PATRICIO F. VIERNES MD SC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN
401k plan membership statisitcs for PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN
| Measure | Date | Value |
|---|
| 2015: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 0 |
| 2014: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 2 |
| Total of all active and inactive participants | 2014-01-01 | 2 |
| Total participants | 2014-01-01 | 2 |
| Number of participants with account balances | 2014-01-01 | 2 |
| 2013: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 2 |
| Total of all active and inactive participants | 2013-01-01 | 2 |
| Total participants | 2013-01-01 | 2 |
| Number of participants with account balances | 2013-01-01 | 2 |
| 2012: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 2 |
| Total of all active and inactive participants | 2012-01-01 | 2 |
| Total participants | 2012-01-01 | 2 |
| Number of participants with account balances | 2012-01-01 | 2 |
| 2011: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 4 |
| Total of all active and inactive participants | 2011-01-01 | 4 |
| Total participants | 2011-01-01 | 4 |
| Number of participants with account balances | 2011-01-01 | 4 |
| 2009: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 4 |
| Total of all active and inactive participants | 2009-01-01 | 4 |
| Total participants | 2009-01-01 | 4 |
| Number of participants with account balances | 2009-01-01 | 4 |
| Measure | Date | Value |
|---|
| 2015 : PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-12-31 | $0 |
| Total plan liabilities at beginning of year | 2015-12-31 | $0 |
| Total income from all sources | 2015-12-31 | $-6,572 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $701,263 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $697,815 |
| Total plan assets at end of year | 2015-12-31 | $0 |
| Total plan assets at beginning of year | 2015-12-31 | $707,835 |
| Value of fidelity bond covering the plan | 2015-12-31 | $50,000 |
| Other income received | 2015-12-31 | $-6,572 |
| Net income (gross income less expenses) | 2015-12-31 | $-707,835 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $707,835 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $3,448 |
| 2014 : PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $19,204 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $55,420 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $50,400 |
| Total plan assets at end of year | 2014-12-31 | $707,835 |
| Total plan assets at beginning of year | 2014-12-31 | $744,051 |
| Value of fidelity bond covering the plan | 2014-12-31 | $50,000 |
| Other income received | 2014-12-31 | $19,090 |
| Net income (gross income less expenses) | 2014-12-31 | $-36,216 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $707,835 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $744,051 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $114 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $5,020 |
| 2013 : PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $134,096 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $56,415 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $51,100 |
| Total plan assets at end of year | 2013-12-31 | $744,051 |
| Total plan assets at beginning of year | 2013-12-31 | $666,370 |
| Value of fidelity bond covering the plan | 2013-12-31 | $50,000 |
| Other income received | 2013-12-31 | $133,982 |
| Net income (gross income less expenses) | 2013-12-31 | $77,681 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $744,051 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $666,370 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $114 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $5,315 |
| 2012 : PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $61,085 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $68,921 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $64,197 |
| Total plan assets at end of year | 2012-12-31 | $666,370 |
| Total plan assets at beginning of year | 2012-12-31 | $674,206 |
| Value of fidelity bond covering the plan | 2012-12-31 | $50,000 |
| Other income received | 2012-12-31 | $60,971 |
| Net income (gross income less expenses) | 2012-12-31 | $-7,836 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $666,370 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $674,206 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $114 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $4,724 |
| 2011 : PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $-41,028 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $48,598 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $42,500 |
| Total plan assets at end of year | 2011-12-31 | $674,206 |
| Total plan assets at beginning of year | 2011-12-31 | $763,832 |
| Value of fidelity bond covering the plan | 2011-12-31 | $50,000 |
| Other income received | 2011-12-31 | $-41,370 |
| Net income (gross income less expenses) | 2011-12-31 | $-89,626 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $674,206 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $763,832 |
| Assets. Value of participant loans | 2011-12-31 | $1,400 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $342 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $6,098 |
| 2010 : PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $52,993 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $25,025 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $18,000 |
| Total plan assets at end of year | 2010-12-31 | $763,832 |
| Total plan assets at beginning of year | 2010-12-31 | $735,864 |
| Value of fidelity bond covering the plan | 2010-12-31 | $50,000 |
| Assets. Value of tangible personal property | 2010-12-31 | $8,975 |
| Other income received | 2010-12-31 | $49,940 |
| Net income (gross income less expenses) | 2010-12-31 | $27,968 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $763,832 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $735,864 |
| Assets. Value of participant loans | 2010-12-31 | $1,400 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $3,053 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $7,025 |
| 2015: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | This submission is the final filing | 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: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 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: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 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: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 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: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 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: PATRICIO F. VIERNES MD SC PROFIT SHARING PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 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 |
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186782 |
| Policy instance | 1 |
| Insurance contract or identification number | AL 186782 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2014-08-25 | | Insurance policy end date | 2015-08-24 | | 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? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644460 |
| Policy instance | 4 |
