401k Plan data: FTC TRANSPORTATION 401(K) RETIREMENT PLAN plan

FTC TRANSPORTATION 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	FTC TRANSPORTATION 401(K) RETIREMENT PLAN
Plan identification number	002

FTC TRANSPORTATION 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

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

Company Name: FTC TRANSPORTATION, INC.

Employer identification number (EIN): 731289620

NAIC Classification: 484200
NAIC Description: Specialized Freight Trucking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FTC TRANSPORTATION 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-10-01 DIANE MOSS 2023-02-01
002 2020-10-01 DIANE MOSS 2022-01-28 CHRISTY THARP 2022-01-31
002 2019-10-01 DIANE MOSS 2021-04-15 CHRISTY THARP 2021-04-21
002 2018-10-01 DIANE MOSS 2020-03-30 CHRISTY THARP 2020-03-18
002 2017-10-01 DIANE MOSS 2019-04-11 CHRISTY THARP 2019-04-11
002 2016-10-01 DIANE MOSS 2018-05-09 CHRISTY THARP 2018-05-09
002 2015-10-01 DIANE MOSS CHRISTY THARP 2017-04-03
002 2014-10-01 DIANE MOSS CHRISTY THARP 2016-06-16
002 2013-10-01 DIANE MOSS CHRISTY THARP 2015-04-02
002 2012-10-01 M DIANE MOSS CHRISTY THARP 2014-04-17
002 2011-10-01 M DIANE MOSS CHRISTY THARP 2013-04-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-10-01	DIANE MOSS	2023-02-01
002	2020-10-01	DIANE MOSS	2022-01-28	CHRISTY THARP	2022-01-31
002	2019-10-01	DIANE MOSS	2021-04-15	CHRISTY THARP	2021-04-21
002	2018-10-01	DIANE MOSS	2020-03-30	CHRISTY THARP	2020-03-18
002	2017-10-01	DIANE MOSS	2019-04-11	CHRISTY THARP	2019-04-11
002	2016-10-01	DIANE MOSS	2018-05-09	CHRISTY THARP	2018-05-09
002	2015-10-01	DIANE MOSS		CHRISTY THARP	2017-04-03
002	2014-10-01	DIANE MOSS		CHRISTY THARP	2016-06-16
002	2013-10-01	DIANE MOSS		CHRISTY THARP	2015-04-02
002	2012-10-01	M DIANE MOSS		CHRISTY THARP	2014-04-17
002	2011-10-01	M DIANE MOSS		CHRISTY THARP	2013-04-10

Plan Statistics for FTC TRANSPORTATION 401(K) RETIREMENT PLAN

401k plan membership statisitcs for FTC TRANSPORTATION 401(K) RETIREMENT PLAN

Measure Date Value
2015: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 67
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 46
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 23
Total of all active and inactive participants 2015-10-01 69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 69
Number of participants with account balances 2015-10-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 3
2014: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 73
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 44
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 22
Total of all active and inactive participants 2014-10-01 66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 66
Number of participants with account balances 2014-10-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 1
2013: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 74
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 50
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 27
Total of all active and inactive participants 2013-10-01 77
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 77
Number of participants with account balances 2013-10-01 55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 1
2012: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 82
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 52
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 24
Total of all active and inactive participants 2012-10-01 76
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 76
Number of participants with account balances 2012-10-01 55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 1
2011: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 86
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 51
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 28
Total of all active and inactive participants 2011-10-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 79
Number of participants with account balances 2011-10-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 3

Measure	Date	Value
2015: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	67
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	46
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	23
Total of all active and inactive participants	2015-10-01	69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	69
Number of participants with account balances	2015-10-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	3
2014: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	73
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	44
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	22
Total of all active and inactive participants	2014-10-01	66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	66
Number of participants with account balances	2014-10-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	1
2013: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	74
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	50
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	27
Total of all active and inactive participants	2013-10-01	77
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	77
Number of participants with account balances	2013-10-01	55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	1
2012: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	82
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	52
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	24
Total of all active and inactive participants	2012-10-01	76
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	76
Number of participants with account balances	2012-10-01	55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	1
2011: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	86
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	51
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	28
Total of all active and inactive participants	2011-10-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	79
Number of participants with account balances	2011-10-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	3

