401k Plan data: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. plan

RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 401k Plan overview

Plan Name	RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC.
Plan identification number	045

RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NCR INTERNATIONAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: NCR INTERNATIONAL, INC.

Employer identification number (EIN): 310994609

NAIC Classification: 334110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
045 2013-03-01 CATHERINE STEWART
045 2012-03-01 CATHERINE STEWART
045 2011-03-01 MELINDA HIGGS
045 2010-03-01 CHARLEEN BARNWELL
045 2009-03-01 CHARLEEN BARNWELL CHARELEEN BARNWELL 2010-12-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
045	2013-03-01	CATHERINE STEWART
045	2012-03-01	CATHERINE STEWART
045	2011-03-01	MELINDA HIGGS
045	2010-03-01	CHARLEEN BARNWELL
045	2009-03-01	CHARLEEN BARNWELL	CHARELEEN BARNWELL	2010-12-13

Plan Statistics for RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC.

401k plan membership statisitcs for RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC.

Measure Date Value
2013: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2013 401k membership
Total participants, beginning-of-year 2013-03-01 72
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 0
Number of retired or separated participants receiving benefits 2013-03-01 0
Number of other retired or separated participants entitled to future benefits 2013-03-01 0
Total of all active and inactive participants 2013-03-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-03-01 0
Total participants 2013-03-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-03-01 0
2012: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2012 401k membership
Total participants, beginning-of-year 2012-03-01 78
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 14
Number of retired or separated participants receiving benefits 2012-03-01 52
Number of other retired or separated participants entitled to future benefits 2012-03-01 6
Total of all active and inactive participants 2012-03-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-03-01 0
Total participants 2012-03-01 72
2011: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2011 401k membership
Total participants, beginning-of-year 2011-03-01 79
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 14
Number of retired or separated participants receiving benefits 2011-03-01 54
Number of other retired or separated participants entitled to future benefits 2011-03-01 10
Total of all active and inactive participants 2011-03-01 78
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-03-01 0
Total participants 2011-03-01 78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-03-01 0
2010: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2010 401k membership
Total participants, beginning-of-year 2010-03-01 79
Total number of active participants reported on line 7a of the Form 5500 2010-03-01 14
Number of retired or separated participants receiving benefits 2010-03-01 55
Number of other retired or separated participants entitled to future benefits 2010-03-01 10
Total of all active and inactive participants 2010-03-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-03-01 0
Total participants 2010-03-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-03-01 0
2009: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2009 401k membership
Total participants, beginning-of-year 2009-03-01 80
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 14
Number of retired or separated participants receiving benefits 2009-03-01 55
Number of other retired or separated participants entitled to future benefits 2009-03-01 10
Total of all active and inactive participants 2009-03-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-03-01 0
Total participants 2009-03-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-03-01 0

Measure	Date	Value
2013: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2013 401k membership
Total participants, beginning-of-year	2013-03-01	72
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	0
Number of retired or separated participants receiving benefits	2013-03-01	0
Number of other retired or separated participants entitled to future benefits	2013-03-01	0
Total of all active and inactive participants	2013-03-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-03-01	0
Total participants	2013-03-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-03-01	0
2012: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2012 401k membership
Total participants, beginning-of-year	2012-03-01	78
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	14
Number of retired or separated participants receiving benefits	2012-03-01	52
Number of other retired or separated participants entitled to future benefits	2012-03-01	6
Total of all active and inactive participants	2012-03-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-03-01	0
Total participants	2012-03-01	72
2011: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2011 401k membership
Total participants, beginning-of-year	2011-03-01	79
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	14
Number of retired or separated participants receiving benefits	2011-03-01	54
Number of other retired or separated participants entitled to future benefits	2011-03-01	10
Total of all active and inactive participants	2011-03-01	78
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-03-01	0
Total participants	2011-03-01	78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-03-01	0
2010: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2010 401k membership
Total participants, beginning-of-year	2010-03-01	79
Total number of active participants reported on line 7a of the Form 5500	2010-03-01	14
Number of retired or separated participants receiving benefits	2010-03-01	55
Number of other retired or separated participants entitled to future benefits	2010-03-01	10
Total of all active and inactive participants	2010-03-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-03-01	0
Total participants	2010-03-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-03-01	0
2009: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2009 401k membership
Total participants, beginning-of-year	2009-03-01	80
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	14
Number of retired or separated participants receiving benefits	2009-03-01	55
Number of other retired or separated participants entitled to future benefits	2009-03-01	10
Total of all active and inactive participants	2009-03-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-03-01	0
Total participants	2009-03-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-03-01	0

Financial Data on RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC.

