| EIN |
86-0198983 |
| Industry Code |
60941 |
| Contract Number |
P35A3Q00156 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$3,678 |
| Value in Separate Accounts at Year End |
$93,663 |
| |
| |
| Agent/Broker |
Organization Code |
Commissions Paid |
Fees Paid |
Purpose of Fees Paid |
Sagepoint Financial Inc
2800 N Central Ave
Phoenix,
AZ
85004
|
Insurance Agent or Broker |
$381 |
$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 |
UNALLOCATED VARIABLE ANNUITY PROD.
|
| Balance at the end of the previous year |
$6,743 |
|
Additions |
$1,801 |
| Contributions Deposited during the year |
$1,651 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$150 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$8,544 |
|
Deductions |
$4,866 |
| 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 |
$4,866 |
|
| Balance at the end of the current year |
$3,678 |
|
|
