TA-1/A : Filer Information
Submission Contact Information
The registrant may provide a single e-mail address for contact purposes.
1(f)(i). Contact Name: | |
1(f)(ii). Contact Phone Number: | |
1(f)(iii). Contact E-Mail Address: | |
Notification Information
The registrant may provide additional e-mail addresses for those persons the filer would like to receive notification e-mails regarding the filing.
1(g). Notification E-mail Address: | |
TA-1/A : Registrant Information
2. Appropriate regulatory agency (check one): | Securities and Exchange Commission Federal Deposit Insurance Corporation Comptroller of the Currency |
3(a). Full Name of Registrant: | se2, LLC/TA |
3(a)(i). Previous name, if being amended: | se2, inc./TA |
3(b). Financial Industry Number (FINS) number: | 336479 |
3(c). Address of principal office where transfer agent activities are, or will be, performed:
3(c)(i). Address 1 | One Security Benefit Place |
3(c)(ii). Address 2 | |
3(c)(iii). City | Topeka |
3(c)(iv). State or Country | KANSAS |
3(c)(v). Postal Code | 66636 |
3(d). Is Mailing address different from response to Question 3c? If "yes" provide address(es): | Yes No |
3(e). Telephone Number (Include Area Code) | 785-438-3000 |
4. Does Registrant conduct, or will it conduct, transfer agent activities at any location other than that given in Questions 3(c) above? If "Yes" provide address (es): | Yes No |
5. Does registrant act, or will it act, as a transfer agent solely for its own securities, and/or securities of an affiliate(s)? | Yes No |
6. Has registrant, as a named transfer agent, engaged, or will it engage, a service company to perform any transfer agent functions? | Yes No |
7. Has registrant been engaged, or will it be engaged as a service company by a named transfer agent to perform transfer agent functions? | Yes No |
If "Yes" provide the name(s) and File Number(s) of the named transfer agent(s) for which the registrant has been engaged, or will be engaged, as a service company to perform transfer agent functions:
Engaged transfer agent company information Related to item 7 Record: 1
7(a). Name | MUFG INVESTOR SERVICES (US), LLS |
7(b). File Number | |
7(c)(i). Address 1 | 805 KING FARM BLVD |
7(c)(ii). Address 2 | SUITE 600 |
7(c)(iii). City | ROCKVILLE |
7(c)(iv). State or Country | MARYLAND |
7(c)(v). Postal Code | 20850 |
TA-1/A : Independent, Non-Issuer Registrant Information
Completion of Question 8 on this form is required by all independent, non-issuer registrants whose appropriate regulatory authority is the Securities and Exchange Commission. Those registrants who are not required to complete Question 8 should select "Not Applicable".
8. Is registrant a: | Other | Limited Liability Company |
Section for Initial Registration and for Amendments Reporting Additional Persons.
Proprietor or other entity information Related to item 8 Record: 1
8(a)(i). Full Name | Mark Schultis |
8(a)(ii). Relationship Start Date | 05/05/2020 |
8(a)(iii). Title or Status | CEO |
8(a)(iv). Description of Authority | OFFICER |
8(a)(v). Relationship End Date | 05/01/2022 |
Proprietor or other entity information Related to item 8 Record: 2
8(a)(i). Full Name | MARY ANNE DURALL |
8(a)(ii). Relationship Start Date | 06/05/2012 |
8(a)(iii). Title or Status | SR. VICE PRESIDENT |
8(a)(iv). Description of Authority | OFFICER |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 3
8(a)(i). Full Name | THOMAS M. SPENCER |
8(a)(ii). Relationship Start Date | 09/30/2010 |
8(a)(iii). Title or Status | SR. VICE PRESIDENT, BUSINESS DEVELOPMENT |
8(a)(iv). Description of Authority | OFFICER |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 4
8(a)(i). Full Name | LISA M. YOUNG |
8(a)(ii). Relationship Start Date | 09/30/2010 |
8(a)(iii). Title or Status | ASSISTANT TREASURER |
8(a)(iv). Description of Authority | OFFICER |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 5
8(a)(i). Full Name | BARRY G. WARD |
8(a)(ii). Relationship Start Date | 11/22/2013 |
8(a)(iii). Title or Status | SR. VICE PRESIDENT & TREASURER |
8(a)(iv). Description of Authority | OFFICER |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 6
8(a)(i). Full Name | GREG L. HERRS |
