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CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 401k Plan overview

Plan NameCUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN
Plan identification number 001

CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN Benefits

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

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

Company Name:CUNDY, INC.
Employer identification number (EIN):591089031
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Additional information about CUNDY, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1965-01-01
Company Identification Number: 288912
Legal Registered Office Address: 515 EAST LAS OLAS BOULEVARD

FORT LAUDERDALE

33301

More information about CUNDY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01DAVID L. CUNDY
0012013-01-01DAVID L. CUNDY
0012012-01-01DAVID L. CUNDY
0012011-01-01DAVID L. CUNDY
0012010-01-01DAVID L. CUNDY DAVID L. CUNDY2011-10-15
0012009-01-01DAVID L. CUNDY DAVID L. CUNDY2010-10-12

Plan Statistics for CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN

401k plan membership statisitcs for CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN

Measure Date Value
2017: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0116
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0118
Total number of active participants reported on line 7a of the Form 55002016-01-017
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-019
Total of all active and inactive participants2016-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0116
Number of participants with account balances2016-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0119
Total number of active participants reported on line 7a of the Form 55002015-01-019
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-019
Total of all active and inactive participants2015-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0118
Number of participants with account balances2015-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0123
Total number of active participants reported on line 7a of the Form 55002014-01-019
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0118
Number of participants with account balances2014-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0134
Total number of active participants reported on line 7a of the Form 55002013-01-0111
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0111
Total of all active and inactive participants2013-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0122
Number of participants with account balances2013-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0127
Total number of active participants reported on line 7a of the Form 55002012-01-0114
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-019
Total of all active and inactive participants2012-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0123
Number of participants with account balances2012-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0127
Total number of active participants reported on line 7a of the Form 55002011-01-0116
Number of retired or separated participants receiving benefits2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-019
Total of all active and inactive participants2011-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0127
Number of participants with account balances2011-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0129
Total number of active participants reported on line 7a of the Form 55002010-01-0115
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0111
Total of all active and inactive participants2010-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0126
Number of participants with account balances2010-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0131
Total number of active participants reported on line 7a of the Form 55002009-01-0116
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0113
Total of all active and inactive participants2009-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0129
Number of participants with account balances2009-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN

