📄 Extracted Text (345 words)
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.
Net Cash Split-Dollar
Amount of Normal Annual Account Value Surrender Value Advance
Carrier Policy Number Coverage Premium 03-06-14 03-06-14 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 ofDenver 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.)
Net Cash Split-Dollar
Amount of Normal Annual Account Value Surrender Value Advance
Carrier Policy Number Coverage Premium 03-06-14 03-06-14 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
TotalSecond-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 takenfrom sources which we believe to be reliable, but there is no guarantee as to its accuracy. it is not a replacementfor any account
statement or transaction confirmation issued by the provider. Please compare this document to your custodial statementfor 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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EFTA01109106
ℹ️ Document Details
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EFTA01109106
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