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SGS, LLC 401(K) AND PROFIT SHARING PLAN 401k Plan overview

Plan NameSGS, LLC 401(K) AND PROFIT SHARING PLAN
Plan identification number 001

SGS, LLC 401(K) AND PROFIT SHARING PLAN Benefits

401k Plan TypeDefined 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.
  • Plan covering Self-Employed individuals.
  • 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

SGS, LLC has sponsored the creation of one or more 401k plans.

Company Name:SGS, LLC
Employer identification number (EIN):731557270
NAIC Classification:236200

Additional information about SGS, LLC

Jurisdiction of Incorporation: Oklahoma Secretary Of State
Incorporation Date:
Company Identification Number: 3500617027

More information about SGS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SGS, LLC 401(K) AND PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01AMANDA DUNN
0012017-01-01AMANDA DUNN2018-04-30
0012016-01-01CAROLYN JONES2017-04-06
0012015-01-01CAROLYN JONES2016-03-22
0012014-01-01CAROLYN JONES2015-09-15
0012013-01-01CAROLYN JONES2014-07-25
0012012-01-01CAROLYN JONES CAROLYN JONES2013-07-22
0012011-01-01CAROLYN JONES2013-04-15 CAROLYN JONES2013-04-15
0012009-01-01SEAN WRIGHT SEAN WRIGHT2010-07-30

Plan Statistics for SGS, LLC 401(K) AND PROFIT SHARING PLAN

401k plan membership statisitcs for SGS, LLC 401(K) AND PROFIT SHARING PLAN

Measure Date Value
2022: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0126
Total number of active participants reported on line 7a of the Form 55002022-01-0116
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-019
Total of all active and inactive participants2022-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0125
Number of participants with account balances2022-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-018
2021: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0125
Total number of active participants reported on line 7a of the Form 55002021-01-0117
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-019
Total of all active and inactive participants2021-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0126
Number of participants with account balances2021-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-018
2020: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0126
Total number of active participants reported on line 7a of the Form 55002020-01-0117
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-018
Total of all active and inactive participants2020-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0125
Number of participants with account balances2020-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-016
2019: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0122
Total number of active participants reported on line 7a of the Form 55002019-01-0118
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-018
Total of all active and inactive participants2019-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0126
Number of participants with account balances2019-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012
2018: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0124
Total number of active participants reported on line 7a of the Form 55002018-01-0115
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-017
Total of all active and inactive participants2018-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0122
Number of participants with account balances2018-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2012: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0127
Total number of active participants reported on line 7a of the Form 55002012-01-0113
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 participants2012-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0122
Number of participants with account balances2012-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-015
2009: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0132
Total number of active participants reported on line 7a of the Form 55002009-01-0117
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-014
Total of all active and inactive participants2009-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0121
Number of participants with account balances2009-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0111

