| EIN |
04-0025081 |
| Industry Code |
00000 |
| Contract Number |
103035 |
| 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 |
$49,254,847 |
|
Additions |
$2,568,179 |
| Contributions Deposited during the year |
$53,121 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$816,256 |
| Transferred from separate account |
$0 |
| Other |
$1,698,802 |
|
| Total of Balance and Additions |
$51,823,026 |
|
Deductions |
$28,468,787 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$6,317,973 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$22,150,814 |
| Other |
$0 |
|
| Balance at the end of the current year |
$23,354,239 |
|
|
| EIN |
52-0419790 |
| Industry Code |
66281 |
| Contract Number |
MDA00979TR |
| 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 |
$63,239,352 |
|
Additions |
$3,123,832 |
| Contributions Deposited during the year |
$0 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$799,705 |
| Transferred from separate account |
$0 |
| Other |
$2,324,127 |
|
| Total of Balance and Additions |
$66,363,184 |
|
Deductions |
$27,451,911 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$0 |
| Administration charge made by carrier |
$0 |
| Transferred to Separate Account |
$27,451,911 |
| Other |
$0 |
|
| Balance at the end of the current year |
$38,911,273 |
|
|
