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DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 401k Plan overview

Plan NameDOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN
Plan identification number 001

DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing

401k Sponsoring company profile

DOMINIX ELECTRIC INC has sponsored the creation of one or more 401k plans.

Company Name:DOMINIX ELECTRIC INC
Employer identification number (EIN):591030727
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01ROBERT DOMINIX ROBERT DOMINIX
0012018-01-01ROBERT DOMINIX ROBERT DOMINIX
0012018-01-01ROBERT DOMINIX ROBERT DOMINIX
0012018-01-01ROBERT DOMINIX ROBERT DOMINIX
0012018-01-01ROBERT DOMINIX ROBERT DOMINIX
0012018-01-01ROBERT DOMINIX
0012017-01-01ROBERT DOMINIX
0012016-01-01ROBERT DOMINIX
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01ALBAN STEWART JR ALBAN STEWART JR2013-10-06
0012011-01-01ALBAN STEWART JR
0012009-01-01ALBAN STEWART JR

Plan Statistics for DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN

401k plan membership statisitcs for DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN

Measure Date Value
2018: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-010
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014
Total number of active participants reported on line 7a of the Form 55002017-01-012
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-013
Number of participants with account balances2017-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-012
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-014
Number of participants with account balances2016-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014
Total number of active participants reported on line 7a of the Form 55002015-01-012
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-014
Number of participants with account balances2015-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-012
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-014
Number of participants with account balances2014-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-014
Total number of active participants reported on line 7a of the Form 55002013-01-012
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-014
Number of participants with account balances2013-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-012
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-014
Number of participants with account balances2012-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-014
Total number of active participants reported on line 7a of the Form 55002011-01-012
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-014
Number of participants with account balances2011-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-014
Total number of active participants reported on line 7a of the Form 55002009-01-013
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-014
Number of participants with account balances2009-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN

