| EIN |
71-0294708 |
| Industry Code |
86509 |
| Contract Number |
PH6425 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$94,287 |
| Value in Separate Accounts at Year End |
$2,354,926 |
| |
| |
| Agent/Broker |
Organization Code |
Commissions Paid |
Fees Paid |
Purpose of Fees Paid |
Workman Securities Corp
6500 City West Parkway
Eden Prarie,
MN
55344
|
Agent or Broker other than Insurance |
$8,784 |
$0 |
|
|
| |
| 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 |
GROUP ANNUITY FUNDING
|
| Balance at the end of the previous year |
$75,141 |
|
Additions |
$684,734 |
| Contributions Deposited during the year |
$338,681 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$3,095 |
| Transferred from separate account |
$276,575 |
| Other |
$66,383 |
|
| Total of Balance and Additions |
$759,875 |
|
Deductions |
$665,588 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$234,732 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$382,356 |
| Other |
$48,500 |
|
| Balance at the end of the current year |
$94,287 |
|
|
