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FORM 5500 DATA

Avery Dennison Corporation Employee Savings Plan

Overview

Plan Information

  • Plan Year01/01/2018 — 12/31/2018
  • Date of Plan12/01/1984
  • Net Assets as of 12/31/2018 $913,493,925
  • Plan Number4
  • Plan Type Single Employer
  • Is the plan collectively bargained?Yes
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2018

  • Active (Eligible) Participants4,099
  • Retired or separated participants receiving benefits159
  • Other retired or separated participants entitled to future benefits2,439
  • Subtotal6,697
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits34
  • Total6,731
  • Total number of participants as of 01/01/20186,999
  • Number of participants with account balances6,678
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested125

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address207 Goode Avenue
  • CityGlendale
  • StateCA
  • Zip91203
  • Telephone(626) 304-2000
  • EIN95-1492269
  • Industry Code322200
  • Named AdministratorMonina Diaz

Audit Information

  • Audit StatusAudited
  • AuditorPricewaterhousecoopers
  • Auditor EIN13-4008324
  • Audit OpinionUnqualified
  • Audit Type Full Audit

Benefits Provided Under the Plan

Code Benefit Description
2D Offset plan Plan benefits are subject to offset for retirement benefits provided in another plan or arrangement of the employer.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G Total participant-directed account plan Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2J Code section 401(k) feature A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
2O ESOP other than a leveraged ESOP An Employee Stock Ownership Plan (ESOP) is a type of employee benefit plan designed to invest primarily in employer stock.
2R Brokerage Window Participant-directed brokerage accounts provided as an investment option under the plan.
2S Automatic Enrollment Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? Yes $4,229
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $25,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? Yes $1,631
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $-14,963,192
Contributions $72,688,044
Cash Contributions $50,430,987
Cash from Employers $4,229
Cash from Participants $33,827,732
Others (including rollovers) $16,599,026
Noncash Contributions $22,257,057
Total Earnings on Investments $-87,651,236
Total Interest $2,813,526
Interest-Bearing Cash $229,746
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $812,260
Interest from Other Investments $1,771,520
Total Dividends $8,676,803
Preferred Stock $0
Common Stock $4,464,598
Rents $0
Net gain (loss) on sale of assets $-5,328,488
Aggregate Proceeds $49,353,684
Aggregate Carrying Amount $54,682,172
Total Unrealized Appreciation (depreciation) of assets $-51,234,983
Real Estate $0
Other $-51,234,983
Net investment gain (loss) from common/collective trusts $-34,319,948
Net investment gain (loss) from pooled separate accounts $0
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $-8,258,146
Other Income $0
Expenses $89,597,604
Total Benefit Payments $89,243,692
Directly to participants or beneficiaries, including direct rollovers $89,243,692
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $25,180
Certain deemed distributions of participant loans $65,243
Interest expense $0
Total Administrative Expenses $263,489
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $263,489
Other Administrative Fees $0
Net Income $-104,560,796
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $80,079

Asset and Liability Statement

12/31/2018 12/31/2017 Change YOY
Total Assets $915,356,456 $1,018,306,163 -10.11%
Total noninterest-bearing cash $99,041 $2,663 3619.15%
Receivables $1,153,844 $9,254 12368.60%
Employer Contributions $643,669 $0 0.0%
Participant Contributions $80,379 $0 0.0%
Other Contributions $429,796 $9,254 4544.43%
General Investments $20,421,983 $13,272,054 53.87%
Interest-bearing cash $20,421,983 $13,272,054 53.87%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $16,712,314 $17,357,274 -3.72%
Value of interest in common/collective trusts $524,650,194 $548,383,389 -4.33%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $61,800,609 $65,313,017 -5.38%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $98,513,206 $102,389,935 -3.79%
Employer-related Investments $192,005,265 $271,578,577 -29.30%
Employer Securities $192,005,265 $271,578,577 -29.30%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $1,862,531 $171,363 986.89%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $103,521 $139,319 -25.69%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $1,759,010 $32,044 5389.36%
Net Assets $913,493,925 $1,018,134,800 -10.28%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Fidelity Investments Institutional

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Fidelity Investments Institutional Participant loan processing, Sub-transfer agency fees, Recordkeeping fees, Account maintenance fees, Securities brokerage commissions and fees Recordkeeper $493,318 $0 $493,318
Latham and Watkins LLP Legal Attorney $87,116 $0 $87,116
Aon Hewitt Investment Consulting Consulting (pension), Other fees Other Fees $19,893 $0 $19,893
Total $600,327 $0 $600,327