Financial Data on FTC TRANSPORTATION 401(K) RETIREMENT PLAN

Measure	Date	Value
2016 : FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2016 401k financial data
Total income from all sources	2016-09-30	$315,668
Expenses. Total of all expenses incurred	2016-09-30	$136,301
Benefits paid (including direct rollovers)	2016-09-30	$136,301
Total plan assets at end of year	2016-09-30	$1,749,818
Total plan assets at beginning of year	2016-09-30	$1,570,451
Value of fidelity bond covering the plan	2016-09-30	$500,000
Total contributions received or receivable from participants	2016-09-30	$143,544
Other income received	2016-09-30	$109,080
Net income (gross income less expenses)	2016-09-30	$179,367
Net plan assets at end of year (total assets less liabilities)	2016-09-30	$1,749,818
Net plan assets at beginning of year (total assets less liabilities)	2016-09-30	$1,570,451
Assets. Value of participant loans	2016-09-30	$60,359
Total contributions received or receivable from employer(s)	2016-09-30	$63,044
2015 : FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-09-30	$181,983
Expenses. Total of all expenses incurred	2015-09-30	$90,061
Benefits paid (including direct rollovers)	2015-09-30	$90,061
Total plan assets at end of year	2015-09-30	$1,570,451
Total plan assets at beginning of year	2015-09-30	$1,478,529
Value of fidelity bond covering the plan	2015-09-30	$100,000
Total contributions received or receivable from participants	2015-09-30	$147,204
Contributions received from other sources (not participants or employers)	2015-09-30	$0
Other income received	2015-09-30	$-27,729
Net income (gross income less expenses)	2015-09-30	$91,922
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$1,570,451
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$1,478,529
Assets. Value of participant loans	2015-09-30	$48,405
Total contributions received or receivable from employer(s)	2015-09-30	$62,508
2014 : FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-09-30	$408,251
Expenses. Total of all expenses incurred	2014-09-30	$122,494
Benefits paid (including direct rollovers)	2014-09-30	$121,878
Total plan assets at end of year	2014-09-30	$1,478,529
Total plan assets at beginning of year	2014-09-30	$1,192,772
Value of fidelity bond covering the plan	2014-09-30	$10,000
Total contributions received or receivable from participants	2014-09-30	$132,808
Contributions received from other sources (not participants or employers)	2014-09-30	$138,270
Other income received	2014-09-30	$76,919
Net income (gross income less expenses)	2014-09-30	$285,757
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$1,478,529
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$1,192,772
Assets. Value of participant loans	2014-09-30	$51,075
Total contributions received or receivable from employer(s)	2014-09-30	$60,254
Expenses. Administrative service providers (salaries,fees and commissions)	2014-09-30	$616
2013 : FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-09-30	$0
Total plan liabilities at beginning of year	2013-09-30	$0
Total income from all sources	2013-09-30	$282,470
Expenses. Total of all expenses incurred	2013-09-30	$70,267
Benefits paid (including direct rollovers)	2013-09-30	$70,267
Total plan assets at end of year	2013-09-30	$1,192,772
Total plan assets at beginning of year	2013-09-30	$980,569
Value of fidelity bond covering the plan	2013-09-30	$100,000
Total contributions received or receivable from participants	2013-09-30	$123,126
Other income received	2013-09-30	$105,540
Net income (gross income less expenses)	2013-09-30	$212,203
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$1,192,772
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$980,569
Assets. Value of participant loans	2013-09-30	$29,048
Total contributions received or receivable from employer(s)	2013-09-30	$53,804
2012 : FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-09-30	$0
Total plan liabilities at beginning of year	2012-09-30	$0
Total income from all sources	2012-09-30	$262,587
Expenses. Total of all expenses incurred	2012-09-30	$164,289
Benefits paid (including direct rollovers)	2012-09-30	$164,289
Total plan assets at end of year	2012-09-30	$980,569
Total plan assets at beginning of year	2012-09-30	$882,271
Value of fidelity bond covering the plan	2012-09-30	$100,000
Total contributions received or receivable from participants	2012-09-30	$117,061
Other income received	2012-09-30	$97,084
Net income (gross income less expenses)	2012-09-30	$98,298
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$980,569
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$882,271
Total contributions received or receivable from employer(s)	2012-09-30	$48,442
2011 : FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$137,927
Expenses. Total of all expenses incurred	2011-09-30	$8,105
Benefits paid (including direct rollovers)	2011-09-30	$8,105
Total plan assets at end of year	2011-09-30	$882,271
Total plan assets at beginning of year	2011-09-30	$752,449
Value of fidelity bond covering the plan	2011-09-30	$100,000
Total contributions received or receivable from participants	2011-09-30	$114,469
Contributions received from other sources (not participants or employers)	2011-09-30	$977
Other income received	2011-09-30	$-25,551
Net income (gross income less expenses)	2011-09-30	$129,822
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$882,271
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$752,449
Total contributions received or receivable from employer(s)	2011-09-30	$48,032
2010 : FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-09-30	$181,876
Expenses. Total of all expenses incurred	2010-09-30	$59,922
Benefits paid (including direct rollovers)	2010-09-30	$59,922
Total plan assets at end of year	2010-09-30	$752,449
Total plan assets at beginning of year	2010-09-30	$630,495
Value of fidelity bond covering the plan	2010-09-30	$100,000
Total contributions received or receivable from participants	2010-09-30	$101,678
Other income received	2010-09-30	$38,382
Net income (gross income less expenses)	2010-09-30	$121,954
Net plan assets at end of year (total assets less liabilities)	2010-09-30	$752,449
Net plan assets at beginning of year (total assets less liabilities)	2010-09-30	$630,495
Total contributions received or receivable from employer(s)	2010-09-30	$41,816

