LORDS INSURANCE AGENCY OF SOUTHERN CALIFORNIA, INC. SAFE HARBOR 401(K)

[ EIN: 33-0783409 | Plan No. 001 ]

Form 5500 filing classifies LORDS INSURANCE AGENCY OF SOUTHERN CALIFORNIA, INC. SAFE HARBOR 401(K) as a 401(k) plan, sponsored by LORDS INSURANCE AGENCY, INC.. The plan is a Small Plan with 14 participants and total assets of $170,752 reported for the 2012 plan year.

These filings allow insight into employer-sponsored plan structure, participation levels, and financial data.

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Plan Sponsor: LORDS INSURANCE AGENCY, INC.

Location: 1525 MESA VERDE DRIVE EAST, SUITE 1, COSTA MESA, CA 92626

EIN: 330783409

Plan Number: 001

Plan Year: 2012

Plan Size: Small Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 14

Total Assets: $170,752

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