Civic Intelligence
Filing

Wilwood Engineering Inc. Welfare Benefit Plan

Wilwood Engineering Inc. • EIN 95-3171527 • Plan year 1999

Company ProfileSource Archive
Filing Insights

Participants

Up

137 → 153

16 • 11.68%

Assets

No comparison

- → -

No earlier value available.

Investment Management Fee

-

Admin expenses - • Total expenses -

Filing Details

Context

No event flags were generated for this filing.

Status Flags

Fidelity bond in place

Not reported

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

Not reported

Leases in default

Not reported

Reportable party-in-interest issues

Not reported

Loss discovered during year

Not reported

Assets with undetermined value

Not reported

Non-cash contributions

Not reported

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

Not reported

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

Not reported

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
20242307$15,105,660$1,520,326$4,952iApproximate average salary by contribution assumption: employee only about $123,805 at 4% or $82,537 at 6%; with 50% employer match about $82,537 at 4% or $55,024 at 6%; with 100% employer match about $61,903 at 4% or $41,268 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-307$15,105,660$1,520,326$4,952iApproximate average salary by contribution assumption: employee only about $123,805 at 4% or $82,537 at 6%; with 50% employer match about $82,537 at 4% or $55,024 at 6%; with 100% employer match about $61,903 at 4% or $41,268 at 6%.
Wilwood Engineering Health and Welfare Plan-154---
20232335$14,190,112$1,392,604$4,157iApproximate average salary by contribution assumption: employee only about $103,926 at 4% or $69,284 at 6%; with 50% employer match about $69,284 at 4% or $46,189 at 6%; with 100% employer match about $51,963 at 4% or $34,642 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-335$14,190,112$1,392,604$4,157iApproximate average salary by contribution assumption: employee only about $103,926 at 4% or $69,284 at 6%; with 50% employer match about $69,284 at 4% or $46,189 at 6%; with 100% employer match about $51,963 at 4% or $34,642 at 6%.
Wilwood Engineering Health and Welfare Plan-163---
20222332$11,162,881$1,268,196$3,820iApproximate average salary by contribution assumption: employee only about $95,497 at 4% or $63,664 at 6%; with 50% employer match about $63,664 at 4% or $42,443 at 6%; with 100% employer match about $47,748 at 4% or $31,832 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-332$11,162,881$1,268,196$3,820iApproximate average salary by contribution assumption: employee only about $95,497 at 4% or $63,664 at 6%; with 50% employer match about $63,664 at 4% or $42,443 at 6%; with 100% employer match about $47,748 at 4% or $31,832 at 6%.
Wilwood Engineering Health and Welfare Plan-150---
20212303$12,638,156$1,147,317$3,787iApproximate average salary by contribution assumption: employee only about $94,663 at 4% or $63,109 at 6%; with 50% employer match about $63,109 at 4% or $42,072 at 6%; with 100% employer match about $47,332 at 4% or $31,554 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-303$12,638,156$1,147,317$3,787iApproximate average salary by contribution assumption: employee only about $94,663 at 4% or $63,109 at 6%; with 50% employer match about $63,109 at 4% or $42,072 at 6%; with 100% employer match about $47,332 at 4% or $31,554 at 6%.
Wilwood Engineering Health and Welfare Plan-156---
20202262$11,249,951$940,114$3,588iApproximate average salary by contribution assumption: employee only about $89,706 at 4% or $59,804 at 6%; with 50% employer match about $59,804 at 4% or $39,869 at 6%; with 100% employer match about $44,853 at 4% or $29,902 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-262$11,249,951$940,114$3,588iApproximate average salary by contribution assumption: employee only about $89,706 at 4% or $59,804 at 6%; with 50% employer match about $59,804 at 4% or $39,869 at 6%; with 100% employer match about $44,853 at 4% or $29,902 at 6%.
Wilwood Engineering Health and Welfare Plan-146---
