401k Plan data: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN plan

INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 401k Plan overview

Plan Name	INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN
Plan identification number	002

INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND 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.
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

INDUSTRIAL RELATIONS COUNCIL OF UTAH has sponsored the creation of one or more 401k plans.

Company Name: INDUSTRIAL RELATIONS COUNCIL OF UTAH

Employer identification number (EIN): 870142100

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-10-01
002 2014-10-01
002 2013-10-01
002 2012-10-01 MONICA WHALEN
002 2011-10-01 MONICA WHALEN
002 2010-10-01 MONICA WHALEN
002 2009-10-01 MONICA WHALEN
002 2009-01-01 MONICA WHALEN

Plan Statistics for INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN

401k plan membership statisitcs for INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN

Measure Date Value
2015: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 12
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 0
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 0
Total of all active and inactive participants 2015-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 0
Number of participants with account balances 2015-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 14
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 11
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 1
Total of all active and inactive participants 2014-10-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 12
Number of participants with account balances 2014-10-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 15
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 11
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 3
Total of all active and inactive participants 2013-10-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 14
Number of participants with account balances 2013-10-01 14
2012: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 11
Number of retired or separated participants receiving benefits 2012-10-01 2
Number of other retired or separated participants entitled to future benefits 2012-10-01 2
Total of all active and inactive participants 2012-10-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 15
Number of participants with account balances 2012-10-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 1
2011: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 9
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 3
Total of all active and inactive participants 2011-10-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 12
Number of participants with account balances 2011-10-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2010: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 12
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 11
Number of retired or separated participants receiving benefits 2010-10-01 0
Number of other retired or separated participants entitled to future benefits 2010-10-01 1
Total of all active and inactive participants 2010-10-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 12
Number of participants with account balances 2010-10-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 0
2009: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 9
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 3
Total of all active and inactive participants 2009-10-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 12
Number of participants with account balances 2009-10-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0
Total participants, beginning-of-year 2009-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
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 3
Total of all active and inactive participants 2009-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 12
Number of participants with account balances 2009-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	12
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	0
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	0
Total of all active and inactive participants	2015-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	0
Number of participants with account balances	2015-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	14
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	11
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	1
Total of all active and inactive participants	2014-10-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	12
Number of participants with account balances	2014-10-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	15
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	11
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	3
Total of all active and inactive participants	2013-10-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	14
Number of participants with account balances	2013-10-01	14
2012: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	11
Number of retired or separated participants receiving benefits	2012-10-01	2
Number of other retired or separated participants entitled to future benefits	2012-10-01	2
Total of all active and inactive participants	2012-10-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	15
Number of participants with account balances	2012-10-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	1
2011: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	9
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	3
Total of all active and inactive participants	2011-10-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	12
Number of participants with account balances	2011-10-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2010: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	12
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	11
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	1
Total of all active and inactive participants	2010-10-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	12
Number of participants with account balances	2010-10-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	0
2009: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	9
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	3
Total of all active and inactive participants	2009-10-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	12
Number of participants with account balances	2009-10-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0
Total participants, beginning-of-year	2009-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
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	3
Total of all active and inactive participants	2009-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	12
Number of participants with account balances	2009-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN