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Fidelity Investments Institutional Templeton Global Bond Class C Sub-transfer agency fees $19.00 $0
Fidelity Investments Institutional Rydex Nasdaq 100 Inv Class Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional T Rowe Price Qm Us Sml Cap Grwth Eq Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Personal Strat Grwth Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Motley Fool Small Mid Cap Growth In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Akre Focus Fund Instl Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Pimco Investment Gr Credit Bond Fun Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oberweis Micro Cap Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Nuveen Equity Long Short Fd Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Dynamic 20 30 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg Equity 30 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Aggressive 30 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Pacific Tiger Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Emerging Asia Fund Investo Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Manning & Napier Real Estate Srs S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Mainstay Mackay Intlopportunities F Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Lazard Global Listedinfrastructe In Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Lazard Global Listedinfrastructure Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Intrepid Mid Cap Fund Clas Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Gl Bond Opportunities Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riverbridge Eco Leaders Investor Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wcm Focused Intl Growth Fund Invest Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Icon Energy Cl S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hartford Floating Rate High Income Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Oakmark Fund Investor Class Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional John Hancock Regional Bank Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Goldman Sachs Emerging Markets A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Firsthand Alternative Energy Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Doubleline Shiller Enhanced Cap Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Direxion Monthly 10 Yr Bear 2X Invs Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Columbia Greater China Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Cohen & Steers Mlp and Energy Oppor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Buffalo Discovery Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Large Cap Focus Growth A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional American Century Utilities Investor Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional American Century Equity Growth Inv Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Ab Emerging Markets Multi Asset Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Alger Small Cap Focus Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Semper Mbs Total Return Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Amg Yacktman Fund I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Amg Managers Center Square Real Est Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Victory Sycamore Established Value Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Usaa Growth & Tax Strategy Retail Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Performance Trust Strategic Bond Fd Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Thompson Bond Fund Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Royce Micro Cap Opportity Fd Invstm Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Putnam Multi Asset Absolute Return Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Ultra Dow 30 Pro Fund Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Principal Preferred Securities Fd C Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Parnassus Core Equity Instl Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Oppenheimer Intl Smlmid Company Cl Sub-transfer agency fees $16.50 $0
Fidelity Investments Institutional American New World Class F1 Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional Morgan Stanley Global Opportunity A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Morgan Stanley Multicap Growth Trus Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Morgan Stanley Growth Portfolio A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Large Cap Growth A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Janus Henderson Gl Life Sciences T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Global Technology T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Venture T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Hartford Mid Cap Fd Class I Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Oakmark Intl Investor Cl Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Harbor Glb Ldrs Inv Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Guinness Atkinson Global Energy Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Guggenheim Total Return Bond A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Glenmede Large Cap Growth Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jp Morgan Mid Cap Value Fund Class Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional First Eagle Global Class I Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Fmi Large Cap Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Eaton Vance High Incopportunities C Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Cortina Small Cap Growth Fd Inst Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Columbia Seligman Global Technolgy Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Columbia Strategic Income Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Emerging Markets Fund Retail Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baird Short Term Bond Fund Investor Sub-transfer agency fees 0.28% $0
Fidelity Investments Institutional American Century Gl Real Estate Inv Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional American Beacon Snd Pt Flt Rt Inc I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Allianzgi Glbl Water Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Frost Total Return Bond Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Ycg Enhanced Fund Service/Regular Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wasatch Small Cap Value Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Virtus Kar Small Cap Growth Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Usaa Nasdaq 100 Index Retail Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional T Rowe Price Value Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Overseas Stock Fund Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price New Asia Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Hodges Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Commodities Plus Strategy Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Stocksplus Internatl Ushdg A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional The Wireless Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Dreyfus Midcap Index Fund Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Riskpro Dynamic 15 25 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg Balanced 20 30 Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hcm Dividend Sector Plus Fund Inves Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews China Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Mairs & Power Growth Fund Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Mainstay Mackay Highyield Corp Bd C Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Lord Abbett Alpha Strategy Cl A Sub-transfer agency fees 0.45% $0
Fidelity Investments Institutional Clearbridge Select Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Appreciation Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Small Cap Equity Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Janus Henderson Research T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Small Cap Value T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Triton T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Williston Basin/Mid North America S Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Oakmark Global Select Fd Investor Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Goldman Sachs Intl Equity Insights Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Franklin Small Cap Value Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Franklin Growth Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Firsthand Technologyopportunities F Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Federated Strategic Value Dividend Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Fmi International Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Doubleline Total Return Bond Fd Cl Sub-transfer agency fees 0.06% $0