8(a)(ii). Relationship Start Date | 11/22/2016 |
8(a)(iii). Title or Status | SR. VICE PRESIDENT |
8(a)(iv). Description of Authority | OFFICER |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 7
8(a)(i). Full Name | Deepa Nayini |
8(a)(ii). Relationship Start Date | 06/01/2021 |
8(a)(iii). Title or Status | VP, General Counsel & Secretary |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | 01/26/2022 |
Proprietor or other entity information Related to item 8 Record: 8
8(a)(i). Full Name | Janet Dulohery |
8(a)(ii). Relationship Start Date | 05/02/2016 |
8(a)(iii). Title or Status | VP, Head of Human Resources |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | 06/17/2022 |
Proprietor or other entity information Related to item 8 Record: 9
8(a)(i). Full Name | Security Benefit Corporation |
8(a)(ii). Relationship Start Date | 02/14/2005 |
8(a)(iii). Title or Status | Sole Member se2 HoldCo, LLC |
8(a)(iv). Description of Authority | Sole Member |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 10
8(a)(i). Full Name | ZINNIA CORPORATE HOLDINGS, LLC |
8(a)(ii). Relationship Start Date | 10/21/2013 |
8(a)(iii). Title or Status | SOLE MEMBER IN SE2, LLC |
8(a)(iv). Description of Authority | MEMBER |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 11
8(a)(i). Full Name | SE2 HOLDCO, LLC |
8(a)(ii). Relationship Start Date | 10/21/2013 |
8(a)(iii). Title or Status | Member SE2 ASSET HOLDINGS, LLC |
8(a)(iv). Description of Authority | INDIRECT INTEREST |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 12
8(a)(i). Full Name | ELDRIDGE SBC HOLDINGS, LLC |
8(a)(ii). Relationship Start Date | 07/01/2010 |
8(a)(iii). Title or Status | SHAREHOLDER - SECURITY BENEFIT CORP |
8(a)(iv). Description of Authority | INDIRECT INTEREST |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 13
8(a)(i). Full Name | ELDRIDGE INDUSTRIES, LLC |
8(a)(ii). Relationship Start Date | 02/01/2017 |
8(a)(iii). Title or Status | MEMBER - ELDRIDGE SBC HOLDINGS, LLC |
8(a)(iv). Description of Authority | INDIRECT INTEREST |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 14
8(a)(i). Full Name | SBT INVESTORS, LLC |
8(a)(ii). Relationship Start Date | 02/01/2017 |
8(a)(iii). Title or Status | MEMBER - ELDRIDGE INDUSTRIES, LLC |
8(a)(iv). Description of Authority | INDIRECT INTEREST |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 15
8(a)(i). Full Name | NZC CAPITAL, LLC |
8(a)(ii). Relationship Start Date | 02/01/2017 |
8(a)(iii). Title or Status | MEMBER - SBT INVESTORS, LLC |
8(a)(iv). Description of Authority | INDIRECT INTEREST |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 16
8(a)(i). Full Name | TODD L. BOEHLY |
8(a)(ii). Relationship Start Date | 02/01/2017 |
8(a)(iii). Title or Status | MEMBER - NZC CAPITAL, LLC |
8(a)(iv). Description of Authority | INDIRECT INTEREST |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 17
8(a)(i). Full Name | NANCY J. ROHN |
8(a)(ii). Relationship Start Date | 08/25/2017 |
8(a)(iii). Title or Status | ASSISTANT SECRETARY |
8(a)(iv). Description of Authority | OFFICER |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 18
8(a)(i). Full Name | John McConnell |
8(a)(ii). Relationship Start Date | 07/28/2020 |
8(a)(iii). Title or Status | CFO |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 19
8(a)(i). Full Name | Brad Medd |
8(a)(ii). Relationship Start Date | 11/13/2020 |
8(a)(iii). Title or Status | CTO |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 20
8(a)(i). Full Name | Michael Celi |
8(a)(ii). Relationship Start Date | 03/15/2021 |
8(a)(iii). Title or Status | Vice President |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 21
8(a)(i). Full Name | Milner Fenandoe |
8(a)(ii). Relationship Start Date | 06/30/2021 |
8(a)(iii). Title or Status | Vice President |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 22
8(a)(i). Full Name | Carmen Hill |
8(a)(ii). Relationship Start Date | 05/04/2018 |
8(a)(iii). Title or Status | Chief Privacy Officer |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 23
8(a)(i). Full Name | George Esposito |
8(a)(ii). Relationship Start Date | 03/24/2022 |
8(a)(iii). Title or Status | VP, General Counsel and Secretary |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 24
