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Company:
Fairmont Raffles Hotels International U.S. Inc.

Plan:
Fairmont Raffles Hotels International (U.S.) Retirement Plan for U.S. Employees
 
Form 5500 | Insurance Information
Insurance Carrier Summary Persons Covered
 
Massachusetts Mutual Life Insurance Company 6,680
EIN 04-1590850
Industry Code 65935
Contract Number MR 60112
Contract Year 01/01/2010 — 12/31/2010
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
 
Insurance Fees and Commissions $31,331
 
Persons Receiving Commissions and Fees  
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Sagepoint Financial, Inc
200 Liberty St Fl 15
New York, NY 10281
Banking, Savings and Loan Association, Credit Union, or other similar financial institution $31,331 $0
 
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 GROUP ANNUITY CONTRACT
Balance at the end of the previous year $16,016,180
Additions $4,074,695
Contributions Deposited during the year $1,152,260
Dividends and credits $0
Interest credited during the year $793,587
Transferred from separate account $1,725,229
Other $403,619
Total of Balance and Additions $20,090,875
Deductions $2,194,488
Disbursed from fund to pay benefits or purchase annuities during the year $1,848,183
Administration charge made by carrier $1,882
Transferred to Separate Account $0
Other $344,423
Balance at the end of the current year $17,896,387
 
Principal Life Insurance Company 0
EIN 42-0127290
Industry Code 61271
Contract Number 436855
Contract Year 01/01/2010 — 12/31/2010
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
 
Insurance Fees and Commissions $129
 
Persons Receiving Commissions and Fees  
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Sagepoint Financial Inc
Attn Andy Lebolt
New York, NY 10281
Insurance Agent or Broker $50 $79 REFERRAL/SERVICE FEE
 
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 Unspecified
Balance at the end of the previous year $0
Additions $0
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $0
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 $0