401k Plan data: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 plan

LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 401k Plan overview

Plan Name	LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008
Plan identification number	506

LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

THE DOW CHEMICAL COMPANY has sponsored the creation of one or more 401k plans.

Company Name: THE DOW CHEMICAL COMPANY

Employer identification number (EIN): 381285128

Additional information about THE DOW CHEMICAL COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 0414128

More information about THE DOW CHEMICAL COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2016-01-01 STEVEN MORGENSTERN BRYAN JENDRETZKE 2017-10-04
506 2015-01-01 STEVEN MORGENSTERN BRYAN JENDRETZKE 2016-10-05
506 2014-01-01 STEVEN MORGENSTERN BRYAN JENDRETZKE 2015-08-25
506 2013-01-01 STEVEN MORGENSTERN BRYAN JENDRETZKE 2014-10-13
506 2012-01-01 STEVEN MORGENSTERN DIANE DITTENHAFER 2013-09-23
506 2011-01-01 STEVEN MORGENSTERN DIANE DITTENHAFER 2012-10-14
506 2009-01-01 STEVEN MORGENSTERN DIANE DITTENHAFER 2012-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
506	2016-01-01	STEVEN MORGENSTERN	BRYAN JENDRETZKE	2017-10-04
506	2015-01-01	STEVEN MORGENSTERN	BRYAN JENDRETZKE	2016-10-05
506	2014-01-01	STEVEN MORGENSTERN	BRYAN JENDRETZKE	2015-08-25
506	2013-01-01	STEVEN MORGENSTERN	BRYAN JENDRETZKE	2014-10-13
506	2012-01-01	STEVEN MORGENSTERN	DIANE DITTENHAFER	2013-09-23
506	2011-01-01	STEVEN MORGENSTERN	DIANE DITTENHAFER	2012-10-14
506	2009-01-01	STEVEN MORGENSTERN	DIANE DITTENHAFER	2012-10-14

Plan Statistics for LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008

401k plan membership statisitcs for LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008

Measure Date Value
2016: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2016 401k membership
Total participants, beginning-of-year 2016-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2015 401k membership
Total participants, beginning-of-year 2015-01-01 156
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 140
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 140
2014: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2014 401k membership
Total participants, beginning-of-year 2014-01-01 172
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 156
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 156
2013: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2013 401k membership
Total participants, beginning-of-year 2013-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 172
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 172
2012: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2012 401k membership
Total participants, beginning-of-year 2012-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 191
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 191
2011: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2011 401k membership
Total participants, beginning-of-year 2011-01-01 226
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 206
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 206
2009: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2009 401k membership
Total participants, beginning-of-year 2009-01-01 262
Number of retired or separated participants receiving benefits 2009-01-01 250
Total of all active and inactive participants 2009-01-01 250

Measure	Date	Value
2016: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2016 401k membership
Total participants, beginning-of-year	2016-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2015 401k membership
Total participants, beginning-of-year	2015-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	140
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	140
2014: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2014 401k membership
Total participants, beginning-of-year	2014-01-01	172
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	156
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	156
2013: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2013 401k membership
Total participants, beginning-of-year	2013-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	172
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	172
2012: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2012 401k membership
Total participants, beginning-of-year	2012-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	191
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	191
2011: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2011 401k membership
Total participants, beginning-of-year	2011-01-01	226
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	206
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	206
2009: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2009 401k membership
Total participants, beginning-of-year	2009-01-01	262
Number of retired or separated participants receiving benefits	2009-01-01	250
Total of all active and inactive participants	2009-01-01	250