20192258$9,545,024$836,177$3,241iApproximate average salary by contribution assumption: employee only about $81,025 at 4% or $54,017 at 6%; with 50% employer match about $54,017 at 4% or $36,011 at 6%; with 100% employer match about $40,512 at 4% or $27,008 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-258$9,545,024$836,177$3,241iApproximate average salary by contribution assumption: employee only about $81,025 at 4% or $54,017 at 6%; with 50% employer match about $54,017 at 4% or $36,011 at 6%; with 100% employer match about $40,512 at 4% or $27,008 at 6%.
Wilwood Engineering Health and Welfare Plan-144---
20182254$7,613,169$764,171$3,009iApproximate average salary by contribution assumption: employee only about $75,214 at 4% or $50,142 at 6%; with 50% employer match about $50,142 at 4% or $33,428 at 6%; with 100% employer match about $37,607 at 4% or $25,071 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-254$7,613,169$764,171$3,009iApproximate average salary by contribution assumption: employee only about $75,214 at 4% or $50,142 at 6%; with 50% employer match about $50,142 at 4% or $33,428 at 6%; with 100% employer match about $37,607 at 4% or $25,071 at 6%.
Wilwood Engineering Health and Welfare Plan-164---
20172253$7,767,338$638,466$2,524iApproximate average salary by contribution assumption: employee only about $63,090 at 4% or $42,060 at 6%; with 50% employer match about $42,060 at 4% or $28,040 at 6%; with 100% employer match about $31,545 at 4% or $21,030 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-253$7,767,338$638,466$2,524iApproximate average salary by contribution assumption: employee only about $63,090 at 4% or $42,060 at 6%; with 50% employer match about $42,060 at 4% or $28,040 at 6%; with 100% employer match about $31,545 at 4% or $21,030 at 6%.
Wilwood Engineering Health and Welfare Plan-167---
20162264$6,690,806$645,433$2,445iApproximate average salary by contribution assumption: employee only about $61,121 at 4% or $40,747 at 6%; with 50% employer match about $40,747 at 4% or $27,165 at 6%; with 100% employer match about $30,560 at 4% or $20,374 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-264$6,690,806$645,433$2,445iApproximate average salary by contribution assumption: employee only about $61,121 at 4% or $40,747 at 6%; with 50% employer match about $40,747 at 4% or $27,165 at 6%; with 100% employer match about $30,560 at 4% or $20,374 at 6%.
Wilwood Engineering Health and Welfare Plan-158---
20152223$6,125,296$599,759$2,690iApproximate average salary by contribution assumption: employee only about $67,238 at 4% or $44,825 at 6%; with 50% employer match about $44,825 at 4% or $29,883 at 6%; with 100% employer match about $33,619 at 4% or $22,413 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-223$6,125,296$599,759$2,690iApproximate average salary by contribution assumption: employee only about $67,238 at 4% or $44,825 at 6%; with 50% employer match about $44,825 at 4% or $29,883 at 6%; with 100% employer match about $33,619 at 4% or $22,413 at 6%.
Wilwood Engineering Health and Welfare Plan-172---
20142223$5,997,850$521,016$2,336iApproximate average salary by contribution assumption: employee only about $58,410 at 4% or $38,940 at 6%; with 50% employer match about $38,940 at 4% or $25,960 at 6%; with 100% employer match about $29,205 at 4% or $19,470 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-223$5,997,850$521,016$2,336iApproximate average salary by contribution assumption: employee only about $58,410 at 4% or $38,940 at 6%; with 50% employer match about $38,940 at 4% or $25,960 at 6%; with 100% employer match about $29,205 at 4% or $19,470 at 6%.
Wilwood Engineering Health and Welfare Plan-168---
20132224$5,889,820$519,971$2,321iApproximate average salary by contribution assumption: employee only about $58,032 at 4% or $38,688 at 6%; with 50% employer match about $38,688 at 4% or $25,792 at 6%; with 100% employer match about $29,016 at 4% or $19,344 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-224$5,889,820$519,971$2,321iApproximate average salary by contribution assumption: employee only about $58,032 at 4% or $38,688 at 6%; with 50% employer match about $38,688 at 4% or $25,792 at 6%; with 100% employer match about $29,016 at 4% or $19,344 at 6%.