8(a)(i). Full Name | John Zucco |
8(a)(ii). Relationship Start Date | 03/07/2022 |
8(a)(iii). Title or Status | Vice President |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 25
8(a)(i). Full Name | Christopher Luisa |
8(a)(ii). Relationship Start Date | 03/07/2022 |
8(a)(iii). Title or Status | Vice President |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | 08/03/2022 |
Proprietor or other entity information Related to item 8 Record: 26
8(a)(i). Full Name | SE2 Asset Holdings, LLC |
8(a)(ii). Relationship Start Date | 06/11/2021 |
8(a)(iii). Title or Status | Shareholder -- SE2 Holdings, LLC |
8(a)(iv). Description of Authority | Indirect Interest |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 27
8(a)(i). Full Name | Rob Frederick |
8(a)(ii). Relationship Start Date | 05/16/2022 |
8(a)(iii). Title or Status | President and Chief Operating Officer |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
Proprietor or other entity information Related to item 8 Record: 28
8(a)(i). Full Name | Ian Jeffrey |
8(a)(ii). Relationship Start Date | 06/15/2022 |
8(a)(iii). Title or Status | Head of People and Culture |
8(a)(iv). Description of Authority | Officer |
8(a)(v). Relationship End Date | |
9. Does any person or entity not named in the answer to Question 8:
9(a). directly or indirectly, through agreement or otherwise exercise or have the power to exercise control over the management or policies of applicant, or;…. | Yes No |
9(b). wholly or partially finance the business of the applicant, directly or indirectly, in any manner other than by a public offering of securities made pursuant to the Securities Act of 1933 or by credit extended in the ordinary course of business by suppliers, banks and others?….. | Yes No |
TA-1/A : 10. Applicant and Control Affiliate Disciplinary History
The following definitions apply for purposes of answering this Question 10
Control Affiliate | - An individual or firm that directly or indirectly controls, is under common control with, or is controlled by applicant. Included are any employees identified in 8(a), 8(b), 8(c) of this form as exercising control. Excluded are any employees who perform solely clerical, administrative support of similar functions, or who, regardless of title, perform no executive duties or have no senior policy making authority. |
Investment or investment related | - Pertaining to securities, commodities, banking, insurance, or real estate (including, but not limited to, acting as or being associated with a broker dealer, investment company, investment adviser, futures sponsor, bank, or savings and loan association). |
Involved | - Doing an act of aiding, abetting, counseling, commanding, inducing, conspiring with or failing reasonably to supervise another in doing an act. |
10(a). In the past ten years has the applicant or a control affiliate been convicted of or plead guilty or nolo contendere ("no contest") to:
10(a)(1). a felony or misdemeanor involving: investments or an investment-related business, fraud, false statements or omissions, wrongful taking of property, or bribery, forgery, counterfeiting, or extortion? | Yes No |
10(a)(2). any other felony? | Yes No |
10(b). Has any court in the past ten years: |
10(b)(1). enjoined the applicant or a control affiliate in connection with any investment-related activity? | Yes No |
10(b)(2). found that the applicant or control affiliate was involved in a violation of investment-related statutes or regulations? | Yes No |
10 (c). Has the U.S. Securities and Exchange Commission or the Commodity Futures Trading Commission ever: |
10(c)(1). found the applicant or control affiliate to have made a false statement or omission? | Yes No |
10(c)(2). found the applicant or control affiliate to have been involved in a violation of its regulation or statutes? | Yes No |
10(c)(3). found the applicant or control affiliate to have been a cause of an investment-related business having its authorization to do business denied, suspended, revoked or restricted? | Yes No |
10(c)(4). entered an order denying, suspending or revoking the applicant’s or control affiliate’s registration or otherwise disciplined it by restricting its activities? | Yes No |
