| EIN |
04-1590850 |
| Industry Code |
65935 |
| Contract Number |
SF 51344 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$0 |
| Value in Separate Accounts at Year End |
$320,378,110 |
| |
| |
| Agent/Broker |
Organization Code |
Commissions Paid |
Fees Paid |
Purpose of Fees Paid |
Peak Financial Group LLC
9731 Wortham Blvd Ste 105
Houston,
TX
77065
|
Insurance Agent or Broker |
$141,577 |
$0 |
|
James K Mcandrews
3 E Greenway Plz Ste 1700
Houston,
TX
77046
|
Insurance Agent or Broker |
$17,763 |
$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 CONTRACT
|
| Balance at the end of the previous year |
$0 |
|
Additions |
$66,291,573 |
| Contributions Deposited during the year |
$48,562,883 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$0 |
| Transferred from separate account |
$0 |
| Other |
$17,728,690 |
|
| Total of Balance and Additions |
$66,291,573 |
|
Deductions |
$66,291,573 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$0 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$66,291,573 |
| Other |
$0 |
|
| Balance at the end of the current year |
$0 |
|
|
