Schedule A
- Row 1
- Filing Id
- 84037364571052
- Form Id
- 24244864
- Page Id
- 1
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 1010372364571050002
- Ins Broker Comm Pd 01 Amount
- $0
- Ins Broker Fees Pd 01 Amount
- $0
- Row 2
- Filing Id
- 84037364571052
- Form Id
- 24244866
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 1010372364571050004
- Ins Broker 01 Name
- GAYLE TANLEY MILTON
- Ins Broker 01 Street Addr
- 200 WEST COURT SQUARE, SUITE 5
- Ins Broker 01 City
- HUNTSVILLE
- Ins Broker 01 State
- AL
- Ins Broker 01 ZIP Code
- 35801
- Ins Broker Comm Pd 01 Amount
- $8,655
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 3
- Filing Id
- 84037364571052
- Form Id
- 24244869
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 1010372364571050007
- Ins Broker 01 Name
- GAYLE T. MILTON
- Ins Broker 01 Street Addr
- 200 WEST SIDE SQUARE, SUITE 52
- Ins Broker 01 City
- HUNTSVILLE
- Ins Broker 01 State
- AL
- Ins Broker 01 ZIP Code
- 35801
- Ins Broker Comm Pd 01 Amount
- $411
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 4
- Filing Id
- 84037364571052
- Form Id
- 24244868
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 1010372364571050006
- Ins Broker 01 Name
- JOSEPH S. LAWRENCE
- Ins Broker 01 Street Addr
- 3131 MAPLE DRIVE
- Ins Broker 01 City
- ATLANTA
- Ins Broker 01 State
- GA
- Ins Broker 01 ZIP Code
- 30305
- Ins Broker Comm Pd 01 Amount
- $9,700
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 5
- Filing Id
- 84037364571052
- Form Id
- 24244867
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 1010372364571050005
- Ins Broker 01 Name
- GAYLE MILTON
- Ins Broker 01 Street Addr
- 200 WEST SIDE SQUARE
- Ins Broker 01 City
- HUNTSVILLE
- Ins Broker 01 State
- AL
- Ins Broker 01 ZIP Code
- 35801
- Ins Broker Comm Pd 01 Amount
- $19,272
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 6
- Filing Id
- 84037364571052
- Form Id
- 24244865
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 1010372364571050003
- Ins Broker 01 Name
- GAYLE T. MILTON
- Ins Broker 01 Street Addr
- 200 WEST COURT SQUARE, STE. 52
- Ins Broker 01 City
- HUNTSVILLE
- Ins Broker 01 State
- AL
- Ins Broker 01 ZIP Code
- 35801
- Ins Broker Comm Pd 01 Amount
- $2,369
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 7
- Filing Id
- 84037364571052
- Form Id
- 24244865
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 2
- Row Num
- 1
- Image Form Id
- 1010372364571050003
- Ins Broker 01 Name
- JOSEPH S. LAWRENCE
- Ins Broker 01 Street Addr
- 2309 STARMOUNT CIR.
- Ins Broker 01 City
- HUNTSVILLE
- Ins Broker 01 State
- AL
- Ins Broker 01 ZIP Code
- 358013817
- Ins Broker Comm Pd 01 Amount
- $2,369
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 8
- Filing Id
- 84037364571052
- Form Id
- 24244866
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 2
- Row Num
- 1
- Image Form Id
- 1010372364571050004
- Ins Broker 01 Name
- JOSEPH S. LAWRENCE
- Ins Broker 01 Street Addr
- 2309 STARMOUNT CIRCLE
- Ins Broker 01 City
- HUNTSVILLE
- Ins Broker 01 State
- AL
- Ins Broker 01 ZIP Code
- 35801
- Ins Broker Comm Pd 01 Amount
- $8,655
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 9
- Filing Id
- 84037364571052
- Form Id
- 24244867
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 2
- Row Num
- 1
- Image Form Id
- 1010372364571050005
- Ins Broker 01 Name
- JOSEPH LAWRENCE
- Ins Broker 01 Street Addr
- 2309 STARMOUNT CIRCLE
- Ins Broker 01 City
- HUNTSVILLE
- Ins Broker 01 State
- AL
- Ins Broker 01 ZIP Code
- 35801
- Ins Broker Comm Pd 01 Amount
- $11,319
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 10
- Filing Id
- 84037364571052
- Form Id
- 24244868
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 2
- Row Num
- 1
- Image Form Id
- 1010372364571050006
- Ins Broker 01 Name
- GAYLE T. MILTON
- Ins Broker 01 Street Addr
- 3131 MAPLE DRIVE
- Ins Broker 01 City
- ATLANTA
- Ins Broker 01 State
- GA
- Ins Broker 01 ZIP Code
- 30305
- Ins Broker Comm Pd 01 Amount
- $14,550
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 11
- Filing Id
- 84037364571052
- Form Id
- 24244869
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 2
- Row Num
- 1
- Image Form Id
- 1010372364571050007
- Ins Broker 01 Name
- JOSEPH S. LAWRENCE
- Ins Broker 01 Street Addr
- 2309 STARMOUNT CIRCLE
- Ins Broker 01 City
- HUNTSVILLE
- Ins Broker 01 State
- AL
- Ins Broker 01 ZIP Code
- 35801
- Ins Broker Comm Pd 01 Amount
- $411
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 12
- Ins Carrier Name: RELIANCE STANDARD LIFE INSURANCE COMPANY
- Filing Id
- 84037364571052
- Form Id
- 24244866
- Schedule A EIN
- 63-1004214
- Schedule A Plan Num
- 502
- Schedule A Plan Year Begin Date