Measure	Date	Value
2015 : INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$72,146
Expenses. Total of all expenses incurred	2015-12-31	$1,867,687
Benefits paid (including direct rollovers)	2015-12-31	$1,865,289
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$1,795,541
Value of fidelity bond covering the plan	2015-12-31	$180,000
Other income received	2015-12-31	$72,146
Net income (gross income less expenses)	2015-12-31	$-1,795,541
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,795,541
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$2,398
Total income from all sources	2015-09-30	$128,856
Expenses. Total of all expenses incurred	2015-09-30	$21,191
Benefits paid (including direct rollovers)	2015-09-30	$21,191
Total plan assets at end of year	2015-09-30	$1,795,541
Total plan assets at beginning of year	2015-09-30	$1,687,876
Value of fidelity bond covering the plan	2015-09-30	$180,000
Total contributions received or receivable from participants	2015-09-30	$102,984
Other income received	2015-09-30	$-57,288
Net income (gross income less expenses)	2015-09-30	$107,665
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$1,795,541
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$1,687,876
Total contributions received or receivable from employer(s)	2015-09-30	$83,160
2014 : INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-09-30	$284,223
Expenses. Total of all expenses incurred	2014-09-30	$25,707
Benefits paid (including direct rollovers)	2014-09-30	$25,707
Total plan assets at end of year	2014-09-30	$1,687,876
Total plan assets at beginning of year	2014-09-30	$1,429,360
Value of fidelity bond covering the plan	2014-09-30	$170,000
Total contributions received or receivable from participants	2014-09-30	$96,386
Other income received	2014-09-30	$133,099
Net income (gross income less expenses)	2014-09-30	$258,516
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$1,687,876
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$1,429,360
Total contributions received or receivable from employer(s)	2014-09-30	$54,738
2013 : INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-09-30	$349,263
Expenses. Total of all expenses incurred	2013-09-30	$770
Benefits paid (including direct rollovers)	2013-09-30	$770
Total plan assets at end of year	2013-09-30	$1,429,360
Total plan assets at beginning of year	2013-09-30	$1,080,867
Value of fidelity bond covering the plan	2013-09-30	$150,000
Total contributions received or receivable from participants	2013-09-30	$79,108
Other income received	2013-09-30	$218,439
Net income (gross income less expenses)	2013-09-30	$348,493
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$1,429,360
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$1,080,867
Total contributions received or receivable from employer(s)	2013-09-30	$51,716
2012 : INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-09-30	$301,464
Expenses. Total of all expenses incurred	2012-09-30	$77,430
Benefits paid (including direct rollovers)	2012-09-30	$77,430
Total plan assets at end of year	2012-09-30	$1,080,867
Total plan assets at beginning of year	2012-09-30	$856,833
Value of fidelity bond covering the plan	2012-09-30	$110,000
Total contributions received or receivable from participants	2012-09-30	$74,374
Other income received	2012-09-30	$172,230
Net income (gross income less expenses)	2012-09-30	$224,034
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$1,080,867
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$856,833
Assets. Value of participant loans	2012-09-30	$3,650
Total contributions received or receivable from employer(s)	2012-09-30	$54,860
2011 : INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$74,365
Expenses. Total of all expenses incurred	2011-09-30	$133
Benefits paid (including direct rollovers)	2011-09-30	$133
Total plan assets at end of year	2011-09-30	$856,833
Total plan assets at beginning of year	2011-09-30	$782,601
Value of fidelity bond covering the plan	2011-09-30	$90,000
Total contributions received or receivable from participants	2011-09-30	$70,209
Contributions received from other sources (not participants or employers)	2011-09-30	$5,505
Other income received	2011-09-30	$-47,512
Net income (gross income less expenses)	2011-09-30	$74,232
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$856,833
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$782,601
Total contributions received or receivable from employer(s)	2011-09-30	$46,163

Form 5500 Responses for INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN

2015: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	This submission is the final filing	Yes
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING 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: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING 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: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING 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: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING 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
2010: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: INDUSTRIAL RELATIONS COUNCIL OF UTAH 401(K) AND PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	Yes
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91663016

Policy instance

Insurance contract or identification number	91663016
Number of Individuals Covered	0
Insurance policy start date	2015-10-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $890
Commission paid to Insurance Broker	USD $445
Insurance broker organization code?	3
Insurance broker name	BRANDON PATRICK

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91663016

Policy instance

Insurance contract or identification number	91663016
Number of Individuals Covered	12
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $5,290
Commission paid to Insurance Broker	USD $2,898
Insurance broker organization code?	3
Insurance broker name	BRANDON PATRICK

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91663016

Policy instance

Insurance contract or identification number	91663016
Number of Individuals Covered	14
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $4,658
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $3,369
Insurance broker organization code?	3
Insurance broker name	BRANDON PATRICK

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91663016

Policy instance

Insurance contract or identification number	91663016
Number of Individuals Covered	11
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $3,580
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $2,944
Insurance broker organization code?	3
Insurance broker name	BRANDON PATRICK

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91663016

Policy instance

Insurance contract or identification number	91663016
Number of Individuals Covered	12
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $2,972
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91663016

Policy instance

Insurance contract or identification number	91663016
Number of Individuals Covered	11
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $2,677
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

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Company Name:	INDUSTRIAL RELATIONS COUNCIL OF UTAH
Employer identification number (EIN):	870142100
NAIC Classification:	541600