Fidelity Investments Institutional Dws Health and Wellness Fund A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Carillon Scout Mid Cap Fund Cl I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Strategic Inc Opp Port Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Artisan Global Equity Fund Investor Sub-transfer agency fees 0.39% $0
Fidelity Investments Institutional American Beacon Brid Large Cap Valu Sub-transfer agency fees 0.04% $0
Fidelity Investments Institutional Amana Mutual Fund Trust Income Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Undiscovered Managerbehavioral Val Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Boston Partners All Cap Value Invs Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pear Tree Polaris Frgn Val Sm Cap I Sub-transfer agency fees 0.12% $0
Fidelity Investments Institutional Parnassus Mid Cap Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Asg Tactical U.S. Market Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Morgan Stanley Instlinterntl Opp Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Aggressive Growth A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Janus Henderson Balanced T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Contrarian T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Goldman Sachs Mid Cap Value Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Franklin Convertiblesecurities A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Franklin Income Class C Sub-transfer agency fees $19.00 $0
Fidelity Investments Institutional Emerald Banking and Finance Fd Inve Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional American Europacificgrowth Class A Sub-transfer agency fees $18.00 $0
Fidelity Investments Institutional Dreyfus Small Cap Stock Index Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Commerce Value Institutional Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Causeway Emerging Mrkts Fd Inv Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Technologyopportunities C Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Artisan Internatl Investor Class Sub-transfer agency fees 0.39% $0
Fidelity Investments Institutional Invesco Long Short Equity Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Adv Preferred Gold Bullion Strat In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wasatch Core Growth Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Value Line Capital Appreciation Inv Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Sound Shore Fd Inc Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Segall Bryant Hamill Plus Bond Fd R Sub-transfer agency fees 0.30% $0
Fidelity Investments Institutional T Rowe Price Diversdmid Cap Growth Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Blue Chip Growth Inc Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Biotechnology Ultra Sector Pro Fd I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional T Rowe Price Global Technology Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Growth Stock Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Pimco Income Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pax Global Environmental Mrkts Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Parnassus Endeavor Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Parnassus Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oppenheimer Gold & Spec Minerals Cl Sub-transfer agency fees $16.50 $0
Fidelity Investments Institutional Riskpro Pfg Global 30 Fd Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hcm Tactical Growth Fund Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hcm Income Plus Fundinvestor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Mfs Core Equity Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Clearbridge Energy Mlp & Infrastruc Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Lazard Us Realty Equity Port Open S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Kinetics Paradigm Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Income Builder Fund Class Sub-transfer agency fees 0.08% $0
Fidelity Investments Institutional James Balanced Golden Rainbow Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Guinness Atkinson Global Innovators Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Federated Mdt Small Cap Core Fd Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Parametric Emerging Mkts Inv Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Doubleline Core Fixed Income Cl I Sub-transfer agency fees 0.06% $0
Fidelity Investments Institutional American Washington Mutual Investor Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional Voya Securitized Crd Fund Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Thrivent Mid Cap Stock Fund Cl S Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Tcw Emerging Mkts Income Cl I Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Wells Fargo Special Mid Cap Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wells Fargo Specialized Tech A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wasatch Emerging Markets Small Cap Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Wasatch Emerging India Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Van Eck Cm Commodityindex Fund A Sub-transfer agency fees 0.38% $0
Fidelity Investments Institutional Thrivent Small Cap Stock Fund Cl S Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Thornburg Developing World Fund Cl Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Templeton Global Bond Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Templeton Foreign Class A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional T Rowe Price Spectrum Internat'L Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional T Rowe Price Global Stock Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Putnam Capital Spectrum Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Putnam Global Technology Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Akre Focus Fund Retail Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Intl Bd Fd (U.S. Dollar Hedge Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Pimco Total Return Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oppenheimer Dev Markets Class A Sub-transfer agency fees $16.50 $0
Fidelity Investments Institutional Matthews Korea Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews China Div Fund Investor Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthew 25 Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Loomis Sayles Bond Retail Shares Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Clearbridge Small Cap Fund Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Mid Cap Growth Fudn Class Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Jpmorgan Equity Income Fund Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Icon Utilities Fund Class S Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Guggenheim Total Return Bond Cl P Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Glenmede Large Cap Core Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Glenmede Secured Options Portfolio Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Franklin Natural Resources A Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional First Eagle Gold Fund Class C Sub-transfer agency fees 0.09% $0
Fidelity Investments Institutional Eaton Vance Floatingrate Advantage Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Eaton Vance Sht Dur Strategic Inc F Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Eaton Vance Floatingrate Class I Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Direxion Monthly S&P 500 Bull 2X In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Conestoga Smid Cap Fund Investors C Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Causeway Internatl Opportunities In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Brown Advisory Smallcap Fundmntl Va Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Growth Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Bbh Limited Duration Fund Class I Sub-transfer agency fees 0.05% $0
