401k Plan data: EAU GALLIE YACHT CLUB 401(K) PLAN plan

EAU GALLIE YACHT CLUB 401(K) PLAN 401k Plan overview

Plan Name	EAU GALLIE YACHT CLUB 401(K) PLAN
Plan identification number	004

EAU GALLIE YACHT CLUB 401(K) 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

EAU GALLIE YACHT CLUB has sponsored the creation of one or more 401k plans.

Company Name: EAU GALLIE YACHT CLUB

Employer identification number (EIN): 590932703

NAIC Classification: 713900

Additional information about EAU GALLIE YACHT CLUB

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1961-03-23

Company Identification Number: 702188

Legal Registered Office Address: 100 DATURA DRIVE

INDIAN HARBOUR BCH

32937

More information about EAU GALLIE YACHT CLUB

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAU GALLIE YACHT CLUB 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2022-01-01 JULIA K PARR 2023-08-28
004 2021-01-01 JULIA K PARR 2022-05-27
004 2020-01-01 JULIA K PARR 2021-06-11 JULIA K PARR 2021-06-11
004 2019-01-01 JULIA PARR 2020-09-22 JULIA PARR 2020-09-22
004 2018-01-01 JULIA K PARR 2019-09-09 JULIA K PARR 2019-09-09
004 2017-01-01 ROBERT CRISSMAN 2018-07-19 ROBERT CRISSMAN 2018-07-19
004 2016-01-01 ROBERT P CRISSMAN 2017-07-26 ROBERT P CRISSMAN 2017-07-26
004 2015-01-01 CAROL DYKE 2016-06-29
004 2014-01-01 CAROL DYKE CAROL DYKE 2015-07-23
004 2013-01-01 CAROL DYKE
004 2012-01-01 CAROL DYKE
004 2011-01-01 CAROL DYKE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
004	2022-01-01	JULIA K PARR	2023-08-28
004	2021-01-01	JULIA K PARR	2022-05-27
004	2020-01-01	JULIA K PARR	2021-06-11	JULIA K PARR	2021-06-11
004	2019-01-01	JULIA PARR	2020-09-22	JULIA PARR	2020-09-22
004	2018-01-01	JULIA K PARR	2019-09-09	JULIA K PARR	2019-09-09
004	2017-01-01	ROBERT CRISSMAN	2018-07-19	ROBERT CRISSMAN	2018-07-19
004	2016-01-01	ROBERT P CRISSMAN	2017-07-26	ROBERT P CRISSMAN	2017-07-26
004	2015-01-01	CAROL DYKE	2016-06-29
004	2014-01-01	CAROL DYKE		CAROL DYKE	2015-07-23
004	2013-01-01	CAROL DYKE
004	2012-01-01	CAROL DYKE
004	2011-01-01	CAROL DYKE

Plan Statistics for EAU GALLIE YACHT CLUB 401(K) PLAN

401k plan membership statisitcs for EAU GALLIE YACHT CLUB 401(K) PLAN

Measure Date Value
2014: EAU GALLIE YACHT CLUB 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 40
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 11
Total of all active and inactive participants 2014-01-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 51
Number of participants with account balances 2014-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: EAU GALLIE YACHT CLUB 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 64
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 46
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 9
Total of all active and inactive participants 2013-01-01 55
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 55
Number of participants with account balances 2013-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EAU GALLIE YACHT CLUB 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 61
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 60
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 6
Total of all active and inactive participants 2012-01-01 66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 66
Number of participants with account balances 2012-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: EAU GALLIE YACHT CLUB 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 66
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 62
Number of retired or separated participants receiving benefits 2011-01-01 0
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 62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 62
Number of participants with account balances 2011-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2014: EAU GALLIE YACHT CLUB 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	40
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	11
Total of all active and inactive participants	2014-01-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	51
Number of participants with account balances	2014-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: EAU GALLIE YACHT CLUB 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	64
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	46
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	9
Total of all active and inactive participants	2013-01-01	55
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	55
Number of participants with account balances	2013-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EAU GALLIE YACHT CLUB 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	61
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	60
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	6
Total of all active and inactive participants	2012-01-01	66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	66
Number of participants with account balances	2012-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: EAU GALLIE YACHT CLUB 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	66
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	62
Number of retired or separated participants receiving benefits	2011-01-01	0
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	62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	62
Number of participants with account balances	2011-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on EAU GALLIE YACHT CLUB 401(K) PLAN