Wilwood Engineering Health and Welfare Plan-188---
20122231$4,571,439$459,612$1,990iApproximate average salary by contribution assumption: employee only about $49,742 at 4% or $33,161 at 6%; with 50% employer match about $33,161 at 4% or $22,107 at 6%; with 100% employer match about $24,871 at 4% or $16,581 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-231$4,571,439$459,612$1,990iApproximate average salary by contribution assumption: employee only about $49,742 at 4% or $33,161 at 6%; with 50% employer match about $33,161 at 4% or $22,107 at 6%; with 100% employer match about $24,871 at 4% or $16,581 at 6%.
Wilwood Engineering Health and Welfare Plan-126---
20112206$3,712,928$386,128$1,874iApproximate average salary by contribution assumption: employee only about $46,860 at 4% or $31,240 at 6%; with 50% employer match about $31,240 at 4% or $20,827 at 6%; with 100% employer match about $23,430 at 4% or $15,620 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-206$3,712,928$386,128$1,874iApproximate average salary by contribution assumption: employee only about $46,860 at 4% or $31,240 at 6%; with 50% employer match about $31,240 at 4% or $20,827 at 6%; with 100% employer match about $23,430 at 4% or $15,620 at 6%.
Wilwood Engineering Health and Welfare Plan-189---
20102212$3,765,354$398,528$1,880iApproximate average salary by contribution assumption: employee only about $46,996 at 4% or $31,331 at 6%; with 50% employer match about $31,331 at 4% or $20,887 at 6%; with 100% employer match about $23,498 at 4% or $15,665 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-212$3,765,354$398,528$1,880iApproximate average salary by contribution assumption: employee only about $46,996 at 4% or $31,331 at 6%; with 50% employer match about $31,331 at 4% or $20,887 at 6%; with 100% employer match about $23,498 at 4% or $15,665 at 6%.
Wilwood Engineering Health and Welfare Plan-137---
20092219$2,983,971$373,646$1,706iApproximate average salary by contribution assumption: employee only about $42,654 at 4% or $28,436 at 6%; with 50% employer match about $28,436 at 4% or $18,957 at 6%; with 100% employer match about $21,327 at 4% or $14,218 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-219$2,983,971$373,646$1,706iApproximate average salary by contribution assumption: employee only about $42,654 at 4% or $28,436 at 6%; with 50% employer match about $28,436 at 4% or $18,957 at 6%; with 100% employer match about $21,327 at 4% or $14,218 at 6%.
Wilwood Engineering Health and Welfare Plan-155---
20082218$1,990,122$405,282$1,859iApproximate average salary by contribution assumption: employee only about $46,477 at 4% or $30,985 at 6%; with 50% employer match about $30,985 at 4% or $20,657 at 6%; with 100% employer match about $23,239 at 4% or $15,492 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-218$1,990,122$405,282$1,859iApproximate average salary by contribution assumption: employee only about $46,477 at 4% or $30,985 at 6%; with 50% employer match about $30,985 at 4% or $20,657 at 6%; with 100% employer match about $23,239 at 4% or $15,492 at 6%.
Wilwood Engineering Health and Welfare Plan-165---
20072199$2,850,227$342,815$1,723iApproximate average salary by contribution assumption: employee only about $43,067 at 4% or $28,711 at 6%; with 50% employer match about $28,711 at 4% or $19,141 at 6%; with 100% employer match about $21,534 at 4% or $14,356 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-199$2,850,227$342,815$1,723iApproximate average salary by contribution assumption: employee only about $43,067 at 4% or $28,711 at 6%; with 50% employer match about $28,711 at 4% or $19,141 at 6%; with 100% employer match about $21,534 at 4% or $14,356 at 6%.
Wilwood Engineering Health and Welfare Plan-154---
20063186$2,549,885$390,900$2,102iApproximate average salary by contribution assumption: employee only about $52,540 at 4% or $35,027 at 6%; with 50% employer match about $35,027 at 4% or $23,351 at 6%; with 100% employer match about $26,270 at 4% or $17,513 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-186$2,549,885$390,900$2,102iApproximate average salary by contribution assumption: employee only about $52,540 at 4% or $35,027 at 6%; with 50% employer match about $35,027 at 4% or $23,351 at 6%; with 100% employer match about $26,270 at 4% or $17,513 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-160---