| Insurance contract or identification number | 99644460 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2014-02-23 | | Insurance policy end date | 2015-02-22 | | 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? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker name | JOSEPH MUNGER |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644461 |
| Policy instance | 3 |
| Insurance contract or identification number | 99644461 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2014-02-03 | | Insurance policy end date | 2015-02-02 | | 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? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker name | JOSEPH MUNGER |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186733 |
| Policy instance | 2 |
| Insurance contract or identification number | AL 186733 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2014-07-24 | | Insurance policy end date | 2015-07-23 | | 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? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644461 |
| Policy instance | 3 |
| Insurance contract or identification number | 99644461 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-02-03 | | Insurance policy end date | 2014-02-02 | | Total amount of commissions paid to insurance broker | USD $635 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $635 | | Insurance broker name | JOSEPH MUNGER |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186733 |
| Policy instance | 2 |
| Insurance contract or identification number | AL 186733 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-07-24 | | Insurance policy end date | 2014-07-23 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186782 |
| Policy instance | 1 |
| Insurance contract or identification number | AL 186782 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-08-25 | | Insurance policy end date | 2014-08-24 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644460 |
| Policy instance | 4 |
| Insurance contract or identification number | 99644460 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-02-23 | | Insurance policy end date | 2014-02-22 | | Total amount of commissions paid to insurance broker | USD $68 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68 | | Insurance broker name | JOSEPH MUNGER |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644460 |
| Policy instance | 4 |
| Insurance contract or identification number | 99644460 | | Insurance policy start date | 2012-02-23 | | Insurance policy end date | 2013-02-22 | | Total amount of commissions paid to insurance broker | USD $62 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $62 | | Insurance broker name | JOSEPH MUNGER |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186733 |
| Policy instance | 2 |
| Insurance contract or identification number | AL 186733 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-07-24 | | Insurance policy end date | 2013-07-23 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186782 |
| Policy instance | 1 |
| Insurance contract or identification number | AL 186782 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-08-25 | | Insurance policy end date | 2013-08-24 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644461 |
| Policy instance | 3 |
| Insurance contract or identification number | 99644461 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-02-03 | | Insurance policy end date | 2013-02-02 | | Total amount of commissions paid to insurance broker | USD $645 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $645 | | Insurance broker name | JOSEPH MUNGER |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186782 |
| Policy instance | 1 |
| Insurance contract or identification number | AL 186782 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-08-25 | | Insurance policy end date | 2012-08-24 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644460 |
| Policy instance | 4 |
| Insurance contract or identification number | 99644460 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-02-23 | | Insurance policy end date | 2012-02-22 | | Total amount of commissions paid to insurance broker | USD $54 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $54 | | Insurance broker name | JOSEPH MUNGER |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644461 |
| Policy instance | 3 |
| Insurance contract or identification number | 99644461 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-02-03 | | Insurance policy end date | 2012-02-02 | | Total amount of commissions paid to insurance broker | USD $629 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $629 | | Insurance broker name | JOSEPH MUNGER |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186733 |
| Policy instance | 2 |
| Insurance contract or identification number | AL 186733 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-07-24 | | Insurance policy end date | 2012-07-23 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644461 |
| Policy instance | 3 |
| Insurance contract or identification number | 99644461 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-02-03 | | Insurance policy end date | 2011-02-02 | | Total amount of commissions paid to insurance broker | USD $715 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186733 |
| Policy instance | 2 |
| Insurance contract or identification number | AL 186733 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-07-24 | | Insurance policy end date | 2011-07-23 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186782 |
| Policy instance | 1 |
| Insurance contract or identification number | AL 186782 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-08-25 | | Insurance policy end date | 2011-08-24 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644460 |
| Policy instance | 4 |
| Insurance contract or identification number | 99644460 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-02-23 | | Insurance policy end date | 2011-02-22 | | Total amount of commissions paid to insurance broker | USD $54 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644460 |
| Policy instance | 4 |
| Insurance contract or identification number | 99644460 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2009-02-23 | | Insurance policy end date | 2010-02-22 | | Total amount of commissions paid to insurance broker | USD $50 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Insurance broker name | JOSEPH W. MUNGER |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186733 |
| Policy instance | 2 |
| Insurance contract or identification number | AL 186733 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2009-07-24 | | Insurance policy end date | 2010-07-23 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 ) |
| Policy contract number | AL 186782 |
| Policy instance | 1 |
| Insurance contract or identification number | AL 186782 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2009-08-25 | | Insurance policy end date | 2010-08-24 | | 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? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 99644461 |
| Policy instance | 3 |
| Insurance contract or identification number | 99644461 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2009-02-03 | | Insurance policy end date | 2010-02-02 | | Total amount of commissions paid to insurance broker | USD $725 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $725 | | Insurance broker name | JOSEPH W. MUNGER |
|