Measure	Date	Value
2014 : EAU GALLIE YACHT CLUB 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$104,734
Expenses. Total of all expenses incurred	2014-12-31	$7,385
Benefits paid (including direct rollovers)	2014-12-31	$1,994
Total plan assets at end of year	2014-12-31	$1,170,856
Total plan assets at beginning of year	2014-12-31	$1,073,507
Total contributions received or receivable from participants	2014-12-31	$62,797
Expenses. Other expenses not covered elsewhere	2014-12-31	$581
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$41,937
Net income (gross income less expenses)	2014-12-31	$97,349
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,170,856
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,073,507
Assets. Value of participant loans	2014-12-31	$47,148
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$4,810
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : EAU GALLIE YACHT CLUB 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$238,389
Expenses. Total of all expenses incurred	2013-12-31	$341,604
Benefits paid (including direct rollovers)	2013-12-31	$340,867
Total plan assets at end of year	2013-12-31	$1,073,507
Total plan assets at beginning of year	2013-12-31	$1,176,722
Total contributions received or receivable from participants	2013-12-31	$70,532
Expenses. Other expenses not covered elsewhere	2013-12-31	$737
Contributions received from other sources (not participants or employers)	2013-12-31	$34,375
Other income received	2013-12-31	$133,482
Net income (gross income less expenses)	2013-12-31	$-103,215
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,073,507
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,176,722
Assets. Value of participant loans	2013-12-31	$60,054
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : EAU GALLIE YACHT CLUB 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$212,560
Expenses. Total of all expenses incurred	2012-12-31	$101,072
Benefits paid (including direct rollovers)	2012-12-31	$100,676
Total plan assets at end of year	2012-12-31	$1,176,722
Total plan assets at beginning of year	2012-12-31	$1,065,234
Total contributions received or receivable from participants	2012-12-31	$63,384
Expenses. Other expenses not covered elsewhere	2012-12-31	$396
Contributions received from other sources (not participants or employers)	2012-12-31	$34,735
Other income received	2012-12-31	$114,441
Net income (gross income less expenses)	2012-12-31	$111,488
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,176,722
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,065,234
Assets. Value of participant loans	2012-12-31	$76,708
Total contributions received or receivable from employer(s)	2012-12-31	$0
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : EAU GALLIE YACHT CLUB 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$65,187
Expenses. Total of all expenses incurred	2011-12-31	$304,064
Benefits paid (including direct rollovers)	2011-12-31	$303,576
Total plan assets at end of year	2011-12-31	$1,065,234
Total plan assets at beginning of year	2011-12-31	$1,304,111
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$93,203
Expenses. Other expenses not covered elsewhere	2011-12-31	$488
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-28,016
Net income (gross income less expenses)	2011-12-31	$-238,877
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,065,234
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,304,111
Assets. Value of participant loans	2011-12-31	$58,737
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : EAU GALLIE YACHT CLUB 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$203,315
Expenses. Total of all expenses incurred	2010-12-31	$19,598
Benefits paid (including direct rollovers)	2010-12-31	$16,460
Total plan assets at end of year	2010-12-31	$1,304,111
Total plan assets at beginning of year	2010-12-31	$1,120,394
Value of fidelity bond covering the plan	2010-12-31	$150,000
Total contributions received or receivable from participants	2010-12-31	$105,024
Expenses. Other expenses not covered elsewhere	2010-12-31	$3,138
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$98,291
Net income (gross income less expenses)	2010-12-31	$183,717
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,304,111
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,120,394
Assets. Value of participant loans	2010-12-31	$58,014
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0

Form 5500 Responses for EAU GALLIE YACHT CLUB 401(K) PLAN

2014: EAU GALLIE YACHT CLUB 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: EAU GALLIE YACHT CLUB 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: EAU GALLIE YACHT CLUB 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: EAU GALLIE YACHT CLUB 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820898

Policy instance

Insurance contract or identification number	GA-820898
Number of Individuals Covered	44
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,949
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,949
Insurance broker organization code?	3
Insurance broker name	UBS FINANCIAL SERVICES

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820898

Policy instance

Insurance contract or identification number	GA-820898
Number of Individuals Covered	43
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,278
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,278
Insurance broker organization code?	3
Insurance broker name	UBS FINANCIAL SVCS INS AGCY

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820898

Policy instance

Insurance contract or identification number	GA-820898
Number of Individuals Covered	60
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $3,116
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,116
Insurance broker organization code?	3
Insurance broker name	UBS FINANCIAL SVCS INS AGCY

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820898

Policy instance

Insurance contract or identification number	GA-820898
Number of Individuals Covered	43
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $3,418
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-820898

Policy instance

Insurance contract or identification number	GA-820898
Number of Individuals Covered	48
Insurance policy start date	2010-04-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $7,326
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,243
Insurance broker organization code?	3
Insurance broker name	UBS FINANCIAL SVCS INS AGCY

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Company Name:	EAU GALLIE YACHT CLUB
Employer identification number (EIN):	590932703
NAIC Classification:	713900

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1961-03-23
Company Identification Number:	702188
Legal Registered Office Address:	100 DATURA DRIVE INDIAN HARBOUR BCH 32937