Measure Date Value
2018 : DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$6,813
Expenses. Total of all expenses incurred2018-12-31$379,612
Benefits paid (including direct rollovers)2018-12-31$376,307
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$372,799
Expenses. Other expenses not covered elsewhere2018-12-31$855
Other income received2018-12-31$6,813
Net income (gross income less expenses)2018-12-31$-372,799
Net plan assets at end of year (total assets less liabilities)2018-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$372,799
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$2,450
Total income from all sources2018-09-30$6,813
Expenses. Total of all expenses incurred2018-09-30$379,612
Benefits paid (including direct rollovers)2018-09-30$376,307
Total plan assets at end of year2018-09-30$0
Total plan assets at beginning of year2018-09-30$372,799
Expenses. Other expenses not covered elsewhere2018-09-30$855
Other income received2018-09-30$6,813
Net income (gross income less expenses)2018-09-30$-372,799
Net plan assets at end of year (total assets less liabilities)2018-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2018-09-30$372,799
Expenses. Administrative service providers (salaries,fees and commissions)2018-09-30$2,450
2017 : DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$23,107
Expenses. Total of all expenses incurred2017-12-31$35,093
Benefits paid (including direct rollovers)2017-12-31$33,668
Total plan assets at end of year2017-12-31$372,799
Total plan assets at beginning of year2017-12-31$384,785
Other income received2017-12-31$23,107
Net income (gross income less expenses)2017-12-31$-11,986
Net plan assets at end of year (total assets less liabilities)2017-12-31$372,799
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$384,785
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,425
2016 : DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$50,824
Expenses. Total of all expenses incurred2016-12-31$21,807
Benefits paid (including direct rollovers)2016-12-31$16,523
Total plan assets at end of year2016-12-31$384,785
Total plan assets at beginning of year2016-12-31$355,768
Value of fidelity bond covering the plan2016-12-31$50,000
Expenses. Other expenses not covered elsewhere2016-12-31$5,284
Other income received2016-12-31$50,824
Net income (gross income less expenses)2016-12-31$29,017
Net plan assets at end of year (total assets less liabilities)2016-12-31$384,785
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$355,768
Assets. Value of real-estate (other than employer real property)2016-12-31$58,500
2015 : DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total income from all sources2015-12-31$13,679
Expenses. Total of all expenses incurred2015-12-31$21,909
Benefits paid (including direct rollovers)2015-12-31$16,427
Total plan assets at end of year2015-12-31$355,769
Total plan assets at beginning of year2015-12-31$363,999
Value of fidelity bond covering the plan2015-12-31$50,000
Expenses. Other expenses not covered elsewhere2015-12-31$5,482
Other income received2015-12-31$13,679
Net income (gross income less expenses)2015-12-31$-8,230
Net plan assets at end of year (total assets less liabilities)2015-12-31$355,769
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$363,999
Assets. Value of real-estate (other than employer real property)2015-12-31$17,467
2014 : DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$13,449
Expenses. Total of all expenses incurred2014-12-31$21,793
Benefits paid (including direct rollovers)2014-12-31$16,284
Total plan assets at end of year2014-12-31$363,999
Total plan assets at beginning of year2014-12-31$372,343
Value of fidelity bond covering the plan2014-12-31$50,000
Expenses. Other expenses not covered elsewhere2014-12-31$5,509
Other income received2014-12-31$13,449
Net income (gross income less expenses)2014-12-31$-8,344
Net plan assets at end of year (total assets less liabilities)2014-12-31$363,999
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$372,343
Assets. Value of real-estate (other than employer real property)2014-12-31$17,467
2013 : DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$12,445
Expenses. Total of all expenses incurred2013-12-31$21,922
Benefits paid (including direct rollovers)2013-12-31$16,284
Total plan assets at end of year2013-12-31$372,343
Total plan assets at beginning of year2013-12-31$381,820
Value of fidelity bond covering the plan2013-12-31$50,000
Expenses. Other expenses not covered elsewhere2013-12-31$5,638
Other income received2013-12-31$12,445
Net income (gross income less expenses)2013-12-31$-9,477
Net plan assets at end of year (total assets less liabilities)2013-12-31$372,343
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$381,820
Assets. Value of real-estate (other than employer real property)2013-12-31$17,467
2012 : DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$14,837
Expenses. Total of all expenses incurred2012-12-31$21,743
Benefits paid (including direct rollovers)2012-12-31$16,120
Total plan assets at end of year2012-12-31$381,820
Total plan assets at beginning of year2012-12-31$388,726
Value of fidelity bond covering the plan2012-12-31$50,000
Expenses. Other expenses not covered elsewhere2012-12-31$5,623
Other income received2012-12-31$14,837
Net income (gross income less expenses)2012-12-31$-6,906
Net plan assets at end of year (total assets less liabilities)2012-12-31$381,820
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$388,726
Assets. Value of real-estate (other than employer real property)2012-12-31$17,467
2011 : DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$-13,248
Expenses. Total of all expenses incurred2011-12-31$23,013
Benefits paid (including direct rollovers)2011-12-31$17,344
Total plan assets at end of year2011-12-31$388,726
Total plan assets at beginning of year2011-12-31$424,987
Value of fidelity bond covering the plan2011-12-31$50,000
Expenses. Other expenses not covered elsewhere2011-12-31$5,669
Other income received2011-12-31$-13,248
Net income (gross income less expenses)2011-12-31$-36,261
Net plan assets at end of year (total assets less liabilities)2011-12-31$388,726
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$424,987
Assets. Value of real-estate (other than employer real property)2011-12-31$17,467

Form 5500 Responses for DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN

2018: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: DOMINIX ELECTRIC INC EMPLOYEE'S RESTATED PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number92144096
Policy instance 1
Insurance contract or identification number92144096
Number of Individuals Covered1
Insurance policy start date2014-04-03
Insurance policy end date2015-04-03
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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?Yes
Insurance broker organization code?3
Insurance broker nameROSENTHAL AGENCY INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number92144096
Policy instance 1
Insurance contract or identification number92144096
Number of Individuals Covered1
Insurance policy start date2013-04-03
Insurance policy end date2014-04-03
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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?Yes
Insurance broker organization code?3
Insurance broker nameROSENTHAL AGENCY INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number92144096
Policy instance 1
Insurance contract or identification number92144096
Number of Individuals Covered1
Insurance policy start date2012-04-03
Insurance policy end date2013-04-03
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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?No
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?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameROSENTHAL AGENCY INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number92144096
Policy instance 1
Insurance contract or identification number92144096
Number of Individuals Covered1
Insurance policy start date2011-04-03
Insurance policy end date2012-04-03
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 organization code?3
Insurance broker nameROSENTHAL AGENCY INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number92144096
Policy instance 1
Insurance contract or identification number92144096
Number of Individuals Covered1
Insurance policy start date2010-04-03
Insurance policy end date2011-04-03
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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

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