401k Plan data: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN plan

BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 401k Plan overview

Plan Name	BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN
Plan identification number	002

BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING 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.
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

BREMEN FARMERS MUTUAL INS. CO. has sponsored the creation of one or more 401k plans.

Company Name: BREMEN FARMERS MUTUAL INS. CO.

Employer identification number (EIN): 480148400

NAIC Classification: 524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01 CURTIS HOLLE 2024-04-18
002 2022-01-01 CURTIS HOLLE 2023-04-13
002 2021-01-01 CURTIS HOLLE 2022-05-27
002 2020-01-01 CURTIS HOLLE 2021-05-04
002 2019-01-01 CURTIS HOLLE 2020-07-06
002 2018-01-01 CURTIS HOLLE 2019-07-22
002 2017-01-01 CURTIS HOLLE 2018-07-10
002 2016-01-01 CURTIS HOLLE
002 2015-01-01 CURTIS HOLLE
002 2014-01-01 CURTIS HOLLE
002 2013-01-01 CURTIS HOLLE
002 2012-01-01 GARY HOLLE
002 2011-01-01 GARY HOLLE
002 2009-01-01 GARY HOLLE GARY HOLLE 2010-07-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2023-01-01	CURTIS HOLLE	2024-04-18
002	2022-01-01	CURTIS HOLLE	2023-04-13
002	2021-01-01	CURTIS HOLLE	2022-05-27
002	2020-01-01	CURTIS HOLLE	2021-05-04
002	2019-01-01	CURTIS HOLLE	2020-07-06
002	2018-01-01	CURTIS HOLLE	2019-07-22
002	2017-01-01	CURTIS HOLLE	2018-07-10
002	2016-01-01	CURTIS HOLLE
002	2015-01-01	CURTIS HOLLE
002	2014-01-01	CURTIS HOLLE
002	2013-01-01	CURTIS HOLLE
002	2012-01-01	GARY HOLLE
002	2011-01-01	GARY HOLLE
002	2009-01-01	GARY HOLLE		GARY HOLLE	2010-07-27

Plan Statistics for BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN

401k plan membership statisitcs for BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN

Measure Date Value
2016: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 12
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 12
Number of participants with account balances 2016-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 12
2015: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 13
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 13
Number of participants with account balances 2015-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 13
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 13
Number of participants with account balances 2014-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 14
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 14
Number of participants with account balances 2013-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 15
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 15
Number of participants with account balances 2012-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 15
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 16
Number of participants with account balances 2011-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 16
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 16
Number of participants with account balances 2009-01-01 16

Measure	Date	Value
2016: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	12
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	12
Number of participants with account balances	2016-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	12
2015: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	13
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	13
Number of participants with account balances	2015-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	13
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	13
Number of participants with account balances	2014-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	14
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	14
Number of participants with account balances	2013-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	15
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	15
Number of participants with account balances	2012-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	15
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	16
Number of participants with account balances	2011-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	16
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	16
Number of participants with account balances	2009-01-01	16