Fidelity Investments Institutional American Funds Mod Grth & Incme Por Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional American Beacon Large Cap Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Aqr Large Cap Momentum Style Cl N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Amg Managers Lmcg Smcap Growth Clas Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Invesco Comstock Fund Cl C Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Blackrock Health Sciences Opp Prt A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Real Estate Fund Retail Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Discovery Fundretail Shares Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baron Small Cap Fd Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Baird Core Plus Bond Fd Investor Cl Sub-transfer agency fees 0.28% $0
Fidelity Investments Institutional Aqr Large Cap Defensive Style Cl N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Putnam Income Fund Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Becker Value Equity Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hodges Small Cap Fund Retail Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Primecap Odyssey Growth Fund Sub-transfer agency fees 0.08% $0
Fidelity Investments Institutional T Rowe Price Health Sciences Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Parnassus Core Equity Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oppenheimer Global Opportunities Cl Sub-transfer agency fees $16.50 $0
Fidelity Investments Institutional Red Oak Technology Select Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Nuveen Symphony Credit Oppty A Shrs Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg 30 Fund Cl R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Riskpro Pfg Aggressive 30 Fd R Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Eventide Gilead Fund Class N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Asian Growth & Income Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Mfs International Diversification C Sub-transfer agency fees 0.08% $0
Fidelity Investments Institutional Lord Abbett Bond Debenture Class A Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional Lord Abbett Floating Rate Fd Cl A Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional Kinetics Small Cap Opportunities Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Janus Henderson Global Reseach T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Hennessy Small Cap Financial Invstr Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hennessy Gas Utilityinvestor Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oakmark Select Investor Cl Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Harding Loevner Emerg Mrkts Port Ad Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Guggenheim Limited Duration Cl P Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Goodhaven Fund Sub-transfer agency fees 0.12% $0
Fidelity Investments Institutional Federated Bond Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Eaton Vance Short Duration Gov Inc Sub-transfer agency fees $16.00 $0
Fidelity Investments Institutional Dreyfus Equity Incmefd Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Calamos Growth & Income Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional William Blair Small Cap Growth Clas Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional William Blair Small Mid Cap Growth Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Berkshire Focus Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Ariel Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional American Funds Conv Grwth & Incm Po Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional American Funds Grwth& Inc Portfolio Sub-transfer agency fees 0.37% $0
Fidelity Investments Institutional Amer Beacon Brdgway Large Cap Val I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Allianzgi Income & Growth Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Allianzgi Technology Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Alger Spectra Cl Z Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Invesco Dividend Income Fund A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Crm Mid Cap Value Investor Shares Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Van Eck Emerging Markets Fund Cl Y Sub-transfer agency fees 0.08% $0
Fidelity Investments Institutional Usaa Science & Technology Adviser Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Oil Equipment & Svc Ultrasect Profd Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Ultra Nasdaq 100 Pro Fund Investor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Asg Managed Futures Stratey Fund Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Morgan Stanley Core Plus Fixed Inc Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews Asian Innovators Fd Invst Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Matthews India Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Brandywineglobal Glbl Oppor Bd Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Janus Henderson U.S.Managed Volatil Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Janus Henderson Enterprise T Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Hotchkis & Wiley Value Opp Class A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Hartford Schroders Intl Mult Cap Cl Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional Harbor Intl Inv Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Goldman Sachs Mlp Energy Infrstctr Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Gabelli Small Cap Growth Aaa Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Vulcan Value Partners Fund Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Seafarer Overseas Growth & Income I Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Federated High Yieldtrust Ss Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Dreyfus Natural Resources A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Doubleline Total Rt Bond Fd Cl N Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Domini Impact Equityinvestor Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Direxion Monthly Nasdaq100Bull2X In Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Calvert Emerging Markets Equity Cl Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Global Allocation Cl A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Blackrock Focus Growth Fd Inc A Sub-transfer agency fees 0.40% $0
Fidelity Investments Institutional Bbh Core Select Fund Cl N Sub-transfer agency fees 0.15% $0
Fidelity Investments Institutional American Century Equity Income Inv Sub-transfer agency fees 0.35% $0
Fidelity Investments Institutional Ab Large Cap Growth Class A Sub-transfer agency fees 0.40% $0
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Ah Growth Reliance Trust Company DFE: Common/Collective Trust $124,145,956
Btc Lp Idx 2030 M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $82,728,580
Btc Lp Idx 2020 M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $57,927,836
Btc Lp Idx 2025 M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $56,802,266
Btc Lp Idx 2040 M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $49,859,259
Btc Lp Idx 2035 M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $48,408,655
Btc Lp Idx 2050 M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $27,610,110
Btc Lp Idx 2045 M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $24,830,648
Btc Lp Idx 2055 M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $18,739,438
Btc Lp Idx Ret M Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $16,508,785
Ah Income Reliance Trust Company DFE: Common/Collective Trust $7,238,177
Ss S&P 500 Index K State Street Bank & Trust Company DFE: Common/Collective Trust $5,795,799
Ah Inflation Stratgy Reliance Trust Company DFE: Common/Collective Trust $3,050,053
Btc Lp Idx 2060 M Blackrock Inst. Trust Company, N.A DFE: Common/Collective Trust $1,004,632
Btc Lifepath 2025 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Btc Lifepath 2030 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Btc Lifepath 2040 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Btc Lifepath 2045 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Btc Lifepath 2050 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Btc Lifepath Ret G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Btc Lifepath 2020 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Btc Lifepath 2035 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Btc Lifepath 2055 G Blackrock Inst. Trust Company, N.A. DFE: Common/Collective Trust $0
Total $524,650,194

