Schedule A
- Row 1
- Filing Id
- 91037254181802
- Form Id
- 58225790
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 40372254181050002
- Ins Broker 01 Name
- ANTIONETTE A. MAGGIO
- Ins Broker 01 Street Addr
- 2322 BROOKHILL DR
- Ins Broker 01 City
- CAMARILLO
- Ins Broker 01 State
- CA
- Ins Broker 01 ZIP Code
- 93010
- Ins Broker Comm Pd 01 Amount
- $23,269
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 2
- Filing Id
- 91037254181802
- Form Id
- 58225776
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 20372161019020002
- Ins Broker 01 Name
- ANTIONETTE A. MAGGIO
- Ins Broker 01 Street Addr
- 2322 BROOKHILL DR
- Ins Broker 01 City
- CAMARILLO
- Ins Broker 01 State
- CA
- Ins Broker 01 ZIP Code
- 93010
- Ins Broker Comm Pd 01 Amount
- $23,269
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 3
- Ins Carrier Name: CONNECTICUT GENERAL LIFE INSURANCE COMPANY
- Filing Id
- 91037254181802
- Form Id
- 58225776
- Schedule A EIN
- 95-4312521
- Schedule A Plan Num
- 001
- Schedule A Plan Year Begin Date
- 2000-01-01
- Schedule A Tax Period
- 20001231
- Ins Carrier Name
- CONNECTICUT GENERAL LIFE INSURANCE COMPANY
- Ins Carrier EIN
- 06-0303370
- Ins Carrier Naic Code
- 62308
- Ins Contract Num
- 37703/001
- Ins Prsn Covered End of year Count
- 313
- Ins Policy From Date
- 2000-01-01
- Ins Policy To Date
- 2000-12-31
- Ins Broker Comm Total Amount
- $23,269
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $365,580
- Pension End of year Sep Account Amount
- $5,855,932
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pnsn Type Unalloc Cntrct I
- 4
- Pension Oth Unalloc Type Text
- GUARANTEED GENERAL ACCT CONTRACT
- Pension End Prev Bal Amount
- $275,321
- Pension Contribution Dep Amount
- $118,618
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $15,843
- Pension Transfer From Amount
- $115,331
- Pension Other Amount
- $20,271
- Pension Other Text
- LOAN PAYMENTS
- Pension Total Additions Amount
- $270,063
- Pension Total Bal Addn Amount
- $545,384
- Pension Bnfts Dsbrsd Amount
- $20,664
- Pension Admin Chrg Amount
- $432
- Pension Transfer To Amount
- $100,131
- Pension Oth Ded Amount
- $58,577
- Pension Oth Ded Text
- LOAN WITHDRAWALS
- Pension Total Ded Amount
- $179,804
- Pension End of year Bal Amount
- $365,580
- 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
- $0
- Wlfr Acquis Cost Amount
- $0
- Row 4
- Ins Carrier Name: CONNECTICUT GENERAL LIFE INSURANCE COMPANY
- Filing Id
- 91037254181802
- Form Id
- 58225790
- Schedule A EIN
- 95-4312521
- Schedule A Plan Num
- 001
- Schedule A Plan Year Begin Date
- 2000-01-01
- Schedule A Tax Period
- 20001231
- Ins Carrier Name
- CONNECTICUT GENERAL LIFE INSURANCE COMPANY
- Ins Carrier EIN
- 06-0303370
- Ins Carrier Naic Code
- 62308
- Ins Contract Num
- 37703/001
- Ins Prsn Covered End of year Count
- 313
- Ins Policy From Date
- 2000-01-01
- Ins Policy To Date
- 2000-12-31
- Ins Broker Comm Total Amount
- $23,269
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $365,581
- Pension End of year Sep Account Amount
- $5,855,931
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pnsn Type Unalloc Cntrct I
- 4
- Pension Oth Unalloc Type Text
- GUARANTEED GENERAL ACCT CONTRACT
- Pension End Prev Bal Amount
- $275,321
- Pension Contribution Dep Amount
- $118,618
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $15,843
- Pension Transfer From Amount
- $115,331
- Pension Other Amount
- $20,271
- Pension Other Text
- LOAN PAYMENTS
- Pension Total Additions Amount
- $270,063
- Pension Total Bal Addn Amount
- $545,384
- Pension Bnfts Dsbrsd Amount
- $20,664
- Pension Admin Chrg Amount
- $431
- Pension Transfer To Amount
- $100,131
- Pension Oth Ded Amount
- $58,577
- Pension Oth Ded Text
- LOAN WITHDRAWALS
- Pension Total Ded Amount
- $179,803
- Pension End of year Bal Amount
- $365,581
- 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
- $0
- Wlfr Acquis Cost Amount
- $0
Schedule D
- Row 1
- Filing Id
- 91037254181802
- Page Id
- 1
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 40372254181050003
- Row 2
- Filing Id
- 91037254181802
- Page Id
- 1
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- CIGNA LIFETIME 60
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370170
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $77,564
- Row 3
- Filing Id
- 91037254181802
- Page Id
- 1
- Page Seq
- 0
- Page Row Num
- 2
- Row Num
- 1
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- CIGNA LIFETIME50
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370169
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $143,098
- Row 4
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 1
- Page Row Num
- 1
- Row Num
- 10
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- FIDELITY ADV GROWTH OPPORTUNITIES
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370044
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $404,300
- Row 5
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 1
- Page Row Num
- 2
- Row Num
- 11
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- FOUNDERS GROWTH ACCOUNT
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370083
