| EIN |
13-5582869 |
| Industry Code |
66915 |
| Contract Number |
GA34301 |
| Contract Year |
04/01/2010 — 03/31/2011 |
| 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 |
$2,066,673 |
|
Additions |
$77,256 |
| Contributions Deposited during the year |
$0 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$77,256 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$2,143,929 |
|
Deductions |
$77,256 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$69,209 |
| Administration charge made by carrier |
$8,047 |
| Transferred to Separate Account |
$0 |
| Other |
$0 |
|
| Balance at the end of the current year |
$2,066,673 |
|
|
| EIN |
13-5581829 |
| Industry Code |
65978 |
| Contract Number |
32269 |
| Contract Year |
04/01/2010 — 03/31/2011 |
| 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 |
$0 |
|
Additions |
$3,044,776 |
| Contributions Deposited during the year |
$3,000,000 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$44,776 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$3,044,776 |
|
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 |
$3,044,776 |
|
|
| EIN |
13-5581829 |
| Industry Code |
65978 |
| Contract Number |
31937 |
| Contract Year |
04/01/2010 — 03/31/2011 |
| 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 |
$2,621,587 |
|
Additions |
$116,399 |
| Contributions Deposited during the year |
$0 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$116,399 |
| Transferred from separate account |
$0 |
| Other |
$0 |
|
| Total of Balance and Additions |
$2,737,986 |
|
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 |
$2,737,986 |
|
|