10(d). Has any other Federal regulatory agency or any state regulatory agency : |
10(d)(1). ever found the applicant or control affiliate to have made a false statement or omission or to have been dishonest, unfair, or unethical? | Yes No |
10(d)(2). ever found the applicant or control affiliate to have been involved in a violation of investment-related regulations or statutes? | Yes No |
Entity information Related to item 10(d)(2) Record: 1
10(d)(2)(i). The individuals named in the Action | Security Distributors, Inc. (SDI) |
10(d)(2)(ii). Title of Action | Consent Order |
10(d)(2)(iii). Date of Action | 04/13/1978 |
10(d)(2)(iv). The Court or body taking the Action and its location | New York Securities Commission |
10(d)(2)(v). Description of the Action | The applicant is under common control with SDI a registered broker/dealer. The NY Securities Commission alleged that SDI failed to file renewals of its broker/dealer. |
10(d)(2)(vi). The disposition of the proceeding | SDI consented to a $2,000 monetary fine and was ordered to cease and desist from further violations. |
Entity information Related to item 10(d)(2) Record: 2
10(d)(2)(i). The individuals named in the Action | First Security Benefit Life Insurance and Annuity Company of New York (FSBL) |
10(d)(2)(ii). Title of Action | Stipulation No. 2010-0095-S |
10(d)(2)(iii). Date of Action | 02/26/2010 |
10(d)(2)(iv). The Court or body taking the Action and its location | State of New York Insurance Department (NYID) |
10(d)(2)(v). Description of the Action | The NYID conducted a routine triennial market conduct exam for the period of January 1, 2004 through December 31, 2006. During such exam it found that FSBL unintentionally violated various provisions of the New York Insurance Department's replacement regulation ("Regulation 60"). |
10(d)(2)(vi). The disposition of the proceeding | FSBL entered into a stipulation and consented to a $25,000 fine and further agreed to take all steps necessary to prevent recurrence of similar Regulation 60 violations. |
Entity information Related to item 10(d)(2) Record: 3
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Stipulation & Consent Order |
10(d)(2)(iii). Date of Action | 05/29/2007 |
10(d)(2)(iv). The Court or body taking the Action and its location | Illinois Dept. of Financial & Professional Regulation-Division of Insurance |
10(d)(2)(v). Description of the Action | SBL failed to timely file a Policy In Form Mandatory Annual Statement Supplement Data Call as required by IL Div. of Insurance Regulations. |
10(d)(2)(vi). The disposition of the proceeding | SBL and the IL Div. of Insurance entered into a Stipulation 7 Consent Order agreeing to a $2,000 fine and SBL agreed to comply with the Regulation in future. |
Entity information Related to item 10(d)(2) Record: 4
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Consent Order-Report ID #2186 |
10(d)(2)(iii). Date of Action | 03/28/2007 |
10(d)(2)(iv). The Court or body taking the Action and its location | Minnesota Commissioner of Commerce (MN COC) |
10(d)(2)(v). Description of the Action | The Consent Order was the result of a consumer complaint against SBL alleging errors in the administration of an annuity contract resulting in incorrect payments being made to an annuitant, in violation of MN Statutes. |
10(d)(2)(vi). The disposition of the proceeding | The MN COC and SBL entered into a Consent Order wherein SBL agreed to an informal disposition of the matter without a hearing and paid a civil penalty of $2,500. |
Entity information Related to item 10(d)(2) Record: 5
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Consent Order |
10(d)(2)(iii). Date of Action | 11/30/2005 |
10(d)(2)(iv). The Court or body taking the Action and its location | State of Nevada Division of Insurance (NDI) |
10(d)(2)(v). Description of the Action | SBL failed to timely file an Annual Certification of Advertising as required by NDI Regulations. |
10(d)(2)(vi). The disposition of the proceeding | SBL consented to a fine of $500 to settle the cause. |
Entity information Related to item 10(d)(2) Record: 6