Financial Data on SGS, LLC 401(K) AND PROFIT SHARING PLAN

Measure Date Value
2022 : SGS, LLC 401(K) AND PROFIT SHARING PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-1,313,134
Expenses. Total of all expenses incurred2022-12-31$135,004
Benefits paid (including direct rollovers)2022-12-31$133,936
Total plan assets at end of year2022-12-31$4,083,571
Total plan assets at beginning of year2022-12-31$5,531,709
Value of fidelity bond covering the plan2022-12-31$250,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$66,932
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-1,440,968
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-1,448,138
Net plan assets at end of year (total assets less liabilities)2022-12-31$4,083,571
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,531,709
Assets. Value of participant loans2022-12-31$24,083
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$60,902
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$1,068
2021 : SGS, LLC 401(K) AND PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$786,290
Expenses. Total of all expenses incurred2021-12-31$91,924
Benefits paid (including direct rollovers)2021-12-31$91,058
Total plan assets at end of year2021-12-31$5,531,709
Total plan assets at beginning of year2021-12-31$4,837,343
Value of fidelity bond covering the plan2021-12-31$250,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$84,725
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$628,139
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$694,366
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,531,709
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,837,343
Assets. Value of participant loans2021-12-31$1,932
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$73,426
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$866
2020 : SGS, LLC 401(K) AND PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$575,134
Expenses. Total of all expenses incurred2020-12-31$90,637
Benefits paid (including direct rollovers)2020-12-31$80,462
Total plan assets at end of year2020-12-31$4,837,343
Total plan assets at beginning of year2020-12-31$4,352,846
Value of fidelity bond covering the plan2020-12-31$250,000
Assets. Value of tangible personal property2020-12-31$0
Total contributions received or receivable from participants2020-12-31$76,533
Assets. Value of loans (other than to participants)2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$24,832
Other income received2020-12-31$407,142
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$484,497
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,837,343
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$4,352,846
Assets. Value of participant loans2020-12-31$3,913
Assets. Value of assets in partnership/joint-venture interests2020-12-31$0
Assets. Value of real-estate (other than employer real property)2020-12-31$0
Assets. Value of employer securities2020-12-31$0
Assets. Value of employer real property2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$66,627
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$9,222
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$953
2019 : SGS, LLC 401(K) AND PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$1,054,294
Expenses. Total of all expenses incurred2019-12-31$29,548
Benefits paid (including direct rollovers)2019-12-31$27,115
Total plan assets at end of year2019-12-31$4,352,846
Total plan assets at beginning of year2019-12-31$3,328,100
Value of fidelity bond covering the plan2019-12-31$250,000
Total contributions received or receivable from participants2019-12-31$85,415
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$34,572
Other income received2019-12-31$860,184
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$1,024,746
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,352,846
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,328,100
Assets. Value of participant loans2019-12-31$5,894
Total contributions received or receivable from employer(s)2019-12-31$74,123
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$1,558
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$875
2018 : SGS, LLC 401(K) AND PROFIT SHARING PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-64,668
Expenses. Total of all expenses incurred2018-12-31$56,231
Benefits paid (including direct rollovers)2018-12-31$46,048
Total plan assets at end of year2018-12-31$3,328,100
Total plan assets at beginning of year2018-12-31$3,448,999
Value of fidelity bond covering the plan2018-12-31$250,000
Total contributions received or receivable from participants2018-12-31$49,592
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-190,339
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-120,899
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,328,100
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,448,999
Assets. Value of participant loans2018-12-31$4,785
Total contributions received or receivable from employer(s)2018-12-31$76,079
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$108
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$10,075
2012 : SGS, LLC 401(K) AND PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$414,782
Expenses. Total of all expenses incurred2012-12-31$80,820
Benefits paid (including direct rollovers)2012-12-31$80,721
Total plan assets at end of year2012-12-31$2,347,021
Total plan assets at beginning of year2012-12-31$2,013,059
Value of fidelity bond covering the plan2012-12-31$200,000
Total contributions received or receivable from participants2012-12-31$46,642
Other income received2012-12-31$259,084
Net income (gross income less expenses)2012-12-31$333,962
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,347,021
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,013,059
Assets. Value of participant loans2012-12-31$35,777
Total contributions received or receivable from employer(s)2012-12-31$109,056
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$99
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2010 : SGS, LLC 401(K) AND PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$322,776
Expenses. Total of all expenses incurred2010-12-31$56,442
Benefits paid (including direct rollovers)2010-12-31$56,410
Total plan assets at end of year2010-12-31$1,747,642
Total plan assets at beginning of year2010-12-31$1,481,308
Value of fidelity bond covering the plan2010-12-31$200,000
Total contributions received or receivable from participants2010-12-31$98,241
Expenses. Other expenses not covered elsewhere2010-12-31$32
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$137,035
Net income (gross income less expenses)2010-12-31$266,334
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,747,642
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,481,308
Assets. Value of participant loans2010-12-31$8,454
Total contributions received or receivable from employer(s)2010-12-31$87,500
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : SGS, LLC 401(K) AND PROFIT SHARING PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for SGS, LLC 401(K) AND PROFIT SHARING PLAN

2022: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2012: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2009: SGS, LLC 401(K) AND PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number112438
Policy instance 1
Insurance contract or identification number112438
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $9,679
Total amount of fees paid to insurance companyUSD $250
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?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
Commission paid to Insurance BrokerUSD $9,679
Amount paid for insurance broker fees0
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-803699
Policy instance 1
Insurance contract or identification numberGA-803699
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $4,321
Contracts With Unallocated Funds Deposit Administration1
Commission paid to Insurance BrokerUSD $4,321
Insurance broker organization code?3
Insurance broker nameARVEST INSURANCE INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-803699
Policy instance 1
Insurance contract or identification numberGA-803699
Number of Individuals Covered25
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $6,644
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $6,644
Insurance broker organization code?3
Insurance broker nameARVEST INSURANCE INC

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