Wilwood Engineering Health and Welfare Plan-160---
20052223$1,956,972$420,684$1,886iApproximate average salary by contribution assumption: employee only about $47,162 at 4% or $31,441 at 6%; with 50% employer match about $31,441 at 4% or $20,961 at 6%; with 100% employer match about $23,581 at 4% or $15,721 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-223$1,956,972$420,684$1,886iApproximate average salary by contribution assumption: employee only about $47,162 at 4% or $31,441 at 6%; with 50% employer match about $31,441 at 4% or $20,961 at 6%; with 100% employer match about $23,581 at 4% or $15,721 at 6%.
Wilwood Engineering Inc. Welfare Benefit Plan-164---
20042205$1,498,136$258,352$1,260iApproximate average salary by contribution assumption: employee only about $31,506 at 4% or $21,004 at 6%; with 50% employer match about $21,004 at 4% or $14,003 at 6%; with 100% employer match about $15,753 at 4% or $10,502 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-205$1,498,136$258,352$1,260iApproximate average salary by contribution assumption: employee only about $31,506 at 4% or $21,004 at 6%; with 50% employer match about $21,004 at 4% or $14,003 at 6%; with 100% employer match about $15,753 at 4% or $10,502 at 6%.
Wilwood Engineering Inc. Welfare Benefit Plan-111---
20032208$1,203,649$274,883$1,322iApproximate average salary by contribution assumption: employee only about $33,039 at 4% or $22,026 at 6%; with 50% employer match about $22,026 at 4% or $14,684 at 6%; with 100% employer match about $16,519 at 4% or $11,013 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-208$1,203,649$274,883$1,322iApproximate average salary by contribution assumption: employee only about $33,039 at 4% or $22,026 at 6%; with 50% employer match about $22,026 at 4% or $14,684 at 6%; with 100% employer match about $16,519 at 4% or $11,013 at 6%.
Wilwood Engineering Inc. Welfare Benefit Plan-164---
20022190$826,504$257,493$1,355iApproximate average salary by contribution assumption: employee only about $33,881 at 4% or $22,587 at 6%; with 50% employer match about $22,587 at 4% or $15,058 at 6%; with 100% employer match about $16,940 at 4% or $11,294 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-179$826,504$257,493$1,439iApproximate average salary by contribution assumption: employee only about $35,963 at 4% or $23,975 at 6%; with 50% employer match about $23,975 at 4% or $15,983 at 6%; with 100% employer match about $17,981 at 4% or $11,988 at 6%.
Wilwood Engineering Inc. Welfare Benefit Plan-190---
20012187$747,520$260,360$1,392iApproximate average salary by contribution assumption: employee only about $34,807 at 4% or $23,205 at 6%; with 50% employer match about $23,205 at 4% or $15,470 at 6%; with 100% employer match about $17,404 at 4% or $11,602 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-176$747,520$260,360$1,479iApproximate average salary by contribution assumption: employee only about $36,983 at 4% or $24,655 at 6%; with 50% employer match about $24,655 at 4% or $16,437 at 6%; with 100% employer match about $18,491 at 4% or $12,328 at 6%.
Wilwood Engineering Inc. Welfare Benefit Plan-187---
20002161$0$0-
Wilwood Engineering Inc. Welfare Benefit Plan-161---
Wilwood Engineering 401K Profit Sharing Plan-144---
19992153$580,637$212,836$1,391iApproximate average salary by contribution assumption: employee only about $34,777 at 4% or $23,185 at 6%; with 50% employer match about $23,185 at 4% or $15,456 at 6%; with 100% employer match about $17,389 at 4% or $11,592 at 6%.
Wilwood Engineering 401K Profit Sharing Plan-128$580,637$212,836$1,663iApproximate average salary by contribution assumption: employee only about $41,570 at 4% or $27,713 at 6%; with 50% employer match about $27,713 at 4% or $18,475 at 6%; with 100% employer match about $20,785 at 4% or $13,857 at 6%.
Wilwood Engineering Inc. Welfare Benefit PlanCurrent153---
Schedule Details

