|
| EIN |
52-0419790 |
| Industry Code |
66281 |
| Contract Number |
SV04743Q |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$0 |
| Value in Separate Accounts at Year End |
$0 |
| |
| |
| There are no brokers listed for this plan. |
|
| |
| 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 |
Unspecified
|
| Balance at the end of the previous year |
$5,390,355 |
|
Additions |
$231,246 |
| Contributions Deposited during the year |
$0 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$231,246 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$5,621,601 |
|
Deductions |
$0 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$0 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$0 |
| Other |
$0 |
|
| Balance at the end of the current year |
$5,621,601 |
|
|
|
| EIN |
22-1211670 |
| Industry Code |
68241 |
| Contract Number |
062126 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$0 |
| Value in Separate Accounts at Year End |
$0 |
| |
| |
| There are no brokers listed for this plan. |
|
| |
| 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 |
Guaranteed Investment
|
| Balance at the end of the previous year |
$13,067,193 |
|
Additions |
$686,595 |
| Contributions Deposited during the year |
$0 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$686,595 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$13,753,788 |
|
Deductions |
$0 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$0 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$0 |
| Other |
$0 |
|
| Balance at the end of the current year |
$13,753,788 |
|
|
|
| EIN |
13-5582869 |
| Industry Code |
66915 |
| Contract Number |
GA34333 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$0 |
| Value in Separate Accounts at Year End |
$0 |
| |
| |
| There are no brokers listed for this plan. |
|
| |
| 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 |
FIXED DOLLAR ACCOUNT
|
| Balance at the end of the previous year |
$0 |
|
Additions |
$40,811,966 |
| Contributions Deposited during the year |
$40,000,000 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$811,966 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$40,811,966 |
|
Deductions |
$56,705 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$0 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$0 |
| Other |
$56,705 |
|
| Balance at the end of the current year |
$40,755,261 |
|
|
|
| EIN |
06-0566090 |
| Industry Code |
87726 |
| Contract Number |
29912 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$0 |
| Value in Separate Accounts at Year End |
$0 |
| |
| |
| There are no brokers listed for this plan. |
|
| |
| 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 |
Guaranteed Investment
|
| Balance at the end of the previous year |
$6,500,733 |
|
Additions |
$223,918 |
| Contributions Deposited during the year |
$0 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$223,918 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$6,724,651 |
|
Deductions |
$3,310,466 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$3,310,466 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$0 |
| Other |
$0 |
|
| Balance at the end of the current year |
$3,414,185 |
|
|
|
| EIN |
13-5581829 |
| Industry Code |
65978 |
| Contract Number |
29738 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$0 |
| Value in Separate Accounts at Year End |
$0 |
| |
| |
| There are no brokers listed for this plan. |
|
| |
| 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 |
Guaranteed Investment
|
| Balance at the end of the previous year |
$11,509,723 |
|
Additions |
$647,997 |
| Contributions Deposited during the year |
$0 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$647,997 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$12,157,720 |
|
Deductions |
$0 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$0 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$0 |
| Other |
$0 |
|
| Balance at the end of the current year |
$12,157,720 |
|
|
|
| EIN |
95-1079000 |
| Industry Code |
67466 |
| Contract Number |
26912010000 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$0 |
| Value in Separate Accounts at Year End |
$0 |
| |
| |
| There are no brokers listed for this plan. |
|
| |
| 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 |
Guaranteed Investment
|
| Balance at the end of the previous year |
$6,169,636 |
|
Additions |
$55,134 |
| Contributions Deposited during the year |
$0 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$55,134 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$6,224,770 |
|
Deductions |
$6,224,770 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$0 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$0 |
| Other |
$6,224,770 |
|
| Balance at the end of the current year |
$0 |
|
|
