| EIN |
04-1590850 |
| Industry Code |
65935 |
| Contract Number |
SF 51940 |
| Contract Year |
01/01/2010 — 12/31/2010 |
| Value in General Account at Year End |
$0 |
| Value in Separate Accounts at Year End |
$13,450,592 |
| |
| |
| Agent/Broker |
Organization Code |
Commissions Paid |
Fees Paid |
Purpose of Fees Paid |
Nrp Financial, Inc.
Po Box 998
Bryan,
OH
43506
|
Banking, Savings and Loan Association, Credit Union, or other similar financial institution |
$29,437 |
$0 |
|
Augustus Salley Hydrick
4880 Sadler Rd
Glen Allen,
VA
23060
|
Insurance Agent or Broker |
$29,327 |
$0 |
|
Jeffrey C Graves
4880 Sadler Rd
Glen Allen,
VA
23060
|
Insurance Agent or Broker |
$9,535 |
$0 |
|
Dominion Benefits LLC
4128 Innslake Dr
Glen Allen,
VA
23060
|
Insurance Agent or Broker |
$2,750 |
$0 |
|
|
| |
| 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 |
GROUP ANNUITY CONTRACT
|
| Balance at the end of the previous year |
$11,618,633 |
|
Additions |
$2,777,436 |
| Contributions Deposited during the year |
$859,302 |
| Dividends and credits |
$0 |
| Interest credited during the year |
$538,622 |
| Transferred from separate account |
$633,307 |
| Other |
$746,205 |
|
| Total of Balance and Additions |
$14,396,069 |
|
Deductions |
$2,292,761 |
| Disbursed from fund to pay benefits or purchase annuities during the year |
$1,221,962 |
| Administration charge made by carrier |
$14,582 |
| Transferred to Separate Account |
$770,404 |
| Other |
$285,813 |
|
| Balance at the end of the current year |
$12,103,308 |
|
|