Financial Data on LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008

Measure	Date	Value
2016 : LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$3,419,539
Total income from all sources (including contributions)	2016-12-31	$382,000
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$-28,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$-30,701
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$195,917
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$3,009,034
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,196
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$1,122
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$45,000,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$154,973
Administrative expenses (other) incurred	2016-12-31	$1,074
Liabilities. Value of operating payables at end of year	2016-12-31	$0
Liabilities. Value of operating payables at beginning of year	2016-12-31	$6,099
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$410,505
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$-410,505
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest in common/collective trusts at beginning of year	2016-12-31	$2,854,061
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$-30,701
Net investment gain or loss from common/collective trusts	2016-12-31	$186,083
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$195,917
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$3,413,440
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2016-12-31	381357951
2015 : LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$3,419,539
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$3,973,693
Total income from all sources (including contributions)	2015-12-31	$36,482
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$173,734
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$140,073
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$3,009,034
Value of total assets at beginning of year	2015-12-31	$3,700,440
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$33,661
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$33,661
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$45,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$154,973
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$110,593
Liabilities. Value of operating payables at end of year	2015-12-31	$6,099
Liabilities. Value of operating payables at beginning of year	2015-12-31	$6,943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-137,252
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$-410,505
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$-273,253
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in common/collective trusts at end of year	2015-12-31	$2,854,061
Value of interest in common/collective trusts at beginning of year	2015-12-31	$3,589,847
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$140,073
Net investment gain or loss from common/collective trusts	2015-12-31	$36,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$3,413,440
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$3,966,750
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2015-12-31	381357951
2014 : LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$3,973,693
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$4,501,441
Total income from all sources (including contributions)	2014-12-31	$371,003
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$279,113
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$241,601
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$0
Value of total assets at end of year	2014-12-31	$3,700,440
Value of total assets at beginning of year	2014-12-31	$4,136,298
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$37,512
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$37,512
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$45,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$110,593
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$153,389
Liabilities. Value of operating payables at end of year	2014-12-31	$6,943
Liabilities. Value of operating payables at beginning of year	2014-12-31	$7,662
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$91,890
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$-273,253
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$-365,143
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in common/collective trusts at end of year	2014-12-31	$3,589,847
Value of interest in common/collective trusts at beginning of year	2014-12-31	$3,982,909
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$241,601
Net investment gain or loss from common/collective trusts	2014-12-31	$371,003
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$3,966,750
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$4,493,779
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2014-12-31	381357951
2013 : LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$4,501,441
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$5,337,195
Total income from all sources (including contributions)	2013-12-31	$738,937
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$85,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$55,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$0
Value of total assets at end of year	2013-12-31	$4,136,298
Value of total assets at beginning of year	2013-12-31	$4,318,270
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$29,810
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$29,810
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$35,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$153,389
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$214,514
Liabilities. Value of operating payables at end of year	2013-12-31	$7,662
Liabilities. Value of operating payables at beginning of year	2013-12-31	$10,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$653,782
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$-365,143
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$-1,018,925
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$0
Value of interest in common/collective trusts at end of year	2013-12-31	$3,982,909
Value of interest in common/collective trusts at beginning of year	2013-12-31	$4,103,756
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$55,345
Net investment gain or loss from common/collective trusts	2013-12-31	$738,937
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$4,493,779
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$5,326,932
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2013-12-31	381357951
2012 : LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$5,337,195
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$5,764,996
Total income from all sources (including contributions)	2012-12-31	$543,398
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$696,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$625,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$0
Value of total assets at end of year	2012-12-31	$4,318,270
Value of total assets at beginning of year	2012-12-31	$4,899,203
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$70,869
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$70,705
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$35,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$214,514
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$208,252
Liabilities. Value of operating payables at end of year	2012-12-31	$10,263
Liabilities. Value of operating payables at beginning of year	2012-12-31	$5,295
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-153,132
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$-1,018,925
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$-865,793
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$164
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,690,951
Value of interest in common/collective trusts at end of year	2012-12-31	$4,103,756
Value of interest in common/collective trusts at beginning of year	2012-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$625,661
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$154,974
Net investment gain or loss from common/collective trusts	2012-12-31	$388,424
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$5,326,932
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$5,759,701
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2012-12-31	381357951
2011 : LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$5,764,996
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$6,763,269
Total income from all sources (including contributions)	2011-12-31	$209,469
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$129,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$126,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$0
Value of total assets at end of year	2011-12-31	$4,899,203
Value of total assets at beginning of year	2011-12-31	$5,817,110
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,099
Total interest from all sources	2011-12-31	$76
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$203,918
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$2,670
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$35,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$208,252
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$120,648
Administrative expenses (other) incurred	2011-12-31	$2
Liabilities. Value of operating payables at end of year	2011-12-31	$5,295
Liabilities. Value of operating payables at beginning of year	2011-12-31	$2,774
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$80,366
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$-865,793
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$-946,159
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$427
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,690,951
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$5,696,462
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$76
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$126,004
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$5,475
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Income. Dividends from common stock	2011-12-31	$203,918
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$5,759,701
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$6,760,495
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2011-12-31	381357951
2010 : LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$6,763,269
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$7,546,853
Total income from all sources (including contributions)	2010-12-31	$824,964
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$399,207
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$395,943
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$0
Value of total assets at end of year	2010-12-31	$5,817,110
Value of total assets at beginning of year	2010-12-31	$6,174,937
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$3,264
Total interest from all sources	2010-12-31	$11
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$171,564
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$2,625
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$120,648
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$125,401
Other income not declared elsewhere	2010-12-31	$35,804
Administrative expenses (other) incurred	2010-12-31	$33
Liabilities. Value of operating payables at end of year	2010-12-31	$2,774
Liabilities. Value of operating payables at beginning of year	2010-12-31	$2,948
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$425,757
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$-946,159
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$-1,371,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$606
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$5,696,462
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,044,327
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$5,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$5,209
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$11
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$395,943
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$617,585
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Income. Dividends from common stock	2010-12-31	$171,564
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$6,760,495
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$7,543,905
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2010-12-31	381357951

Form 5500 Responses for LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008

2016: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: LONG TERM DISABILITY PROGRAM APPLICABLE TO THOSE FULLY DISABLED PRIOR TO 1/1/2008 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0027475

Policy instance

Insurance contract or identification number	0027475
Number of Individuals Covered	44
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0027475

Policy instance

Insurance contract or identification number	0027475
Number of Individuals Covered	52
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0027475

Policy instance

Insurance contract or identification number	0027475
Number of Individuals Covered	58
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0027475

Policy instance

Insurance contract or identification number	0027475
Number of Individuals Covered	69
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0027475

Policy instance

Insurance contract or identification number	0027475
Number of Individuals Covered	72
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0027475

Policy instance

Insurance contract or identification number	0027475
Number of Individuals Covered	76
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	THE DOW CHEMICAL COMPANY
Employer identification number (EIN):	381285128

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	0414128