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Company:
Shaw Industries Group, Inc.

Plan:
Shaw Industries Group, Inc. Retirement Savings Plan
 
Form 5500 | Insurance Information
Insurance Carrier Summary Persons Covered
 
Principal Life Insurance Company 22,558
EIN 42-0127290
Industry Code 61271
Contract Number 616804
Contract Year 01/01/2012 — 12/31/2012
Value in General Account at Year End $0
Value in Separate Accounts at Year End $189,952,469
 
Insurance Fees and Commissions $100,000
 
Persons Receiving Commissions and Fees  
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Cantella & Co Inc
Attn Debbie Purdy
Boston, MA 02110
Insurance Agent or Broker $0 $100,000 PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
 
Allocated Funds  
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
 
Unallocated Funds  
Type of Contract Unspecified
Balance at the end of the previous year $0
Additions $0
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $0
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 $0
 
The Prudential Insurance Company of America 22,558
EIN 22-1211670
Industry Code 68241
Contract Number 68241
Contract Year 01/01/2012 — 12/31/2012
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
 
Insurance Fees and Commissions $0
 
Persons Receiving Commissions and Fees  
There are no brokers listed for this plan.
 
Allocated Funds  
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
 
Unallocated Funds  
Type of Contract WRAPPER ACCOUNT
Balance at the end of the previous year $290,779,710
Additions $27,600,994
Contributions Deposited during the year $21,082,908
Dividends and credits $0
Interest credited during the year $6,518,086
Transferred from separate account $0
Other $0
Total of Balance and Additions $318,380,704
Deductions $27,828,511
Disbursed from fund to pay benefits or purchase annuities during the year $27,828,511
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $290,552,193