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Statutory Penalty |
10(d)(2)(iii). Date of Action | 01/31/2007 |
10(d)(2)(iv). The Court or body taking the Action and its location | Commonwealth of Virginia Commissioner of Insurance (VCI) |
10(d)(2)(v). Description of the Action | SBL failed to timely pay agent appointment fees pursuant to VCI Regulations. |
10(d)(2)(vi). The disposition of the proceeding | The VCI assessed a statutory penalty in the amount of $3,550 against SBL. |
Entity information Related to item 10(d)(2) Record: 7
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Case No. C109-2006-68675 |
10(d)(2)(iii). Date of Action | 04/04/2006 |
10(d)(2)(iv). The Court or body taking the Action and its location | Alabama Department of Insurance (ADI) |
10(d)(2)(v). Description of the Action | On 4/4/2006, the ADI entered an Order to Show Cause against SBL regarding its failure to pay an invoice for agent appointment fees dated 1/2/2006. SBL paid outstanding invoice on 4/13/2006, and remitted a letter to the ADI explaining its non-payment was not a willful violation of ADI Regulations. |
10(d)(2)(vi). The disposition of the proceeding | On 5/17/2006, the ADI entered an Order Lifting Order to Show Cause and Settlement Agreement. SBL consented to a $500 fine and agreed to promptly pay invoices for the continuation of producer appointments in the future. |
Entity information Related to item 10(d)(2) Record: 8
10(d)(2)(i). The individuals named in the Action | Security Distributors, LLC |
10(d)(2)(ii). Title of Action | In Re: Security Distributors, LLC - 000 |
10(d)(2)(iii). Date of Action | 07/26/2017 |
10(d)(2)(iv). The Court or body taking the Action and its location | Louisiana Department of Insruance |
10(d)(2)(v). Description of the Action | Security Distributors inadvertently answered no to the regulatory action question on the Louisiana agency license application and thus failed to disclose a previously settled FINRA matter. |
10(d)(2)(vi). The disposition of the proceeding | Agreement & Consent to $250 Fine. |
Entity information Related to item 10(d)(2) Record: 9
10(d)(2)(i). The individuals named in the Action | Security Distributors, LLC |
10(d)(2)(ii). Title of Action | State of Oklahoma, ex rel. John D Doak, Insurance Commissioner |
10(d)(2)(iii). Date of Action | 05/09/2017 |
10(d)(2)(iv). The Court or body taking the Action and its location | Oklahoma Insurance Department |
10(d)(2)(v). Description of the Action | Security Distributors inadvertently answered no to the regulatory action question on the Oklahoma agency license application and thus failed to disclose a previously settled FINRA action. |
10(d)(2)(vi). The disposition of the proceeding | Consent to Censure and Fine of $200 |
Entity information Related to item 10(d)(2) Record: 10
10(d)(2)(i). The individuals named in the Action | SE2, LLC |
10(d)(2)(ii). Title of Action | SE2, LLC Administrative Fine & Consent to Fine |
10(d)(2)(iii). Date of Action | 05/12/2017 |
10(d)(2)(iv). The Court or body taking the Action and its location | Nevada Division of Insurance |
10(d)(2)(v). Description of the Action | It was alleged that SE2, LLC did not file its annual report with the Nevada Division of Insurance within 90 days after the fiscal year end as is required by NV Third Party Administrator statutes. |
10(d)(2)(vi). The disposition of the proceeding | SE2, LLC entered into an agreement and consented to a fine in the amount of $500. |
Entity information Related to item 10(d)(2) Record: 11
10(d)(2)(i). The individuals named in the Action | SE2, LLC |
10(d)(2)(ii). Title of Action | SE2, LLC Administrative Fine |
10(d)(2)(iii). Date of Action | 12/09/2021 |
10(d)(2)(iv). The Court or body taking the Action and its location | Kansas Insurance Department |
10(d)(2)(v). Description of the Action | It was alleged that SE2, LLC did not file its annual report with the Kansas Insurance Department on its due date as is required by the KS Third Party Administrator statutes. |
10(d)(2)(vi). The disposition of the proceeding | SE2, LLC consented to a fine in the amount of $1,000. |
Entity information Related to item 10(d)(2) Record: 12