Schedule A

Row 1
Filing Id
56037083228551
Form Id
3058539
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
30371083228050005
Ins Broker 01 Name
TOLMAN & WIKER INC
Ins Broker 01 Street Addr
PO BOX 1388
Ins Broker 01 City
VENTURA
Ins Broker 01 State
CA
Ins Broker 01 ZIP Code
93002
Ins Broker Comm Pd 01 Amount
$568
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 2
Filing Id
56037083228551
Form Id
3058538
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
30371083228050004
Ins Broker 01 Name
TOLMAN & WIKER INC
Ins Broker 01 Street Addr
PO BOX 1388
Ins Broker 01 City
VENTURA
Ins Broker 01 State
CA
Ins Broker 01 ZIP Code
93002
Ins Broker Comm Pd 01 Amount
$6,993
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 3
Filing Id
56037083228551
Form Id
3058536
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
30371083228050002
Ins Broker 01 Name
TOLMAN & WIKER
Ins Broker 01 Street Addr
PO BOX 1388
Ins Broker 01 City
VENTURA
Ins Broker 01 State
CA
Ins Broker 01 ZIP Code
93002
Ins Broker Comm Pd 01 Amount
$1,404
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 4
Filing Id
56037083228551
Form Id
3058537
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
30371083228050003
Ins Broker 01 Name
TOLMAN & WIKER INC
Ins Broker 01 Street Addr
PO BOX 1388
Ins Broker 01 City
VENTURA
Ins Broker 01 State
CA
Ins Broker 01 ZIP Code
93002
Ins Broker Comm Pd 01 Amount
$8,458
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 5
Filing Id
56037083228551
Form Id
3058536
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
30371083228050002
Ins Broker 01 Name
LORENA ROBLEE
Ins Broker 01 Street Addr
888 W VENTURA BLVD
Ins Broker 01 City
CAMARILLO
Ins Broker 01 State
CA
Ins Broker 01 ZIP Code
93010
Ins Broker Comm Pd 01 Amount
$70
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 6
Filing Id
56037083228551
Form Id
3058536
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
30371083228050002
Ins Broker 01 Name
CYNTHIA K GRAY
Ins Broker 01 Street Addr
888 W VENTURA BLVD
Ins Broker 01 City
CAMARILLO
Ins Broker 01 State
CA
Ins Broker 01 ZIP Code
93010
Ins Broker Comm Pd 01 Amount
$70
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 7
Ins Carrier Name: GOLDEN WEST DENTAL & VISION
Filing Id
56037083228551
Form Id
3058536
Schedule A EIN
95-3171527
Schedule A Plan Num
502
Schedule A Plan Year Begin Date
1999-02-01
Schedule A Tax Period
20000131
Ins Carrier Name
GOLDEN WEST DENTAL & VISION
Ins Carrier EIN
95-2907752
Ins Contract Num
NP1482
Ins Prsn Covered End of year Count
78
Ins Policy From Date
1999-02-01
Ins Policy To Date
2000-01-31
Ins Broker Comm Total Amount
$1,544
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
BCM
Wlfr Type Bnft Oth Text
ORTHO
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
$14,436
Wlfr Acquis Cost Amount
$0
Row 8
Filing Id
56037083228551
Form Id
3058537
Schedule A EIN
95-3171527
Schedule A Plan Year Begin Date
1999-02-01
Schedule A Tax Period
20000131
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
AJ
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
$169,688
Wlfr Acquis Cost Amount
$0
Row 9
Ins Carrier Name: CIGNA
Filing Id
56037083228551
Form Id
3058538
Schedule A EIN
95-3171527
Schedule A Plan Num
502
Schedule A Plan Year Begin Date
1999-02-01
Schedule A Tax Period
20000131
Ins Carrier Name
CIGNA
Ins Contract Num
I682
Ins Prsn Covered End of year Count
62
Ins Policy From Date
1999-02-01
Ins Policy To Date
2000-01-31
Ins Broker Comm Total Amount
$6,993
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
$139,854
Wlfr Acquis Cost Amount
$0
Row 10
Ins Carrier Name: UNITED MUTUAL OF OMAHA LIFE INSURANCE CO
Filing Id
56037083228551
Form Id
3058539
Schedule A EIN
95-3171527
Schedule A Plan Num
502
Schedule A Plan Year Begin Date
1999-02-01
Schedule A Tax Period
20000131
Ins Carrier Name
UNITED MUTUAL OF OMAHA LIFE INSURANCE CO
Ins Carrier Naic Code
69868
Ins Contract Num
GVTL 31W5
Ins Prsn Covered End of year Count
35
Ins Policy From Date
1999-02-01
Ins Policy To Date
2000-01-31
Ins Broker Comm Total Amount
$568
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
$3,457
Wlfr Acquis Cost Amount
$0