401k Plan data: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE plan

WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 401k Plan overview

Plan Name	WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE
Plan identification number	001

WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 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

WEEMS, SCHIMPF,HAINES, LANDRY, SHEMWELL & MOORE has sponsored the creation of one or more 401k plans.

Company Name: WEEMS, SCHIMPF,HAINES, LANDRY, SHEMWELL & MOORE

Employer identification number (EIN): 721146774

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 SONIA L. ORGERON 2019-09-10
001 2017-01-01 SONIA ORGERON 2018-06-18 CAREY SCHIMPF 2018-06-18
001 2016-01-01 NILA K. THURSTON 2017-06-19 CAREY T. SCHIMPF 2017-06-19
001 2015-01-01 NILA THURSTON 2016-06-21 CAREY SCHIMPF 2016-06-21
001 2014-01-01 NILA K. THURSTON
001 2013-01-01 NILA THURSTON
001 2012-01-01 CAREY SCHIMPF
001 2011-01-01 CAREY SCHIMPF
001 2010-01-01 CAREY SCHIMPF
001 2009-01-01 CAREY SCHIMPF

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01	SONIA L. ORGERON	2019-09-10
001	2017-01-01	SONIA ORGERON	2018-06-18	CAREY SCHIMPF	2018-06-18
001	2016-01-01	NILA K. THURSTON	2017-06-19	CAREY T. SCHIMPF	2017-06-19
001	2015-01-01	NILA THURSTON	2016-06-21	CAREY SCHIMPF	2016-06-21
001	2014-01-01	NILA K. THURSTON
001	2013-01-01	NILA THURSTON
001	2012-01-01	CAREY SCHIMPF
001	2011-01-01	CAREY SCHIMPF
001	2010-01-01	CAREY SCHIMPF
001	2009-01-01	CAREY SCHIMPF

Plan Statistics for WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE

401k plan membership statisitcs for WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE

Measure Date Value
2014: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 16
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 5
Total of all active and inactive participants 2014-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 21
Number of participants with account balances 2014-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 16
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 5
Total of all active and inactive participants 2013-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 21
Number of participants with account balances 2013-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2012 401k membership
Total participants, beginning-of-year 2012-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 19
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 5
Total of all active and inactive participants 2012-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 24
Number of participants with account balances 2012-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 7
2011: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 24
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 8
Total of all active and inactive participants 2011-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 32
Number of participants with account balances 2011-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2010 401k membership
Total participants, beginning-of-year 2010-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 22
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 9
Total of all active and inactive participants 2010-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 31
Number of participants with account balances 2010-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 21
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 10
Total of all active and inactive participants 2009-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 31
Number of participants with account balances 2009-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2014: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	16
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	5
Total of all active and inactive participants	2014-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	21
Number of participants with account balances	2014-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	16
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	5
Total of all active and inactive participants	2013-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	21
Number of participants with account balances	2013-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2012 401k membership
Total participants, beginning-of-year	2012-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	19
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	5
Total of all active and inactive participants	2012-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	24
Number of participants with account balances	2012-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	7
2011: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	24
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	8
Total of all active and inactive participants	2011-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	32
Number of participants with account balances	2011-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2010 401k membership
Total participants, beginning-of-year	2010-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	22
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	9
Total of all active and inactive participants	2010-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	31
Number of participants with account balances	2010-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	21
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	10
Total of all active and inactive participants	2009-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	31
Number of participants with account balances	2009-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE

