UIT admin Record:
1 |
i. Full Name | Empower Life & Annuity Insurance Company of New York |
ii. LEI, if any, or provide and describe other
identifying number | OPLSTTA4SUBLGLKEJ576 |
Description of other identifying number | |
iii. State, if applicable |
NEW YORK
|
iv. Foreign country, if applicable |
UNITED STATES OF AMERICA
|
v. Is the administrator an affiliated person of
the
Fund
or depositor?
|
Yes
No
|
vi. Is the administrator a sub-administrator?
|
Yes
No
|
Instruction.
In the case of group contracts, each participant
certificate should
be counted as an individual contract.
|
For each security that has a contract identification
number
assigned
pursuant to rule 313 of Regulation S-T (17 CFR
232.313),
provide
the following information as of the end of the
reporting
period: |
Contact security Record:
1 |
a. Full name of the security: | Empower SecureFoundation II Variable Annuity |
b. Contract identification number: | C000158471 |
c. Total assets attributable to the security: | 1,207,445.74 |
d. Number of contracts sold during the reporting
period:
| 0 |
e. Gross premiums received during the reporting
period:
| 10,643.64 |
f. Gross premiums received pursuant to section 1035
exchanges:
| 0 |
g. Number of contracts affected in connection with
premiums paid in pursuant to section 1035 exchanges:
| 0 |
h. Amount of contract value redeemed during the
reporting period
| 68,186.17 |
i. Amount of contract value redeemed pursuant to
section 1035 exchanges:
| 0 |
j. Number of contracts affected in connection with
contract value redeemed pursuant to section 1035 exchanges:
| 0 |
Contact security Record:
2 |
a. Full name of the security: | Empower SecureFoundation II Variable Annuity IRA |
b. Contract identification number: | C000158472 |
c. Total assets attributable to the security: | 0 |
d. Number of contracts sold during the reporting
period:
| 0 |
e. Gross premiums received during the reporting
period:
| 0 |
f. Gross premiums received pursuant to section 1035
exchanges:
| 0 |
g. Number of contracts affected in connection with
premiums paid in pursuant to section 1035 exchanges:
| 0 |
h. Amount of contract value redeemed during the
reporting period
| 0 |
i. Amount of contract value redeemed pursuant to
section 1035 exchanges:
| 0 |
j. Number of contracts affected in connection with
contract value redeemed pursuant to section 1035 exchanges:
| 0 |