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GORMAN ROOFING SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan NameGORMAN ROOFING SERVICES, INC. 401(K) PLAN
Plan identification number 001

GORMAN ROOFING SERVICES, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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

GORMAN ROOFING SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:GORMAN ROOFING SERVICES, INC.
Employer identification number (EIN):860914842
NAIC Classification:238100

Additional information about GORMAN ROOFING SERVICES, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2001-04-04
Company Identification Number: 0013759006
Legal Registered Office Address: 2229 E UNIVERSITY DR

PHOENIX
United States of America (USA)
85034

More information about GORMAN ROOFING SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GORMAN ROOFING SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-01-01NIKKI SINKWITZ2017-01-30
0012016-01-01NIKKI SINKWITZ2016-07-14
0012016-01-01NIKKI SINKWITZ2016-11-01
0012015-01-01NIKKI SINKWITZ
0012015-01-01NIKKI SINKWITZ
0012014-01-01NIKKI SINKWITZ
0012013-01-01NIKKI SINKWITZ
0012012-01-01NIKKI SINKWITZ
0012011-01-01EDWARD CUNNINGHAM2012-07-06
0012010-01-01EDWARD CUNNINGHAM2011-10-13

Plan Statistics for GORMAN ROOFING SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for GORMAN ROOFING SERVICES, INC. 401(K) PLAN

Measure Date Value
2015: GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01115
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0142
Total of all active and inactive participants2015-01-0142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0142
Number of participants with account balances2015-01-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01170
Total number of active participants reported on line 7a of the Form 55002014-01-0198
Number of other retired or separated participants entitled to future benefits2014-01-0117
Total of all active and inactive participants2014-01-01115
Total participants2014-01-01115
Number of participants with account balances2014-01-0141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01137
Total number of active participants reported on line 7a of the Form 55002013-01-01117
Number of other retired or separated participants entitled to future benefits2013-01-0121
Total of all active and inactive participants2013-01-01138
Total participants2013-01-01138
Number of participants with account balances2013-01-0147
2012: GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01146
Total number of active participants reported on line 7a of the Form 55002012-01-01102
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0115
Total of all active and inactive participants2012-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01117
Number of participants with account balances2012-01-0141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on GORMAN ROOFING SERVICES, INC. 401(K) PLAN

Measure Date Value
2015 : GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$127,206
Total of all expenses incurred2015-12-31$408,867
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$349,938
Value of total corrective distributions2015-12-31$49,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$134,576
Value of total assets at end of year2015-12-31$1,666,398
Value of total assets at beginning of year2015-12-31$1,948,059
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$9,349
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2015-12-31$0
Administrative expenses professional fees incurred2015-12-31$2,300
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$150,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$115,743
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$0
Other income not declared elsewhere2015-12-31$1,729
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Income. Non cash contributions2015-12-31$0
Value of net income/loss2015-12-31$-281,661
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,666,398
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,948,059
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$7,049
Value of interest in pooled separate accounts at end of year2015-12-31$1,642,182
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,923,255
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$24,216
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$24,804
Net investment gain/loss from pooled separate accounts2015-12-31$-9,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$18,833
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$349,938
Contract administrator fees2015-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31LOHMAN COMPANY, PCCL
Accountancy firm EIN2015-12-31860985325
2014 : GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$298,912
Total of all expenses incurred2014-12-31$148,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$98,321
Value of total corrective distributions2014-12-31$42,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$161,782
Value of total assets at end of year2014-12-31$1,948,059
Value of total assets at beginning of year2014-12-31$1,798,139
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$7,870
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$824
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$150,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$139,099
Other income not declared elsewhere2014-12-31$122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$149,920
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,948,059
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,798,139
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$7,046
Value of interest in pooled separate accounts at end of year2014-12-31$1,923,255
Value of interest in pooled separate accounts at beginning of year2014-12-31$1,775,000
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$24,804
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$23,139
Net investment gain/loss from pooled separate accounts2014-12-31$137,008
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$22,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$98,321
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31LOHMAN COMPANY, PCCL
Accountancy firm EIN2014-12-31860985325
2013 : GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$509,500
Total of all expenses incurred2013-12-31$139,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$109,945
Value of total corrective distributions2013-12-31$23,174
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$172,735
Value of total assets at end of year2013-12-31$1,798,139
Value of total assets at beginning of year2013-12-31$1,428,189
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$6,431
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$250
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$150,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$150,232
Other income not declared elsewhere2013-12-31$116
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$369,950
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,798,139
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,428,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$6,181
Value of interest in pooled separate accounts at end of year2013-12-31$1,775,000
Value of interest in pooled separate accounts at beginning of year2013-12-31$1,403,906
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,391
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$23,139
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$22,892
Net investment gain/loss from pooled separate accounts2013-12-31$336,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$22,503
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$109,945
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31LOHMAN COMPANY, PCCL
Accountancy firm EIN2013-12-31860985325
2012 : GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$304,096
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$102,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$79,255
Value of total corrective distributions2012-12-31$18,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$130,812
Value of total assets at end of year2012-12-31$1,428,189
Value of total assets at beginning of year2012-12-31$1,226,863
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$5,351
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$100
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$150,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$116,154
Participant contributions at end of year2012-12-31$9,454
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$23,174
Other income not declared elsewhere2012-12-31$135
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$201,326
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,428,189
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,226,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$5,251
Value of interest in pooled separate accounts at end of year2012-12-31$1,403,906
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,195,008
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$3,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$3,804
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$22,892
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$28,051
Net investment gain/loss from pooled separate accounts2012-12-31$173,149
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$14,658
Employer contributions (assets) at end of year2012-12-31$1,593
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$79,255
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31LOHMAN COMPANY
Accountancy firm EIN2012-12-31860985325

Form 5500 Responses for GORMAN ROOFING SERVICES, INC. 401(K) PLAN

2015: GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GORMAN ROOFING SERVICES, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number801556
Policy instance 1
Insurance contract or identification number801556
Number of Individuals Covered42
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,416
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
Commission paid to Insurance BrokerUSD $9,416
Insurance broker nameRENEE K KING
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number801556
Policy instance 1
Insurance contract or identification number801556
Number of Individuals Covered41
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,070
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
Commission paid to Insurance BrokerUSD $9,070
Insurance broker nameRENEE K KING
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number801556
Policy instance 1
Insurance contract or identification number801556
Number of Individuals Covered47
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,859
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
Commission paid to Insurance BrokerUSD $7,859
Insurance broker nameRENEE K KING
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number801556-000
Policy instance 1
Insurance contract or identification number801556-000
Number of Individuals Covered41
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,708
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 $6,708
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameRENEE K KING

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