Case File
efta-efta01109106DOJ Data Set 9OtherSummary of Coverage
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DOJ Data Set 9
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efta-efta01109106
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Summary of Coverage
Individual Life Insurance Coverage on Leon Black
•
Split-Dollar Entity: AIF IV Management, Inc.
•
Policy owner: Norman Brownstein, Trustee under the Leon D. Black Insurance Trust #1 dated September 13, 1999.
•
These policies' registe dates are September 1999.
Carrier
Policy Number
Amount of
Coverage
Normal Annual
Premium
Account Value
03-06-14
Net Cash
Surrender Value
03-06-14
Split-Dollar
Advance
03-06-14
Prudential
VI 016 844
$30,000,000
$502,335
$5,507,071.88
$5,507,071.88 /
$6,108,212
4X4 Equitable
49 232 126
$15,000,000
$264,894
$2,618,782.03
$2,608,605.48"
$3,172,980
Security Life of Denver
610014742
$ 5.000.000
$ 96.380
$ 653,770.81
1!,553370.81
$1.180,138
Total—IndividualLifeInsurance Coverage
_ $50,000,000
$863,609
$8,779,624.72
$8,769,448.17
$10,461,330
Second-to-Die, Wealth Transfer Life Insurance Coverage on Leon & Debra Black
•
Split-Dollar Entity: AIF IV Management, Inc.
•
Policy owner: Norman Brownstein, Trustee under the Leon D. Black Insurance Trust #2 dated September 13, 1999.
•
These policies, other than the Prudential policy, have a register date of April 28, 1999 in order to save Debra's insurance age. (Prudential utilizes
"current age" vs. "closest age", therefore backdating was not necessary and the register date for the Prudential policy is 9/13/99.)
Carrier
Policy Number
Amount of
Coverage
Normal Annual
Premium
Account Value
03-06-14
Net Cash
Surrender Value
03-06-14
Split-Dollar
Advance
03-06-14
Prudential
VO 001 958
$20,000,000
$179,595
$3,595,406.25
$3,595,406.25
$2,304,955
New York Life
75 500 858
$20,000,000
$196,080
S3,911,560.61
$3,907,639.01
$2,514,929
Pacific Lill
VP 6089 7390
$ 5,010,000
$ 33,218
$ 609,880.70
$ 609,880.70
$424,480
John Hancock
20 039 301
$30,000,000
$359,022
$7,152,693.91
$7,152,693.91
54,622,974
AXA Equitable
49 232 123
$25.000.000
$205,246
$3,637,964.07
$3,636,204.99
$2,627,947
Total Second-to-Die Life Insurance Coverage
$100,010,000
5973,161
518,907,505.54
518,901,824.86
512,495,285
This information has been taken from sources which we believe to be reliable, but there is no guarantee as to its accuracy. it is not a replacement for any account
statement or transaction confirmation issued by the provider. Please compare this document to your custodial statement for accuracy, as applicable.
Please refer to the prospectus and most recent annual report for further information.
Transcription errors do not affect actual policy values.
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