10(d)(2)(i). The individuals named in the Action | Security Distributors, Inc. (SDI) |
10(d)(2)(ii). Title of Action | Administrative Fine and Consent to Fine |
10(d)(2)(iii). Date of Action | 07/02/1974 |
10(d)(2)(iv). The Court or body taking the Action and its location | AG of State of New York, Bureau of Securities |
10(d)(2)(v). Description of the Action | On July 2, 1974, the Attorney General of the State of New York, Bureau of Securities issued a cease and desist/injunction for an alleged failure to file renewal of the broker/dealer statements pursuant to the General Business Laws of the State of New York. |
10(d)(2)(vi). The disposition of the proceeding | A fine of $4,000 was levied and paid on April 13, 1978. |
Entity information Related to item 10(d)(2) Record: 13
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Administrative Fine |
10(d)(2)(iii). Date of Action | 05/30/2014 |
10(d)(2)(iv). The Court or body taking the Action and its location | Kansas Insurance Department |
10(d)(2)(v). Description of the Action | In May 2014, the Kansas Insurance Department issued a summary order to Security Benefit Life Insurance Company and imposed a fine of $1,000 for three errors for untimely responses under K.A.R. 40-1-34, Section 6(B) to the Kansas Insurance Department during the investigations of complaints. |
10(d)(2)(vi). The disposition of the proceeding | In May 2014, the Kansas Insurance Department issued a summary order to Security Benefit Life Insurance Company and imposed a fine of $1,000. |
Entity information Related to item 10(d)(2) Record: 14
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Administrative Fine |
10(d)(2)(iii). Date of Action | 09/30/2016 |
10(d)(2)(iv). The Court or body taking the Action and its location | Connecticut Insurance Department |
10(d)(2)(v). Description of the Action | In September 2016, the Connecticut Insurance Department fined Security Benefit Life Insurance Company $10,500 for violations described in the Market Conduct Report and Stipulation and Consent Order. |
10(d)(2)(vi). The disposition of the proceeding | Fine was paid and not further action was taken by the Connecticut Insurance Department. |
Entity information Related to item 10(d)(2) Record: 15
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Administrative Fine |
10(d)(2)(iii). Date of Action | 06/08/2018 |
10(d)(2)(iv). The Court or body taking the Action and its location | Michigan Department of Insurance |
10(d)(2)(v). Description of the Action | On June 8, 2018, Security Benefit Life Insurance Company was fined $5,000 by the Michigan Department of Insurance and Financial Services for failure to comply with Section 500.4037(b) of the Code. |
10(d)(2)(vi). The disposition of the proceeding | The Michigan Order was executed on June 8, 2018, and Michigan acknowledged receipt of the payment of $5,000 on June 15, 2018. |
Entity information Related to item 10(d)(2) Record: 16
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Administrative Fine |
10(d)(2)(iii). Date of Action | 10/16/2018 |
10(d)(2)(iv). The Court or body taking the Action and its location | Delaware Department of Insurance |
10(d)(2)(v). Description of the Action | Security Benefit Life Insurance Company was fined $121,500 by the Delaware Department of Insurance for various compliance exceptions noted during their market conduct exam for the period January 1, 2014 through December 31, 2016. |
10(d)(2)(vi). The disposition of the proceeding | Fine was paid and no further action was taken by Delaware Department of Insurance. |
Entity information Related to item 10(d)(2) Record: 17
10(d)(2)(i). The individuals named in the Action | Security Benefit Life Insurance Company (SBL) |
10(d)(2)(ii). Title of Action | Administrative fine |
10(d)(2)(iii). Date of Action | 10/29/2021 |
10(d)(2)(iv). The Court or body taking the Action and its location | Delaware Department of Insurance |
10(d)(2)(v). Description of the Action | Stipulation and consent order entered with a fine of $55,000 resulting from miscellaneous examination findings in a 2020 market conduct exam conducted by the Delaware Department of Insurance |