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $313,696
- Row 6
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 1
- Page Row Num
- 3
- Row Num
- 12
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- WARBURG PINCUS ADV EMERGING GROWTH
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370075
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $82,716
- Row 7
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 1
- Page Row Num
- 4
- Row Num
- 13
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- PBHG GROWTH ACCOUNT
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370073
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $417,994
- Row 8
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 1
- Page Row Num
- 5
- Row Num
- 14
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- AMERICAN CENTURY ULTRA-ADV SHARES
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370074
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $484,737
- Row 9
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 1
- Page Row Num
- 6
- Row Num
- 15
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- INVESCO DYNAMICS
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370096
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $540,295
- Row 10
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 2
- Page Row Num
- 1
- Row Num
- 16
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- AIM CONSTELLATION ACCOUNT
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370059
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $268,146
- Row 11
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 2
- Page Row Num
- 2
- Row Num
- 17
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- TEMPLETON GROWTH ACCOUNT
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370079
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $123,166
- Row 12
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 2
- Page Row Num
- 3
- Row Num
- 18
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- JANUS WORLDWIDE ACCOUNT
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370070
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $975,407
- Row 13
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 2
- Page Row Num
- 4
- Row Num
- 19
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- WARBURG PINCUS ADV INTL EQUITY
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370072
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $15,672
- Row 14
- Filing Id
- 91037254181802
- Page Id
- 1
- Page Seq
- 0
- Page Row Num
- 3
- Row Num
- 2
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- CIGNA LIFETIME40
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370168
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $281,648
- Row 15
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 2
- Page Row Num
- 5
- Row Num
- 20
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- TEMPLETON FOREIGN ACCOUNT
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370080
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $57,824
- Row 16
- Filing Id
- 91037254181802
- Page Id
- 1
- Page Seq
- 0
- Page Row Num
- 4
- Row Num
- 3
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- CIGNA LIFETIME30
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370167
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $312,835
- Row 17
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 4
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- CIGNA LIFETIME20
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370166
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $222,145
- Row 18
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 2
- Row Num
- 5
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- CHARTER BALANCED FUND I-INVESCO
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370084
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $53,345
- Row 19
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 3
- Row Num
- 6
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- FOUNDERS BALANCED ACCT
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370086
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $73,969
- Row 20
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 4
- Row Num
- 7
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- CHARTER LARGE CO. STOCK INDEX-CIGNA
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370123
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $796,417
- Row 21
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 5
- Row Num
- 8
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- NEUBERGER&BERMAN GUARDIAN
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370090
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $92,465
- Row 22
- Filing Id
- 91037254181802
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 6
- Row Num
- 9
- Image Form Id
- 40372254181050003
- DFE P1 Entity 01 Name
- WARBURG PINCUS ADVISOR VALUE
- DFE P1 Spons 01 Name
- CONNECTICUT GENERAL LIFE INSURANCE
- DFE P1 Plan 01 EIN Plan number
- 060303370099
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $118,492