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Transamerica Premier Life Insurance Company 1,509
EIN 52-0419790
Industry Code 66281
Contract Number MDA01159TR
Contract Year 01/01/2018 — 12/31/2018
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 20Bps
Premiums paid to carrier $38,857
Premiums due but unpaid at the end of the year $9,665
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 Synthetic Investment Contract
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $20,292,710
Additions $479,820
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $479,820
Transferred from separate account $0
Other $0
Total of Balance and Additions $20,772,530
Deductions $1,500,000
Disbursed from fund to pay benefits or purchase annuities during the year $1,500,000
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $19,272,530
Prudential Insurance Co of America 1,509
EIN 22-1211670
Industry Code 68241
Contract Number GA62338
Contract Year 01/01/2018 — 12/31/2018
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 18Bps
Premiums paid to carrier $28,058
Premiums due but unpaid at the end of the year $6,764
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 Synthetic Investment Contract
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $18,118,408
Additions $440,359
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $440,359
Transferred from separate account $0
Other $0
Total of Balance and Additions $18,558,767
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 $18,558,767
Voya Retirement Insurance and Annuity Company 1,509
EIN 71-0294708
Industry Code 86509
Contract Number 060247
Contract Year 01/01/2018 — 12/31/2018
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 15Bps
Premiums paid to carrier $33,484
Premiums due but unpaid at the end of the year $8,785
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 Synthetic Investment Contract
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $23,304,340
Additions $542,646
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $542,646
Transferred from separate account $0
Other $0
Total of Balance and Additions $23,846,986
Deductions $1,500,000
Disbursed from fund to pay benefits or purchase annuities during the year $1,500,000
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $22,346,986
Pacific Life 1,509
EIN 95-1079000
Industry Code 86509
Contract Number G-27553.01.0001
Contract Year 01/01/2018 — 12/31/2018
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 19Bps
Premiums paid to carrier $58,586
Premiums due but unpaid at the end of the year $14,120
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 Synthetic Investment Contract
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $29,188,156
Additions $591,989
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $591,989
Transferred from separate account $0
Other $0
Total of Balance and Additions $29,780,145
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 $29,780,145
Nationwide Life Insurance Company 1,509
EIN 31-4156830
Industry Code 66869
Contract Number STAADNIP0517
Contract Year 01/01/2018 — 12/31/2018
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract SYNTHETIC INVESTMENT CONTRACT
Basis of premium rates 17Bps
Premiums paid to carrier $21,927
Premiums due but unpaid at the end of the year $4,476
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 Synthetic Investment Contract
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $11,875,293
Additions $188,776
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $188,776
Transferred from separate account $0
Other $0
Total of Balance and Additions $12,064,069
Deductions $1,827,290
Disbursed from fund to pay benefits or purchase annuities during the year $1,827,290
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $10,236,779