Form 5500 Responses for FTC TRANSPORTATION 401(K) RETIREMENT PLAN

2015: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: FTC TRANSPORTATION 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-Y0-KQ41

Policy instance

Insurance contract or identification number	GAP-Y0-KQ41
Number of Individuals Covered	50
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
Total amount of commissions paid to insurance broker	USD $3,874
Total amount of fees paid to insurance company	USD $968
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,874
Insurance broker organization code?	4
Amount paid for insurance broker fees	968
Insurance broker name	PENSION SOLUTIONS, INC.

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-Y0-KQ41

Policy instance

Insurance contract or identification number	GAP-Y0-KQ41
Number of Individuals Covered	52
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $3,358
Total amount of fees paid to insurance company	USD $839
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,358
Insurance broker organization code?	4
Amount paid for insurance broker fees	839
Insurance broker name	PENSION SOLUTIONS, INC.

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-Y0-KQ41

Policy instance

Insurance contract or identification number	GAP-Y0-KQ41
Number of Individuals Covered	55
Total amount of commissions paid to insurance broker	USD $3,271
Total amount of fees paid to insurance company	USD $818
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,271
Insurance broker organization code?	4
Amount paid for insurance broker fees	818
Additional information about fees paid to insurance broker	ADMINISTRATIVE COMPENSATION
Insurance broker name	PENSION SOLUTIONS, INC.

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-Y0-KQ41

Policy instance

Insurance contract or identification number	GAP-Y0-KQ41
Number of Individuals Covered	82
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $2,814
Total amount of fees paid to insurance company	USD $704
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,814
Insurance broker organization code?	4
Amount paid for insurance broker fees	704
Additional information about fees paid to insurance broker	ADMINISTRATIVE COMPENSATION
Insurance broker name	PENSION SOLUTIONS, INC.

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-Y0-KQ41

Policy instance

Insurance contract or identification number	GAP-Y0-KQ41
Number of Individuals Covered	79
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $2,800
Total amount of fees paid to insurance company	USD $700
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

731289620

Policy instance

Insurance contract or identification number	731289620
Number of Individuals Covered	70
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $2,263
Total amount of fees paid to insurance company	USD $566
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891747 088

Policy instance

Insurance contract or identification number	891747 088
Number of Individuals Covered	1
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-Y0-KQ41

Policy instance

Insurance contract or identification number	GAP-Y0-KQ41
Number of Individuals Covered	70
Insurance policy start date	2009-10-01
Insurance policy end date	2010-09-30
Total amount of commissions paid to insurance broker	USD $1,919
Total amount of fees paid to insurance company	USD $480
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,919
Insurance broker organization code?	4
Amount paid for insurance broker fees	480
Additional information about fees paid to insurance broker	ADMINISTRATIVE COMPENSATION
Insurance broker name	KENNETH CULVER JR.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891747 088

Policy instance

Insurance contract or identification number	891747 088
Number of Individuals Covered	2
Insurance policy start date	2009-10-01
Insurance policy end date	2010-09-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	FTC TRANSPORTATION, INC.
Employer identification number (EIN):	731289620
NAIC Classification:	484200
NAIC Description:	Specialized Freight Trucking