| EIN |
13-1614399 |
| Industry Code |
88668 |
| Contract Number |
050623-K |
| Contract Year |
01/01/2009 — 12/31/2009 |
| Value in General Account at Year End |
$5,733,450 |
| Value in Separate Accounts at Year End |
$3,747,641 |
| |
| |
| Agent/Broker |
Organization Code |
Commissions Paid |
Fees Paid |
Purpose of Fees Paid |
Mark Deady
300 N. Meridian St, Ste 1000
Indianapolis,
IN
46204
-1382
|
Insurance Agent or Broker |
$0 |
$536 |
COMPENSATION |
James L. Murphy
300 N. Meridian St, Ste 1000
Indianapolis,
IN
46204
-1382
|
Insurance Agent or Broker |
$0 |
$417 |
COMPENSATION |
Alan M. Molnar
300 N. Meridian St, Ste 1000
Indianapolis,
IN
46204
-1382
|
Insurance Agent or Broker |
$0 |
$310 |
COMPENSATION |
Daniel R. Meier
300 N. Meridian St, Ste 1000
Indianapolis,
IN
46204
-1382
|
Insurance Agent or Broker |
$0 |
$262 |
COMPENSATION |
|
| |
| 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 |
Deposit Administration
|
| Balance at the end of the previous year |
$5,973,553 |
|
Additions |
$231,104 |
| Contributions Deposited during the year |
$25,782 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$171,273 |
| Transferred from separate account |
$25,919 |
| Other |
$8,130 |
|
| Total of Balance and Additions |
$6,204,657 |
|
Deductions |
$471,207 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$469,477 |
| Administration charge made by carrier |
$1,730 |
| Transferred to Separate Account |
$0 |
| Other |
$0 |
|
| Balance at the end of the current year |
$5,733,450 |
|
|