Measure Date Value
2017 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2017 401k financial data
Transfers to/from the plan2017-03-31$-1,462,003
Total income from all sources2017-03-31$53,361
Expenses. Total of all expenses incurred2017-03-31$629
Total plan assets at end of year2017-03-31$0
Total plan assets at beginning of year2017-03-31$1,409,271
Value of fidelity bond covering the plan2017-03-31$150,000
Total contributions received or receivable from participants2017-03-31$3,013
Expenses. Other expenses not covered elsewhere2017-03-31$629
Other income received2017-03-31$50,348
Net income (gross income less expenses)2017-03-31$52,732
Net plan assets at end of year (total assets less liabilities)2017-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$1,409,271
Total contributions received or receivable from employer(s)2017-03-31$0
2016 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$129,454
Expenses. Total of all expenses incurred2016-12-31$10,303
Benefits paid (including direct rollovers)2016-12-31$6,215
Total plan assets at end of year2016-12-31$1,409,271
Total plan assets at beginning of year2016-12-31$1,290,120
Value of fidelity bond covering the plan2016-12-31$150,000
Total contributions received or receivable from participants2016-12-31$53,928
Expenses. Other expenses not covered elsewhere2016-12-31$1,609
Other income received2016-12-31$75,526
Net income (gross income less expenses)2016-12-31$119,151
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,409,271
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,290,120
Assets. Value of participant loans2016-12-31$55,350
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$2,479
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2015 401k financial data
Total income from all sources2015-12-31$54,847
Expenses. Total of all expenses incurred2015-12-31$2,362
Total plan assets at end of year2015-12-31$1,290,120
Total plan assets at beginning of year2015-12-31$1,237,635
Value of fidelity bond covering the plan2015-12-31$150,000
Total contributions received or receivable from participants2015-12-31$59,142
Other income received2015-12-31$-4,295
Net income (gross income less expenses)2015-12-31$52,485
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,290,120
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,237,635
Assets. Value of participant loans2015-12-31$42,610
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$2,362
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2014 401k financial data
Total income from all sources2014-12-31$112,482
Expenses. Total of all expenses incurred2014-12-31$240,518
Benefits paid (including direct rollovers)2014-12-31$234,903
Total plan assets at end of year2014-12-31$1,237,635
Total plan assets at beginning of year2014-12-31$1,365,671
Value of fidelity bond covering the plan2014-12-31$150,000
Total contributions received or receivable from participants2014-12-31$56,654
Other income received2014-12-31$55,828
Net income (gross income less expenses)2014-12-31$-128,036
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,237,635
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,365,671
Assets. Value of participant loans2014-12-31$2,111
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$5,615
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2013 401k financial data
Total income from all sources2013-12-31$229,348
Expenses. Total of all expenses incurred2013-12-31$38,442
Benefits paid (including direct rollovers)2013-12-31$33,513
Total plan assets at end of year2013-12-31$1,365,671
Total plan assets at beginning of year2013-12-31$1,174,765
Value of fidelity bond covering the plan2013-12-31$170,000
Total contributions received or receivable from participants2013-12-31$61,420
Other income received2013-12-31$167,928
Net income (gross income less expenses)2013-12-31$190,906
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,365,671
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,174,765
Assets. Value of participant loans2013-12-31$13,021
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$4,929
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-12-31$183,277
Expenses. Total of all expenses incurred2012-12-31$108,184
Benefits paid (including direct rollovers)2012-12-31$79,504
Total plan assets at end of year2012-12-31$1,174,765
Total plan assets at beginning of year2012-12-31$1,099,672
Value of fidelity bond covering the plan2012-12-31$170,000
Total contributions received or receivable from participants2012-12-31$69,193
Other income received2012-12-31$114,084
Net income (gross income less expenses)2012-12-31$75,093
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,174,765
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,099,672
Assets. Value of participant loans2012-12-31$24,952
Value of corrective distributions2012-12-31$22,801
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$5,879
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2011 401k financial data
Total income from all sources2011-12-31$68,108
Expenses. Total of all expenses incurred2011-12-31$233,259
Benefits paid (including direct rollovers)2011-12-31$218,683
Total plan assets at end of year2011-12-31$1,099,672
Total plan assets at beginning of year2011-12-31$1,264,823
Value of fidelity bond covering the plan2011-12-31$170,000
Total contributions received or receivable from participants2011-12-31$74,001
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$6,295
Other income received2011-12-31$-12,188
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$-165,151
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,099,672
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,264,823
Assets. Value of participant loans2011-12-31$19,086
Total contributions received or receivable from employer(s)2011-12-31$0
Value of certain deemed distributions of participant loans2011-12-31$5,757
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$8,819
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2010 401k financial data
Total income from all sources2010-12-31$209,810
Expenses. Total of all expenses incurred2010-12-31$413,230
Benefits paid (including direct rollovers)2010-12-31$389,977
Total plan assets at end of year2010-12-31$1,264,823
Total plan assets at beginning of year2010-12-31$1,468,243
Value of fidelity bond covering the plan2010-12-31$150,000
Total contributions received or receivable from participants2010-12-31$82,009
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$127,801
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$-203,420
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,264,823
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,468,243
Assets. Value of participant loans2010-12-31$32,744
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$174
Total contributions received or receivable from employer(s)2010-12-31$0
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$22,468
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$785
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN

2017: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS 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 - TrustYes
2014: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS 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 - TrustYes
2013: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS 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 - TrustYes
2012: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS 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 - TrustYes
2011: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle 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 - TrustYes
2010: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CUNDY INSURANCE AGENCY, INC. 401(K) EMPLOYEE SAVINGS 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 - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number800979-000
Policy instance 1
Insurance contract or identification number800979-000
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $524
Are there contracts with allocated funds for individual policies?0
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?Yes
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
Other information about contractSTABLE VALUE OPTION
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees524
Additional information about fees paid to insurance brokerSALES/ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameAMERICAN PENSION SERVICES, LLC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number800979-000
Policy instance 1
Insurance contract or identification number800979-000
Number of Individuals Covered16
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,840
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
Amount paid for insurance broker fees1840
Additional information about fees paid to insurance brokerSALES/ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameAMERICAN PENSION SERVICES, LLC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number800979
Policy instance 1
Insurance contract or identification number800979
Number of Individuals Covered17
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,067
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
Amount paid for insurance broker fees2067
Additional information about fees paid to insurance brokerSALES/ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameAMERICAN PENSION SERVICES, LLC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number800979
Policy instance 1
Insurance contract or identification number800979
Number of Individuals Covered22
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,812
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
Amount paid for insurance broker fees1812
Additional information about fees paid to insurance brokerSALES/ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameAMERICAN PENSION SERVICES, LLC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number800979
Policy instance 1
Insurance contract or identification number800979
Number of Individuals Covered23
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,662
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
Amount paid for insurance broker fees1662
Additional information about fees paid to insurance brokerSALES/ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameAMERICAN PENSION SERVICES, LLC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number800979
Policy instance 1
Insurance contract or identification number800979
Number of Individuals Covered23
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,743
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number800979
Policy instance 1
Insurance contract or identification number800979
Number of Individuals Covered23
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,286
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes

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