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efta-01447452DOJ Data Set 10Other

EFTA01447452

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DOJ Data Set 10
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efta-01447452
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EFTA Disclosure
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Private Placement Variable Annuity Fat the Month Ending December 31, 2013 Statement of Values Owner: Insurance Company: Sun Life Financial Beneficiary: Product: Magnastar Private Placement Variable Annuity Annuitant: Contract Number: Cost Basis: $20,000,000.00 Contract Date: 06/02/2010 Investments Funds Summary 12/01/2013 Balance : 1 Contributions/ Investment 12/31/2013 Investment Returns (Withdrawals) Goins/(Losses) Balance Monthly VTD I 25,596,266.02 0.00 424,698.86 26,020,964.88 1.66% 17.04 % Fidelity VIP Money Market Portfolio 121,112.33 (11,613.24) 0.98 109,500.07 0.00% 0.00 % Total $25,717,378.35 $(11,613.24) $424,699.84 526,130,464.95 1.65% 16.97 % NOI 1 Monthly and OD investment Returns are calculated net of fund mannement fees and ekpenses and beton:contract fees and charges. For trdtiat Investments to a hind that occurred duriny the current calendar year, an bry. .int e<of the daie of the fug contribution to that tix-4. PPVA Investment Account Summary Monthly Year-To-Date fro) Since Inception 12/01/2013 • 12/31/2013 01/01/2013 - 12/31./2013 6/2/2010 • 12/31/2013 Beginning Contract Acount Value $25,717,378.35 $22,461,544.15 $0.00 Premium Deposits 0.00 0.00 20,000,000.00 Premium Charges 0 00 0.00 0.00 Withdrawals 0.00 0.00 0.00 Insurance Company MM (11,613.24) (129,808.56) (407,100.50) Other Insurance Company Charges 0 00 0.00 0.00 Investment Gains/flosses) 424,699 94 3,798,729.36 6,537,565.45 Ending Contract Acount Value $26,130,464.95 526,130,464.95 $26,130,464.95 Net Return (after all contract fees and charges) 1.61% 16.33% Page 2 of 3 Infemrf on. ar4 Column* CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL SDNY_GM_00248269 DB-SDNY-0 102085 EFTA01447452

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