Measure	Date	Value
2013 : RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2013 401k financial data
Transfers to/from the plan	2013-12-23	$-1,956,358
Total income from all sources	2013-12-23	$421,707
Expenses. Total of all expenses incurred	2013-12-23	$995,812
Benefits paid (including direct rollovers)	2013-12-23	$937,152
Total plan assets at end of year	2013-12-23	$0
Total plan assets at beginning of year	2013-12-23	$2,530,463
Value of fidelity bond covering the plan	2013-12-23	$30,000,000
Other income received	2013-12-23	$324,181
Net income (gross income less expenses)	2013-12-23	$-574,105
Net plan assets at end of year (total assets less liabilities)	2013-12-23	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-23	$2,530,463
Total contributions received or receivable from employer(s)	2013-12-23	$97,526
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-23	$58,660
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-23	$0
Total income from all sources	2013-02-28	$392,304
Expenses. Total of all expenses incurred	2013-02-28	$222,577
Benefits paid (including direct rollovers)	2013-02-28	$208,752
Total plan assets at end of year	2013-02-28	$2,530,463
Total plan assets at beginning of year	2013-02-28	$2,360,736
Value of fidelity bond covering the plan	2013-02-28	$30,000,000
Other income received	2013-02-28	$256,512
Net income (gross income less expenses)	2013-02-28	$169,727
Net plan assets at end of year (total assets less liabilities)	2013-02-28	$2,530,463
Net plan assets at beginning of year (total assets less liabilities)	2013-02-28	$2,360,736
Total contributions received or receivable from employer(s)	2013-02-28	$135,792
Expenses. Administrative service providers (salaries,fees and commissions)	2013-02-28	$13,825
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-02-28	$0
2012 : RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2012 401k financial data
Total income from all sources	2012-02-29	$156,158
Expenses. Total of all expenses incurred	2012-02-29	$228,806
Benefits paid (including direct rollovers)	2012-02-29	$214,716
Total plan assets at end of year	2012-02-29	$2,360,736
Total plan assets at beginning of year	2012-02-29	$2,433,384
Value of fidelity bond covering the plan	2012-02-29	$30,000,000
Other income received	2012-02-29	$71,052
Net income (gross income less expenses)	2012-02-29	$-72,648
Net plan assets at end of year (total assets less liabilities)	2012-02-29	$2,360,736
Net plan assets at beginning of year (total assets less liabilities)	2012-02-29	$2,433,384
Total contributions received or receivable from employer(s)	2012-02-29	$85,106
Expenses. Administrative service providers (salaries,fees and commissions)	2012-02-29	$14,090
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-02-29	$0
2011 : RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2011 401k financial data
Total income from all sources	2011-02-28	$441,878
Expenses. Total of all expenses incurred	2011-02-28	$231,934
Benefits paid (including direct rollovers)	2011-02-28	$217,294
Total plan assets at end of year	2011-02-28	$2,433,384
Total plan assets at beginning of year	2011-02-28	$2,223,440
Value of fidelity bond covering the plan	2011-02-28	$30,000,000
Other income received	2011-02-28	$349,345
Net income (gross income less expenses)	2011-02-28	$209,944
Net plan assets at end of year (total assets less liabilities)	2011-02-28	$2,433,384
Net plan assets at beginning of year (total assets less liabilities)	2011-02-28	$2,223,440
Total contributions received or receivable from employer(s)	2011-02-28	$92,533
Expenses. Administrative service providers (salaries,fees and commissions)	2011-02-28	$14,640
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-02-28	$0
2010 : RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-02-28	$0

Form 5500 Responses for RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC.

2013: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	Yes
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-03-01	Plan is a collectively bargained plan	Yes
2013-03-01	Plan funding arrangement – Insurance	Yes
2013-03-01	Plan funding arrangement – Trust	Yes
2013-03-01	Plan benefit arrangement – Insurance	Yes
2013-03-01	Plan benefit arrangement - Trust	Yes
2012: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	Submission has been amended	No
2012-03-01	This submission is the final filing	No
2012-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-03-01	Plan is a collectively bargained plan	Yes
2012-03-01	Plan funding arrangement – Insurance	Yes
2012-03-01	Plan benefit arrangement – Insurance	Yes
2011: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2011 form 5500 responses
2011-03-01	Type of plan entity	Single employer plan
2011-03-01	Submission has been amended	No
2011-03-01	This submission is the final filing	No
2011-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-03-01	Plan is a collectively bargained plan	No
2011-03-01	Plan funding arrangement – Insurance	Yes
2011-03-01	Plan funding arrangement – Trust	Yes
2011-03-01	Plan benefit arrangement – Insurance	Yes
2011-03-01	Plan benefit arrangement - Trust	Yes
2010: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2010 form 5500 responses
2010-03-01	Type of plan entity	Single employer plan
2010-03-01	Submission has been amended	Yes
2010-03-01	This submission is the final filing	No
2010-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-03-01	Plan is a collectively bargained plan	No
2010-03-01	Plan funding arrangement – Insurance	Yes
2010-03-01	Plan funding arrangement – Trust	Yes
2010-03-01	Plan benefit arrangement – Insurance	Yes
2010-03-01	Plan benefit arrangement - Trust	Yes
2009: RETIREMENT INCOME PLAN FOR EMPLOYEES OF NCR PUERTO RICO INC. 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	Submission has been amended	No
2009-03-01	This submission is the final filing	No
2009-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-03-01	Plan is a collectively bargained plan	No
2009-03-01	Plan funding arrangement – Insurance	Yes
2009-03-01	Plan funding arrangement – Trust	Yes
2009-03-01	Plan benefit arrangement – Insurance	Yes
2009-03-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NCR INTERNATIONAL, INC.
Employer identification number (EIN):	310994609
NAIC Classification:	334110