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DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameDULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 001

DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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

DULLES AVIATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:DULLES AVIATION, INC.
Employer identification number (EIN):541090760
NAIC Classification:488100
NAIC Description: Support Activities for Air Transportation

Additional information about DULLES AVIATION, INC.

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1978-10-11
Company Identification Number: 0189003
Legal Registered Office Address: 10501 OBSERVATION RD
4010 UNIVERSITY DRIVE
MANASSAS
United States of America (USA)
20110-2004

More information about DULLES AVIATION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-02-01JOSEPH GARDNER2019-08-02
0012018-02-01JOSEPH GARDNER2019-08-02
0012017-02-01JOE GARDNER2018-11-13 JOE GARDNER2018-11-13
0012016-02-01JOSEPH GARDNER2017-09-19 JOSEPH GARDNER2017-09-19
0012015-02-01JOSEPH GARDNER2016-08-24
0012014-02-01JOE GARDNER
0012013-02-01JOSEPH GARDNER
0012012-02-01JOSEPH GARDNER
0012011-02-01JOSEPH GARDNER
0012010-02-01JOSEPH GARDNER
0012009-02-01JOSEPH H. GARDNER

Plan Statistics for DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-0136
Total number of active participants reported on line 7a of the Form 55002014-02-0117
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-0120
Total of all active and inactive participants2014-02-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-02-011
Total participants2014-02-0138
Number of participants with account balances2014-02-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-02-013
2013: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-0137
Total number of active participants reported on line 7a of the Form 55002013-02-0118
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-0120
Total of all active and inactive participants2013-02-0138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-02-010
Total participants2013-02-0138
Number of participants with account balances2013-02-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-02-012
2012: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-0135
Total number of active participants reported on line 7a of the Form 55002012-02-0119
Number of retired or separated participants receiving benefits2012-02-010
Number of other retired or separated participants entitled to future benefits2012-02-0118
Total of all active and inactive participants2012-02-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-02-010
Total participants2012-02-0137
Number of participants with account balances2012-02-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-02-0116
2011: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-0136
Total number of active participants reported on line 7a of the Form 55002011-02-0122
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-0117
Total of all active and inactive participants2011-02-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-02-010
Total participants2011-02-0139
Number of participants with account balances2011-02-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-02-010
2010: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-0137
Total number of active participants reported on line 7a of the Form 55002010-02-0124
Number of retired or separated participants receiving benefits2010-02-010
Number of other retired or separated participants entitled to future benefits2010-02-0111
Total of all active and inactive participants2010-02-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-02-010
Total participants2010-02-0135
Number of participants with account balances2010-02-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-02-010
2009: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-0138
Total number of active participants reported on line 7a of the Form 55002009-02-0124
Number of retired or separated participants receiving benefits2009-02-010
Number of other retired or separated participants entitled to future benefits2009-02-0113
Total of all active and inactive participants2009-02-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-02-010
Total participants2009-02-0137
Number of participants with account balances2009-02-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-02-011