Measure	Date	Value
2014 : WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$348,641
Expenses. Total of all expenses incurred	2014-12-31	$97,188
Benefits paid (including direct rollovers)	2014-12-31	$96,812
Total plan assets at end of year	2014-12-31	$2,934,272
Total plan assets at beginning of year	2014-12-31	$2,682,819
Value of fidelity bond covering the plan	2014-12-31	$250,000
Total contributions received or receivable from participants	2014-12-31	$98,422
Expenses. Other expenses not covered elsewhere	2014-12-31	$376
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$170,912
Net income (gross income less expenses)	2014-12-31	$251,453
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,934,272
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,682,819
Assets. Value of participant loans	2014-12-31	$81,116
Total contributions received or receivable from employer(s)	2014-12-31	$79,307
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
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 : WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2013 401k financial data
Total income from all sources	2013-12-31	$631,183
Expenses. Total of all expenses incurred	2013-12-31	$232,907
Benefits paid (including direct rollovers)	2013-12-31	$232,561
Total plan assets at end of year	2013-12-31	$2,682,819
Total plan assets at beginning of year	2013-12-31	$2,284,543
Value of fidelity bond covering the plan	2013-12-31	$250,000
Total contributions received or receivable from participants	2013-12-31	$110,186
Expenses. Other expenses not covered elsewhere	2013-12-31	$346
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$424,372
Net income (gross income less expenses)	2013-12-31	$398,276
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,682,819
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,284,543
Assets. Value of participant loans	2013-12-31	$85,214
Total contributions received or receivable from employer(s)	2013-12-31	$96,625
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 : WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2012 401k financial data
Total income from all sources	2012-12-31	$353,719
Expenses. Total of all expenses incurred	2012-12-31	$297,773
Benefits paid (including direct rollovers)	2012-12-31	$295,039
Total plan assets at end of year	2012-12-31	$2,284,543
Total plan assets at beginning of year	2012-12-31	$2,228,597
Value of fidelity bond covering the plan	2012-12-31	$250,000
Total contributions received or receivable from participants	2012-12-31	$78,708
Expenses. Other expenses not covered elsewhere	2012-12-31	$2,734
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$212,695
Net income (gross income less expenses)	2012-12-31	$55,946
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,284,543
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,228,597
Assets. Value of participant loans	2012-12-31	$108,560
Total contributions received or receivable from employer(s)	2012-12-31	$62,316
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 : WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2011 401k financial data
Total income from all sources	2011-12-31	$71,394
Expenses. Total of all expenses incurred	2011-12-31	$67,734
Benefits paid (including direct rollovers)	2011-12-31	$64,208
Total plan assets at end of year	2011-12-31	$2,228,596
Total plan assets at beginning of year	2011-12-31	$2,224,936
Value of fidelity bond covering the plan	2011-12-31	$250,000
Total contributions received or receivable from participants	2011-12-31	$82,945
Other income received	2011-12-31	$-93,066
Net income (gross income less expenses)	2011-12-31	$3,660
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,228,596
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,224,936
Assets. Value of participant loans	2011-12-31	$87,582
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2011-12-31	$9,456
Total contributions received or receivable from employer(s)	2011-12-31	$81,515
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,526
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2010 401k financial data
Total income from all sources	2010-12-31	$386,604
Expenses. Total of all expenses incurred	2010-12-31	$122,798
Benefits paid (including direct rollovers)	2010-12-31	$118,882
Total plan assets at end of year	2010-12-31	$2,224,936
Total plan assets at beginning of year	2010-12-31	$1,961,130
Value of fidelity bond covering the plan	2010-12-31	$250,000
Total contributions received or receivable from participants	2010-12-31	$80,667
Other income received	2010-12-31	$226,967
Net income (gross income less expenses)	2010-12-31	$263,806
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,224,936
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,961,130
Assets. Value of participant loans	2010-12-31	$97,484
Total contributions received or receivable from employer(s)	2010-12-31	$78,970
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$3,916
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE

2014: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 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: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 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: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 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: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: WEEMS, SCHIMPF, HAINES, LANDRY, SHEMWELL & MOORE 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

GA-830402

Policy instance

Insurance contract or identification number	GA-830402
Number of Individuals Covered	20
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,895
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 $5,852
Insurance broker organization code?	3
Insurance broker name	RAYMOND JAMES & ASSOC INC

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

Policy contract number

GA-830402

Policy instance

Insurance contract or identification number	GA-830402
Number of Individuals Covered	21
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4,610
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 $4,056
Insurance broker organization code?	3
Insurance broker name	MORGAN KEEGAN & CO INC

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

Policy contract number

GA-830402

Policy instance

Insurance contract or identification number	GA-830402
Number of Individuals Covered	19
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $21,782
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 $21,782
Insurance broker organization code?	3
Insurance broker name	MORGAN KEEGAN & CO INC

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Company Name:	WEEMS, SCHIMPF,HAINES, LANDRY, SHEMWELL & MOORE
Employer identification number (EIN):	721146774
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers