial data
Total income from all sources2017-12-31$418,798
Expenses. Total of all expenses incurred2017-12-31$115,451
Benefits paid (including direct rollovers)2017-12-31$109,378
Total plan assets at end of year2017-12-31$3,585,040
Total plan assets at beginning of year2017-12-31$3,281,693
Value of fidelity bond covering the plan2017-12-31$1,000,000
Total contributions received or receivable from participants2017-12-31$61,344
Other income received2017-12-31$330,954
Net income (gross income less expenses)2017-12-31$303,347
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,585,040
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,281,693
Assets. Value of employer securities2017-12-31$1,066,875
Total contributions received or receivable from employer(s)2017-12-31$26,500
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$6,073
2016 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2016 401k financial data
Total income from all sources2016-12-31$139,627
Expenses. Total of all expenses incurred2016-12-31$59,676
Benefits paid (including direct rollovers)2016-12-31$54,419
Total plan assets at end of year2016-12-31$3,281,693
Total plan assets at beginning of year2016-12-31$3,201,742
Value of fidelity bond covering the plan2016-12-31$1,000,000
Total contributions received or receivable from participants2016-12-31$62,644
Other income received2016-12-31$48,983
Net income (gross income less expenses)2016-12-31$79,951
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,281,693
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,201,742
Assets. Value of employer securities2016-12-31$1,099,139
Total contributions received or receivable from employer(s)2016-12-31$28,000
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$5,257
2015 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2015 401k financial data
Total income from all sources2015-12-31$142,821
Expenses. Total of all expenses incurred2015-12-31$220,168
Benefits paid (including direct rollovers)2015-12-31$214,879
Total plan assets at end of year2015-12-31$3,201,742
Total plan assets at beginning of year2015-12-31$3,279,089
Value of fidelity bond covering the plan2015-12-31$3,000,000
Total contributions received or receivable from participants2015-12-31$56,057
Other income received2015-12-31$60,764
Net income (gross income less expenses)2015-12-31$-77,347
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,201,742
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,279,089
Assets. Value of employer securities2015-12-31$1,204,476
Total contributions received or receivable from employer(s)2015-12-31$26,000
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$5,289
2014 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2014 401k financial data
Total income from all sources2014-12-31$48,690
Expenses. Total of all expenses incurred2014-12-31$29,323
Benefits paid (including direct rollovers)2014-12-31$24,315
Total plan assets at end of year2014-12-31$3,279,089
Total plan assets at beginning of year2014-12-31$3,259,722
Value of fidelity bond covering the plan2014-12-31$3,000,000
Total contributions received or receivable from participants2014-12-31$57,910
Other income received2014-12-31$-31,220
Net income (gross income less expenses)2014-12-31$19,367
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,279,089
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,259,722
Assets. Value of employer securities2014-12-31$1,194,215
Total contributions received or receivable from employer(s)2014-12-31$22,000
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$5,008
2013 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2013 401k financial data
Total income from all sources2013-12-31$270,962
Expenses. Total of all expenses incurred2013-12-31$41,990
Benefits paid (including direct rollovers)2013-12-31$38,439
Total plan assets at end of year2013-12-31$3,259,722
Total plan assets at beginning of year2013-12-31$3,030,750
Value of fidelity bond covering the plan2013-12-31$3,000,000
Total contributions received or receivable from participants2013-12-31$52,553
Other income received2013-12-31$196,409
Net income (gross income less expenses)2013-12-31$228,972
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,259,722
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,030,750
Assets. Value of employer securities2013-12-31$1,347,136
Total contributions received or receivable from employer(s)2013-12-31$22,000
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$3,551
2012 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2012 401k financial data
Total income from all sources2012-12-31$378,024
Expenses. Total of all expenses incurred2012-12-31$57,515
Benefits paid (including direct rollovers)2012-12-31$54,430
Total plan assets at end of year2012-12-31$3,030,750
Total plan assets at beginning of year2012-12-31$2,710,241
Value of fidelity bond covering the plan2012-12-31$3,000,000
Total contributions received or receivable from participants2012-12-31$40,455
Other income received2012-12-31$314,569
Net income (gross income less expenses)2012-12-31$320,509
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,030,750
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,710,241
Assets. Value of employer securities2012-12-31$1,454,592
Total contributions received or receivable from employer(s)2012-12-31$23,000
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$3,085
2011 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2011 401k financial data
Total income from all sources2011-12-31$-57,757
Expenses. Total of all expenses incurred2011-12-31$35,302
Benefits paid (including direct rollovers)2011-12-31$32,565
Total plan assets at end of year2011-12-31$2,710,241
Total plan assets at beginning of year2011-12-31$2,803,300
Value of fidelity bond covering the plan2011-12-31$3,000,000
Total contributions received or receivable from participants2011-12-31$37,786
Other income received2011-12-31$-122,543
Net income (gross income less expenses)2011-12-31$-93,059
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,710,241
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,803,300
Assets. Value of employer securities2011-12-31$1,298,916
Total contributions received or receivable from employer(s)2011-12-31$27,000
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$2,737
2010 : MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2010 401k financial data
Total income from all sources2010-12-31$405,952
Expenses. Total of all expenses incurred2010-12-31$28,728
Benefits paid (including direct rollovers)2010-12-31$28,728
Total plan assets at end of year2010-12-31$2,803,300
Total plan assets at beginning of year2010-12-31$2,426,076
Value of fidelity bond covering the plan2010-12-31$3,000,000
Total contributions received or receivable from participants2010-12-31$35,313
Other income received2010-12-31$343,639
Net income (gross income less expenses)2010-12-31$377,224
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,803,300
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,426,076
Assets. Value of employer securities2010-12-31$1,460,384
Total contributions received or receivable from employer(s)2010-12-31$27,000

Form 5500 Responses for MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN

2023: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MAYVILLE STATE BANK PROFIT SHARING AND RETIREMENT TRUST PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number812357-000
Policy instance 2
Insurance contract or identification number812357-000
Number of Individuals Covered1
Insurance policy start date2023-03-23
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $4,357
Total amount of fees paid to insurance companyUSD $10,998
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number466711
Policy instance 1
Insurance contract or identification number466711
Number of Individuals Covered1
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $5,211
Total amount of fees paid to insurance companyUSD $318
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number466711
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number466711
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number466711
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number466711
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number466711
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710379
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710379
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710379
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710379
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710379
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710379
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710379
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710379
Policy instance 1

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