10(d)(2)(vi). The disposition of the proceeding | Fine was paid and not further action was taken by the Delaware Department of Insurance. |
10(d)(3). ever found the applicant or control affiliate to have been a cause of an investment-related business having its authorization to do business Denied, suspended, revoked or restricted? | Yes No |
10(d)(4). in the past ten years entered an order against the applicant or control affiliate in connection with investment-related activity? | Yes No |
10(d)(5). ever denied, suspended, or revoked applicant’s or control affiliate’s registration or license, or prevented it from associating with an investment-related business, or otherwise disciplined it by restricting its activities? | Yes No |
Entity information Related to item 10(d)(5) Record: 1
10(d)(5)(i). The individuals named in the Action | SE2, LLC (formerly known as SE2, Inc.) |
10(d)(5)(ii). Title of Action | TPA fees not paid |
10(d)(5)(iii). Date of Action | 10/05/2015 |
10(d)(5)(iv). The Court or body taking the Action and its location | Utah Insurance Department |
10(d)(5)(v). Description of the Action | SE2, LLC (formerly known as SE2, Inc.) received a notice dated October 5, 2015 from the Utah Insurance Department notifying SE2 that its Third Party Administrator was inactivated on September 30, 2015 for failure to pay the applicable renewal fees. |
10(d)(5)(vi). The disposition of the proceeding | The fees were paid and the license was reinstated on October 13, 2015 and is currently Active. |
10(d)(6). ever revoked or suspended the applicant’s or a control affiliate’s license as an attorney or accountant? | Yes No |
10(e). Has any self-regulatory organization or commodities exchange ever:
10(e)(1). found the applicant or a control affiliate to have made a false statement or omission? | Yes No |
10(e)(2). found the applicant or a control affiliate to have been involved in a violation of its rules? | Yes No |
Entity information Related to item 10(e)(2) Record: 1
10(e)(2)(i). The individuals named in the Action | Security Distributors, LLC |
10(e)(2)(ii). Title of Action | Notice of Acceptance of Letter of Acceptance, Waiver and Consent |
10(e)(2)(iii). Date of Action | 09/28/2016 |
10(e)(2)(iv). The Court or body taking the Action and its location | FINRA |
10(e)(2)(v). Description of the Action | For approximately 11 months, Security Distributors relied on an exemption to SEC Rule 15c3-3 without satisfying the terms of that exemption, which also constituted a violation of FINRA Rule 2010. |
10(e)(2)(vi). The disposition of the proceeding | Acceptance, Waiver & Consent, censure and $20,000 fine. |
10(e)(3). found the applicant or a control affiliate to have been the cause of an investment-related business losing its authorization to do business? | Yes No |
10(e)(4). disciplined the applicant or a control affiliate by expelling or suspending it from membership, by barring or suspending its association with other members, or by otherwise restricting its activities? | Yes No |
10(f). Has any foreign government, court, regulatory agency or exchange ever entered an order against the applicant or a control affiliate related to investments or fraud? | Yes No |
10(g). Is the applicant or a control affiliate now the subject of a proceeding that could result in a yes answer for questions 10(a) – 10(f) ? | Yes No |
10(h). Has a bonding company denied, paid out on, or revoked a bond for the applicant or a control affiliate? | Yes No |
10(i). Does the applicant or a control affiliate have any unsatisfied judgments or liens against it? | Yes No |
TA-1/A : Signature
ATTENTION: INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACT CONSTITUTE FEDERAL CRIMINAL VIOLATIONS. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)
SIGNATURE: The registrant submitting this form, and as required, the SEC supplement and Schedules A-D, And the executing official hereby represent that all the information contained herein is true, correct and complete.
11(a). Signature of Official responsible for Form: | George Esposito |
11(b). Telephone Number: | (785) 438-3000 |
11(c). Title of Signing Officer: | Vice President, General Counsel and Secretary |
11(d). Date Signed (Month/Day/Year): | 09/23/2022 |