401k Plan data: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN plan

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

Plan Name	MACKELLAR, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

MACKELLAR, INC. 401(K) PROFIT SHARING 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: MACKELLAR, INC.

Employer identification number (EIN): 730642243

NAIC Classification: 221210
NAIC Description: Natural Gas Distribution

Additional information about MACKELLAR, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2016-07-11

Company Identification Number: P16000058434

Legal Registered Office Address: 5575 S. SEMORAN BLVD

ORLANDO

32822

More information about MACKELLAR, INC.

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 BRUCE MACKELLAR 2023-07-24
001 2021-01-01 BRUCE MACKELLAR 2022-09-30
001 2020-01-01 DEBBY BOND 2021-07-29 J BRUCE MACKELLAR 2021-07-29
001 2019-01-01 DEBBY BOND 2020-06-16 BRUCE MACKELLAR 2020-06-16
001 2018-01-01 DEBBY BOND 2019-07-11 BRUCE MACKELLAR 2019-07-11
001 2017-01-01 DEBBY BOND 2018-07-13 BRUCE MACKELLAR 2018-07-13
001 2016-01-01 DEBBY BOND 2017-06-16 BRUCE MACKELLAR 2017-06-16
001 2015-01-01 DEBBY BOND 2016-07-07 BRUCE MACKELLAR 2016-07-07
001 2014-01-01 DEBBY BOND J. BRUCE MACKELLAR 2015-07-16
001 2013-01-01 DEBBY DOST J. BRUCE MACKELLAR 2014-07-09
001 2012-01-01 DEBBY DOST J. BRUCE MACKELLAR 2013-07-23
001 2011-01-01 DEBBY DOST J. BRUCE MACKELLAR 2012-08-27
001 2009-01-01 DEBBY DOST J. BRUCE MACKELLAR 2010-08-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	BRUCE MACKELLAR	2023-07-24
001	2021-01-01	BRUCE MACKELLAR	2022-09-30
001	2020-01-01	DEBBY BOND	2021-07-29	J BRUCE MACKELLAR	2021-07-29
001	2019-01-01	DEBBY BOND	2020-06-16	BRUCE MACKELLAR	2020-06-16
001	2018-01-01	DEBBY BOND	2019-07-11	BRUCE MACKELLAR	2019-07-11
001	2017-01-01	DEBBY BOND	2018-07-13	BRUCE MACKELLAR	2018-07-13
001	2016-01-01	DEBBY BOND	2017-06-16	BRUCE MACKELLAR	2017-06-16
001	2015-01-01	DEBBY BOND	2016-07-07	BRUCE MACKELLAR	2016-07-07
001	2014-01-01	DEBBY BOND		J. BRUCE MACKELLAR	2015-07-16
001	2013-01-01	DEBBY DOST		J. BRUCE MACKELLAR	2014-07-09
001	2012-01-01	DEBBY DOST		J. BRUCE MACKELLAR	2013-07-23
001	2011-01-01	DEBBY DOST		J. BRUCE MACKELLAR	2012-08-27
001	2009-01-01	DEBBY DOST		J. BRUCE MACKELLAR	2010-08-26

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

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

Measure Date Value
2014: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 28
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 6
Total of all active and inactive participants 2014-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 34
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 1
2013: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 25
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 3
Total of all active and inactive participants 2013-01-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 28
Number of participants with account balances 2013-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 27
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 4
Total of all active and inactive participants 2012-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 31
Number of participants with account balances 2012-01-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 31
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 4
Total of all active and inactive participants 2011-01-01 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 35
Number of participants with account balances 2011-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 34
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 6
Total of all active and inactive participants 2009-01-01 40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 40
Number of participants with account balances 2009-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2014: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	28
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	6
Total of all active and inactive participants	2014-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	34
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	1
2013: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	25
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	3
Total of all active and inactive participants	2013-01-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	28
Number of participants with account balances	2013-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	27
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	4
Total of all active and inactive participants	2012-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	31
Number of participants with account balances	2012-01-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	31
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	4
Total of all active and inactive participants	2011-01-01	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	35
Number of participants with account balances	2011-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	34
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	6
Total of all active and inactive participants	2009-01-01	40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	40
Number of participants with account balances	2009-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

