| EIN |
42-0127290 |
| Industry Code |
61271 |
| Contract Number |
425513 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$165,378 |
| Value in Separate Accounts at Year End |
$1,082,112 |
| |
| |
| Agent/Broker |
Organization Code |
Commissions Paid |
Fees Paid |
Purpose of Fees Paid |
CES Ins Agency Inc
29 Sawyer Rd
Waltham,
MA
02453
-3483
|
Insurance Agent or Broker |
$3,880 |
$53 |
REFERRAL/SERVICE FEE |
|
| |
| Type of Contract |
Unspecified |
| Basis of premium rates |
|
| Premiums paid to carrier |
$0 |
| Premiums due but unpaid at the end of the year |
$0 |
| If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount |
$0 |
| Specify the nature of the costs |
|
|
| |
| Type of Contract |
FLEXIBLE INVESTMENT ANNUITY
|
| Balance at the end of the previous year |
$161,118 |
|
Additions |
$37,741 |
| Contributions Deposited during the year |
$27,707 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$3,540 |
| Transferred from separate account |
$352 |
| Other |
$6,142 |
|
| Total of Balance and Additions |
$198,859 |
|
Deductions |
$32,916 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$20,404 |
| Administration charge made by carrier |
$1,709 |
| Transferred to Separate Account |
$0 |
| Other |
$10,803 |
|
| Balance at the end of the current year |
$165,943 |
|
|
