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Company:
Great American Dining

Plan:
Great American Dining 401k Plan
 
Form 5500 | Insurance Information
Insurance Carrier Summary Persons Covered
 
John Hancock Life Insurance Company USA 116
EIN 01-0233346
Industry Code 65838
Contract Number 17222
Contract Year 01/01/2010 — 12/31/2010
Value in General Account at Year End $44,203
Value in Separate Accounts at Year End $2,482,576
 
Insurance Fees and Commissions $10,447
 
Persons Receiving Commissions and Fees  
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Northwestern Mutual Investment Svcs
P.O. Box 609
Alton, NH 03809
Investment Manager/Adviser $8,620 $0
Third Party Administrators, Inc.
116 South River Road
Bedford, NH 03110
Third Party Administrator $0 $1,077 ADMINISTRATIVE SERVICE FEES
Third Party Administrators, Inc.
116 South River Road
Bedford, NH 03110
Third Party Administrator $0 $750 ADMINISTRATIVE SERVICE FEES
 
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 Guaranteed Investment
Balance at the end of the previous year $37,960
Additions $6,526
Contributions Deposited during the year $5,492
Dividends and credits $0
Interest credited during the year $1,034
Transferred from separate account $0
Other $0
Total of Balance and Additions $44,486
Deductions $283
Disbursed from fund to pay benefits or purchase annuities during the year $283
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $44,203