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

Measure	Date	Value
2014 : MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$174,376
Expenses. Total of all expenses incurred	2014-12-31	$31,649
Benefits paid (including direct rollovers)	2014-12-31	$20,063
Total plan assets at end of year	2014-12-31	$1,812,732
Total plan assets at beginning of year	2014-12-31	$1,670,005
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$85,635
Expenses. Other expenses not covered elsewhere	2014-12-31	$431
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$72,228
Net income (gross income less expenses)	2014-12-31	$142,727
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,812,732
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,670,005
Assets. Value of participant loans	2014-12-31	$71,365
Total contributions received or receivable from employer(s)	2014-12-31	$16,513
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$11,155
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 : MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$267,753
Expenses. Total of all expenses incurred	2013-12-31	$72,678
Benefits paid (including direct rollovers)	2013-12-31	$62,153
Total plan assets at end of year	2013-12-31	$1,670,005
Total plan assets at beginning of year	2013-12-31	$1,474,930
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$77,711
Expenses. Other expenses not covered elsewhere	2013-12-31	$157
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$176,480
Net income (gross income less expenses)	2013-12-31	$195,075
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,670,005
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,474,930
Assets. Value of participant loans	2013-12-31	$26,540
Total contributions received or receivable from employer(s)	2013-12-31	$13,562
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$10,368
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 : MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$251,004
Expenses. Total of all expenses incurred	2012-12-31	$295,867
Benefits paid (including direct rollovers)	2012-12-31	$295,699
Total plan assets at end of year	2012-12-31	$1,474,930
Total plan assets at beginning of year	2012-12-31	$1,519,793
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$74,397
Expenses. Other expenses not covered elsewhere	2012-12-31	$168
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$163,685
Net income (gross income less expenses)	2012-12-31	$-44,863
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,474,930
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,519,793
Assets. Value of participant loans	2012-12-31	$43,471
Total contributions received or receivable from employer(s)	2012-12-31	$12,922
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 : MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$56,362
Expenses. Total of all expenses incurred	2011-12-31	$35,519
Benefits paid (including direct rollovers)	2011-12-31	$21,916
Total plan assets at end of year	2011-12-31	$1,519,793
Total plan assets at beginning of year	2011-12-31	$1,498,950
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$90,492
Expenses. Other expenses not covered elsewhere	2011-12-31	$214
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-50,812
Net income (gross income less expenses)	2011-12-31	$20,843
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,519,793
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,498,950
Assets. Value of participant loans	2011-12-31	$70,235
Total contributions received or receivable from employer(s)	2011-12-31	$16,682
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$13,389
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 : MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total income from all sources	2010-12-31	$304,609
Expenses. Total of all expenses incurred	2010-12-31	$8,790
Benefits paid (including direct rollovers)	2010-12-31	$8,629
Total plan assets at end of year	2010-12-31	$1,498,950
Total plan assets at beginning of year	2010-12-31	$1,203,131
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$97,984
Expenses. Other expenses not covered elsewhere	2010-12-31	$161
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$189,393
Net income (gross income less expenses)	2010-12-31	$295,819
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,498,950
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,203,131
Assets. Value of participant loans	2010-12-31	$45,543
Total contributions received or receivable from employer(s)	2010-12-31	$17,232
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
2009 : MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

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

2014: MACKELLAR, INC. 401(K) PROFIT SHARING 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: MACKELLAR, INC. 401(K) PROFIT SHARING 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: MACKELLAR, INC. 401(K) PROFIT SHARING 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: MACKELLAR, INC. 401(K) PROFIT SHARING 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
2009: MACKELLAR, INC. 401(K) PROFIT SHARING PLAN 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 is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	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-711492

Policy instance

Insurance contract or identification number	GA-711492
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 $4,928
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 $4,928
Insurance broker organization code?	3
Insurance broker name	MERRILL LYNCH LIFE AGENCY INC

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

Policy contract number

GA-711492

Policy instance

Insurance contract or identification number	GA-711492
Number of Individuals Covered	20
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $4,357
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-711492

Policy instance

Insurance contract or identification number	GA-711492
Number of Individuals Covered	20
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $3,564
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 $3,564
Insurance broker organization code?	3
Insurance broker name	MERRILL LYNCH LIFE AGENCY

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Company Name:	MACKELLAR, INC.
Employer identification number (EIN):	730642243
NAIC Classification:	221210
NAIC Description:	Natural Gas Distribution

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2016-07-11
Company Identification Number:	P16000058434
Legal Registered Office Address:	5575 S. SEMORAN BLVD ORLANDO 32822