- 2001-01-01
- Schedule A Tax Period
- 20011231
- Ins Carrier Name
- RELIANCE STANDARD LIFE INSURANCE COMPANY
- Ins Carrier EIN
- 36-0883760
- Ins Carrier Naic Code
- 68381
- Ins Contract Num
- GL028499
- Ins Prsn Covered End of year Count
- 800
- Ins Policy From Date
- 2001-01-01
- Ins Policy To Date
- 2001-12-31
- Ins Broker Comm Total Amount
- $17,310
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- D
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $133,104
- Wlfr Acquis Cost Amount
- $0
- Row 13
- Ins Carrier Name: UNITED HEALTH CARE OF TENNESSEE
- Filing Id
- 84037364571052
- Form Id
- 24244867
- Schedule A EIN
- 63-1004214
- Schedule A Plan Num
- 502
- Schedule A Plan Year Begin Date
- 2001-01-01
- Schedule A Tax Period
- 20011231
- Ins Carrier Name
- UNITED HEALTH CARE OF TENNESSEE
- Ins Carrier EIN
- 63-1036814
- Ins Contract Num
- 104996/65555
- Ins Prsn Covered End of year Count
- 367
- Ins Policy From Date
- 2001-01-01
- Ins Policy To Date
- 2001-12-31
- Ins Broker Comm Total Amount
- $30,591
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- A
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $543,960
- Wlfr Acquis Cost Amount
- $0
- Row 14
- Ins Carrier Name: UNUM LIFE INSURANCE COMPANY OF AMERICA
- Filing Id
- 84037364571052
- Form Id
- 24244869
- Schedule A EIN
- 63-1004214
- Schedule A Plan Num
- 502
- Schedule A Plan Year Begin Date
- 2001-01-01
- Schedule A Tax Period
- 20011231
- Ins Carrier Name
- UNUM LIFE INSURANCE COMPANY OF AMERICA
- Ins Carrier EIN
- 01-0278678
- Ins Carrier Naic Code
- 62235
- Ins Contract Num
- 555274
- Ins Prsn Covered End of year Count
- 762
- Ins Policy From Date
- 2001-01-01
- Ins Policy To Date
- 2001-04-01
- Ins Broker Comm Total Amount
- $822
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- No
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $9,130
- Wlfr Acquis Cost Amount
- $0
- Row 15
- Ins Carrier Name: BLUE CROSS BLUE SHIELD OF ALABAMA
- Filing Id
- 84037364571052
- Form Id
- 24244864
- Schedule A EIN
- 63-1004214
- Schedule A Plan Num
- 502
- Schedule A Plan Year Begin Date
- 2001-01-01
- Schedule A Tax Period
- 20011231
- Ins Carrier Name
- BLUE CROSS BLUE SHIELD OF ALABAMA
- Ins Carrier EIN
- 63-0103830
- Ins Carrier Naic Code
- 55433
- Ins Contract Num
- 28544
- Ins Prsn Covered End of year Count
- 1,019
- Ins Policy From Date
- 2001-01-01
- Ins Policy To Date
- 2001-12-31
- Ins Broker Comm Total Amount
- $0
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- AHK
- Wlfr Premium Rcvd Amount
- $1,663,085
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $1,663,085
- Wlfr Claims Paid Amount
- $1,004,814
- Wlfr Incr Reserve Amount
- $64,100
- Wlfr Incurred Claim Amount
- $1,068,914
- Wlfr Claims Chrgd Amount
- $1,068,914
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $150,509
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $26,609
- Wlfr Ret Charges Amount
- $74,839
- Wlfr Ret Oth Chrgs Amount
- $-24,946
- Wlfr Ret Total Amount
- $227,011
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $150,400
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $35,688
- Wlfr Acquis Cost Amount
- $0
- Row 16
- Ins Carrier Name: RELIANCE STANDARD LIFE INSURANCE COMPANY
- Filing Id
- 84037364571052
- Form Id
- 24244865
- Schedule A EIN
- 63-1004214
- Schedule A Plan Num
- 502
- Schedule A Plan Year Begin Date
- 2001-01-01
- Schedule A Tax Period
- 20011231
- Ins Carrier Name
- RELIANCE STANDARD LIFE INSURANCE COMPANY
- Ins Carrier EIN
- 36-0883760
- Ins Carrier Naic Code
- 68381
- Ins Contract Num
- 136-1572
- Ins Prsn Covered End of year Count
- 709
- Ins Policy From Date
- 2001-01-01
- Ins Policy To Date
- 2001-12-31
- Ins Broker Comm Total Amount
- $4,738
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- B
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $277,709
- Wlfr Acquis Cost Amount
- $0
- Row 17
- Ins Carrier Name: THE GUARDIAN LIFE INSURANCE COMPANY
- Filing Id
- 84037364571052
- Form Id
- 24244868
- Schedule A EIN
- 63-1004214
- Schedule A Plan Num
- 502
- Schedule A Plan Year Begin Date
- 2001-01-01
- Schedule A Tax Period
- 20011231
- Ins Carrier Name
- THE GUARDIAN LIFE INSURANCE COMPANY
- Ins Carrier EIN
- 13-5123390
- Ins Carrier Naic Code
- 64246
- Ins Contract Num
- 354507
- Ins Prsn Covered End of year Count
- 454
- Ins Policy From Date
- 2001-01-01
- Ins Policy To Date
- 2001-12-31
- Ins Broker Comm Total Amount
- $24,250
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $0
- Pension End of year Sep Account Amount
- $0
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Type Bnft Indicator
- E
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $161,699
- Wlfr Acquis Cost Amount
- $0