Financial Data on BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN

Measure	Date	Value
2016 : BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$196,914
Expenses. Total of all expenses incurred	2016-12-31	$245,791
Benefits paid (including direct rollovers)	2016-12-31	$241,942
Total plan assets at end of year	2016-12-31	$1,823,975
Total plan assets at beginning of year	2016-12-31	$1,872,852
Expenses. Other expenses not covered elsewhere	2016-12-31	$3,849
Other income received	2016-12-31	$108,955
Net income (gross income less expenses)	2016-12-31	$-48,877
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,823,975
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,872,852
Total contributions received or receivable from employer(s)	2016-12-31	$87,959
2015 : BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$118,046
Expenses. Total of all expenses incurred	2015-12-31	$3,963
Total plan assets at end of year	2015-12-31	$1,872,852
Total plan assets at beginning of year	2015-12-31	$1,758,769
Expenses. Other expenses not covered elsewhere	2015-12-31	$3,963
Other income received	2015-12-31	$27,018
Net income (gross income less expenses)	2015-12-31	$114,083
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,872,852
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,758,769
Total contributions received or receivable from employer(s)	2015-12-31	$91,028
2014 : BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$147,089
Expenses. Total of all expenses incurred	2014-12-31	$94,850
Benefits paid (including direct rollovers)	2014-12-31	$91,366
Total plan assets at end of year	2014-12-31	$1,758,769
Total plan assets at beginning of year	2014-12-31	$1,706,530
Expenses. Other expenses not covered elsewhere	2014-12-31	$3,484
Other income received	2014-12-31	$64,315
Net income (gross income less expenses)	2014-12-31	$52,239
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,758,769
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,706,530
Total contributions received or receivable from employer(s)	2014-12-31	$82,774
2013 : BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$245,626
Expenses. Total of all expenses incurred	2013-12-31	$473,529
Benefits paid (including direct rollovers)	2013-12-31	$469,257
Total plan assets at end of year	2013-12-31	$1,706,530
Total plan assets at beginning of year	2013-12-31	$1,934,433
Expenses. Other expenses not covered elsewhere	2013-12-31	$4,272
Other income received	2013-12-31	$156,192
Net income (gross income less expenses)	2013-12-31	$-227,903
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,706,530
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,934,433
Total contributions received or receivable from employer(s)	2013-12-31	$89,434
2012 : BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$197,471
Expenses. Total of all expenses incurred	2012-12-31	$15,865
Benefits paid (including direct rollovers)	2012-12-31	$11,569
Total plan assets at end of year	2012-12-31	$1,934,433
Total plan assets at beginning of year	2012-12-31	$1,752,827
Expenses. Other expenses not covered elsewhere	2012-12-31	$4,296
Other income received	2012-12-31	$109,995
Net income (gross income less expenses)	2012-12-31	$181,606
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,934,433
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,752,827
Total contributions received or receivable from employer(s)	2012-12-31	$87,476
2011 : BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$132,793
Expenses. Total of all expenses incurred	2011-12-31	$285,173
Benefits paid (including direct rollovers)	2011-12-31	$283,813
Total plan assets at end of year	2011-12-31	$1,752,827
Total plan assets at beginning of year	2011-12-31	$1,905,207
Expenses. Other expenses not covered elsewhere	2011-12-31	$1,360
Other income received	2011-12-31	$35,775
Net income (gross income less expenses)	2011-12-31	$-152,380
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,752,827
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,905,207
Total contributions received or receivable from employer(s)	2011-12-31	$97,018
2010 : BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$217,641
Expenses. Total of all expenses incurred	2010-12-31	$141,056
Benefits paid (including direct rollovers)	2010-12-31	$136,553
Total plan assets at end of year	2010-12-31	$1,905,207
Total plan assets at beginning of year	2010-12-31	$1,828,622
Expenses. Other expenses not covered elsewhere	2010-12-31	$4,503
Other income received	2010-12-31	$123,978
Net income (gross income less expenses)	2010-12-31	$76,585
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,905,207
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,828,622
Total contributions received or receivable from employer(s)	2010-12-31	$93,663

Form 5500 Responses for BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN

2016: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: BREMEN FARMERS MUTUAL INS. CO. 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 benefit arrangement – Insurance	Yes
2013: BREMEN FARMERS MUTUAL INS. CO. 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 benefit arrangement – Insurance	Yes
2012: BREMEN FARMERS MUTUAL INS. CO. 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 benefit arrangement – Insurance	Yes
2011: BREMEN FARMERS MUTUAL INS. CO. 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 benefit arrangement – Insurance	Yes
2009: BREMEN FARMERS MUTUAL INS. CO. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THRIVENT FINANCIAL FOR LUTHERANS (National Association of Insurance Commissioners NAIC id number: 56014 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	14
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $3,963
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
Commission paid to Insurance Broker	USD $3,963
Insurance broker organization code?	3
Insurance broker name	TRIVENT FINANCIAL

THRIVENT FINANCIAL FOR LUTHERANS (National Association of Insurance Commissioners NAIC id number: 56014 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	14
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $3,484
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
Commission paid to Insurance Broker	USD $3,484
Insurance broker organization code?	3
Insurance broker name	TRIVENT FINANCIAL

THRIVENT FINANCIAL FOR LUTHERANS (National Association of Insurance Commissioners NAIC id number: 56014 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	14
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4,272
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
Commission paid to Insurance Broker	USD $3,779
Insurance broker organization code?	3
Insurance broker name	ROGER P LEONARD

THRIVENT FINANCIAL FOR LUTHERANS (National Association of Insurance Commissioners NAIC id number: 56014 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	15
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,296
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
Commission paid to Insurance Broker	USD $3,808
Insurance broker organization code?	3
Insurance broker name	ROGER P LEONARD

THRIVENT FINANCIAL FOR LUTHERANS (National Association of Insurance Commissioners NAIC id number: 56014 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	16
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $1,360
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

THRIVENT FINANCIAL FOR LUTHERANS (National Association of Insurance Commissioners NAIC id number: 56014 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	16
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $4,503
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

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Company Name:	BREMEN FARMERS MUTUAL INS. CO.
Employer identification number (EIN):	480148400
NAIC Classification:	524150