Financial Data on DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2015 : DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan2015-01-31$0
Total income from all sources2015-01-31$257,459
Expenses. Total of all expenses incurred2015-01-31$189,613
Benefits paid (including direct rollovers)2015-01-31$189,613
Total plan assets at end of year2015-01-31$2,328,999
Total plan assets at beginning of year2015-01-31$2,261,153
Value of fidelity bond covering the plan2015-01-31$200,000
Total contributions received or receivable from participants2015-01-31$58,310
Expenses. Other expenses not covered elsewhere2015-01-31$0
Contributions received from other sources (not participants or employers)2015-01-31$1,970
Other income received2015-01-31$174,012
Net income (gross income less expenses)2015-01-31$67,846
Net plan assets at end of year (total assets less liabilities)2015-01-31$2,328,999
Net plan assets at beginning of year (total assets less liabilities)2015-01-31$2,261,153
Assets. Value of participant loans2015-01-31$0
Total contributions received or receivable from employer(s)2015-01-31$23,167
Value of certain deemed distributions of participant loans2015-01-31$0
Value of corrective distributions2015-01-31$0
Funding deficiency by the employer to the plan for this plan year2015-01-31$0
Minimum employer required contribution for this plan year2015-01-31$0
Amount contributed by the employer to the plan for this plan year2015-01-31$0
2014 : DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan2014-01-31$0
Total income from all sources2014-01-31$416,395
Expenses. Total of all expenses incurred2014-01-31$65,024
Benefits paid (including direct rollovers)2014-01-31$65,024
Total plan assets at end of year2014-01-31$2,261,153
Total plan assets at beginning of year2014-01-31$1,909,782
Value of fidelity bond covering the plan2014-01-31$200,000
Total contributions received or receivable from participants2014-01-31$54,820
Expenses. Other expenses not covered elsewhere2014-01-31$0
Contributions received from other sources (not participants or employers)2014-01-31$0
Other income received2014-01-31$337,442
Net income (gross income less expenses)2014-01-31$351,371
Net plan assets at end of year (total assets less liabilities)2014-01-31$2,261,153
Net plan assets at beginning of year (total assets less liabilities)2014-01-31$1,909,782
Assets. Value of participant loans2014-01-31$0
Total contributions received or receivable from employer(s)2014-01-31$24,133
Value of certain deemed distributions of participant loans2014-01-31$0
Value of corrective distributions2014-01-31$0
Funding deficiency by the employer to the plan for this plan year2014-01-31$0
Minimum employer required contribution for this plan year2014-01-31$0
Amount contributed by the employer to the plan for this plan year2014-01-31$0
2013 : DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-01-31$0
Total income from all sources2013-01-31$298,499
Expenses. Total of all expenses incurred2013-01-31$72,733
Benefits paid (including direct rollovers)2013-01-31$72,733
Total plan assets at end of year2013-01-31$1,909,782
Total plan assets at beginning of year2013-01-31$1,684,016
Value of fidelity bond covering the plan2013-01-31$200,000
Total contributions received or receivable from participants2013-01-31$69,489
Expenses. Other expenses not covered elsewhere2013-01-31$0
Contributions received from other sources (not participants or employers)2013-01-31$0
Other income received2013-01-31$207,249
Net income (gross income less expenses)2013-01-31$225,766
Net plan assets at end of year (total assets less liabilities)2013-01-31$1,909,782
Net plan assets at beginning of year (total assets less liabilities)2013-01-31$1,684,016
Assets. Value of participant loans2013-01-31$0
Total contributions received or receivable from employer(s)2013-01-31$21,761
Value of certain deemed distributions of participant loans2013-01-31$0
Value of corrective distributions2013-01-31$0
Funding deficiency by the employer to the plan for this plan year2013-01-31$0
Minimum employer required contribution for this plan year2013-01-31$0
Amount contributed by the employer to the plan for this plan year2013-01-31$0
2012 : DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-01-31$0
Total income from all sources2012-01-31$80,649
Expenses. Total of all expenses incurred2012-01-31$31,754
Benefits paid (including direct rollovers)2012-01-31$31,754
Total plan assets at end of year2012-01-31$1,684,016
Total plan assets at beginning of year2012-01-31$1,635,121
Value of fidelity bond covering the plan2012-01-31$200,000
Total contributions received or receivable from participants2012-01-31$70,460
Expenses. Other expenses not covered elsewhere2012-01-31$0
Contributions received from other sources (not participants or employers)2012-01-31$0
Other income received2012-01-31$-16,693
Net income (gross income less expenses)2012-01-31$48,895
Net plan assets at end of year (total assets less liabilities)2012-01-31$1,684,016
Net plan assets at beginning of year (total assets less liabilities)2012-01-31$1,635,121
Assets. Value of participant loans2012-01-31$0
Total contributions received or receivable from employer(s)2012-01-31$26,882
Value of certain deemed distributions of participant loans2012-01-31$0
Value of corrective distributions2012-01-31$0
Funding deficiency by the employer to the plan for this plan year2012-01-31$0
Minimum employer required contribution for this plan year2012-01-31$0
Amount contributed by the employer to the plan for this plan year2012-01-31$0
2011 : DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-01-31$0
Total income from all sources2011-01-31$357,010
Expenses. Total of all expenses incurred2011-01-31$41,443
Benefits paid (including direct rollovers)2011-01-31$41,443
Total plan assets at end of year2011-01-31$1,635,121
Total plan assets at beginning of year2011-01-31$1,319,554
Value of fidelity bond covering the plan2011-01-31$200,000
Total contributions received or receivable from participants2011-01-31$75,105
Expenses. Other expenses not covered elsewhere2011-01-31$0
Contributions received from other sources (not participants or employers)2011-01-31$0
Other income received2011-01-31$229,272
Net income (gross income less expenses)2011-01-31$315,567
Net plan assets at end of year (total assets less liabilities)2011-01-31$1,635,121
Net plan assets at beginning of year (total assets less liabilities)2011-01-31$1,319,554
Assets. Value of participant loans2011-01-31$0
Total contributions received or receivable from employer(s)2011-01-31$52,633
Value of certain deemed distributions of participant loans2011-01-31$0
Value of corrective distributions2011-01-31$0
Funding deficiency by the employer to the plan for this plan year2011-01-31$0
Minimum employer required contribution for this plan year2011-01-31$0
Amount contributed by the employer to the plan for this plan year2011-01-31$0
2010 : DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Funding deficiency by the employer to the plan for this plan year2010-01-31$0
Minimum employer required contribution for this plan year2010-01-31$0
Amount contributed by the employer to the plan for this plan year2010-01-31$0

Form 5500 Responses for DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN

2014: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Submission has been amendedNo
2014-02-01This submission is the final filingNo
2014-02-01This return/report is a short plan year return/report (less than 12 months)No
2014-02-01Plan is a collectively bargained planNo
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – TrustYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedNo
2013-02-01This submission is the final filingNo
2013-02-01This return/report is a short plan year return/report (less than 12 months)No
2013-02-01Plan is a collectively bargained planNo
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Submission has been amendedNo
2010-02-01This submission is the final filingNo
2010-02-01This return/report is a short plan year return/report (less than 12 months)No
2010-02-01Plan is a collectively bargained planNo
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan funding arrangement – TrustYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: DULLES AVIATION, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-804416
Policy instance 1
Insurance contract or identification numberGA-804416
Number of Individuals Covered38
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $7,001
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $7,001
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGENCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-804416
Policy instance 1
Insurance contract or identification numberGA-804416
Number of Individuals Covered37
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $6,259
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $6,259
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-804416
Policy instance 1
Insurance contract or identification numberGA-804416
Number of Individuals Covered19
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $5,209
Total amount of fees paid to insurance companyUSD $107
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $5,209
Insurance broker organization code?3
Amount paid for insurance broker fees82
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMORGANSTANLEY SMITHBARNEY LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-804416
Policy instance 1
Insurance contract or identification numberGA-804416
Number of Individuals Covered39
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $4,992
Total amount of fees paid to insurance companyUSD $101
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-804416
Policy instance 1
Insurance contract or identification numberGA-804416
Number of Individuals Covered35
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $4,243
Total amount of fees paid to insurance companyUSD $51
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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

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