401k Plan data: CO-OP 401(K) PLAN plan

CO-OP 401(K) PLAN 401k Plan overview

Plan Name	CO-OP 401(K) PLAN
Plan identification number	001

CO-OP 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CEDAR COUNTRY COOPERATIVE has sponsored the creation of one or more 401k plans.

Company Name: CEDAR COUNTRY COOPERATIVE

Employer identification number (EIN): 390465150

NAIC Classification: 115110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CO-OP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-10-01 KYLE KNUTSON
001 2016-10-01 KYLE KNUTSON KYLE KNUTSON 2018-07-16
001 2015-10-01 KYLE KNUTSON
001 2014-10-01 PAUL DIEMERT
001 2013-10-01 PAUL DIEMERT
001 2012-10-01 PAUL DIEMERT
001 2011-10-01 PAUL DIEMERT
001 2010-10-01 PAUL DIEMERT 2012-04-16
001 2009-10-01 PAUL DIEMERT

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-10-01	KYLE KNUTSON
001	2016-10-01	KYLE KNUTSON		KYLE KNUTSON	2018-07-16
001	2015-10-01	KYLE KNUTSON
001	2014-10-01	PAUL DIEMERT
001	2013-10-01	PAUL DIEMERT
001	2012-10-01	PAUL DIEMERT
001	2011-10-01	PAUL DIEMERT
001	2010-10-01	PAUL DIEMERT	2012-04-16
001	2009-10-01	PAUL DIEMERT

Plan Statistics for CO-OP 401(K) PLAN

401k plan membership statisitcs for CO-OP 401(K) PLAN

Measure Date Value
2017: CO-OP 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 108
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 0
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 0
Number of participants with account balances 2017-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 0
2016: CO-OP 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 117
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 90
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 17
Total of all active and inactive participants 2016-10-01 107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 1
Total participants 2016-10-01 108
Number of participants with account balances 2016-10-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 4
2015: CO-OP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 116
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 95
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 19
Total of all active and inactive participants 2015-10-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 2
Total participants 2015-10-01 116
Number of participants with account balances 2015-10-01 81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 1
2014: CO-OP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 125
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 97
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 17
Total of all active and inactive participants 2014-10-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 1
Total participants 2014-10-01 115
Number of participants with account balances 2014-10-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 5
2013: CO-OP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 115
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 96
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 23
Total of all active and inactive participants 2013-10-01 119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 1
Total participants 2013-10-01 120
Number of participants with account balances 2013-10-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 6
2012: CO-OP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 132
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 96
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 18
Total of all active and inactive participants 2012-10-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 114
Number of participants with account balances 2012-10-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 8
2011: CO-OP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 132
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 92
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 29
Total of all active and inactive participants 2011-10-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 121
Number of participants with account balances 2011-10-01 87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 4
2009: CO-OP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 46
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 33
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 18
Total of all active and inactive participants 2009-10-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 51
Number of participants with account balances 2009-10-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 5

Measure	Date	Value
2017: CO-OP 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	108
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	0
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	0
Number of participants with account balances	2017-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	0
2016: CO-OP 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	117
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	90
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	17
Total of all active and inactive participants	2016-10-01	107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	1
Total participants	2016-10-01	108
Number of participants with account balances	2016-10-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	4
2015: CO-OP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	116
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	95
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	19
Total of all active and inactive participants	2015-10-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	2
Total participants	2015-10-01	116
Number of participants with account balances	2015-10-01	81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	1
2014: CO-OP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	125
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	97
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	17
Total of all active and inactive participants	2014-10-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	1
Total participants	2014-10-01	115
Number of participants with account balances	2014-10-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	5
2013: CO-OP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	115
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	96
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	23
Total of all active and inactive participants	2013-10-01	119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	1
Total participants	2013-10-01	120
Number of participants with account balances	2013-10-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	6
2012: CO-OP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	132
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	96
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	18
Total of all active and inactive participants	2012-10-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	114
Number of participants with account balances	2012-10-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	8
2011: CO-OP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	132
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	92
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	29
Total of all active and inactive participants	2011-10-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	121
Number of participants with account balances	2011-10-01	87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	4
2009: CO-OP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	46
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	33
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	18
Total of all active and inactive participants	2009-10-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	51
Number of participants with account balances	2009-10-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	5

Financial Data on CO-OP 401(K) PLAN

Measure	Date	Value
2017 : CO-OP 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-10-01	$0
Total transfer of assets from this plan	2017-10-01	$3,982,462
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-10-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-10-01	$398
Total income from all sources (including contributions)	2017-10-01	$0
Total loss/gain on sale of assets	2017-10-01	$0
Total of all expenses incurred	2017-10-01	$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-10-01	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-10-01	$0
Value of total assets at end of year	2017-10-01	$0
Value of total assets at beginning of year	2017-10-01	$3,982,860
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-10-01	$0
Total interest from all sources	2017-10-01	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-10-01	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-10-01	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-10-01	$0
Was this plan covered by a fidelity bond	2017-10-01	Yes
Value of fidelity bond cover	2017-10-01	$400,000
If this is an individual account plan, was there a blackout period	2017-10-01	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-10-01	$0
Were there any nonexempt tranactions with any party-in-interest	2017-10-01	No
Participant contributions at beginning of year	2017-10-01	$33,133
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-10-01	$398
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-10-01	No
Value of net income/loss	2017-10-01	$0
Value of net assets at end of year (total assets less liabilities)	2017-10-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-10-01	$3,982,462
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-10-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-10-01	No
Were any leases to which the plan was party in default or uncollectible	2017-10-01	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-10-01	$3,466,162
Value of interest in common/collective trusts at beginning of year	2017-10-01	$79,693
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-10-01	$126
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-10-01	$126
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-10-01	$96,254
Asset value of US Government securities at beginning of year	2017-10-01	$126,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-10-01	No
Was there a failure to transmit to the plan any participant contributions	2017-10-01	No
Has the plan failed to provide any benefit when due under the plan	2017-10-01	No
Asset. Corporate debt instrument preferred debt at beginning of year	2017-10-01	$65,411
Asset. Corporate debt instrument debt (other) at beginning of year	2017-10-01	$115,369
Did the plan have assets held for investment	2017-10-01	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	2017-10-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-10-01	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-10-01	No
Opinion of an independent qualified public accountant for this plan	2017-10-01	Unqualified
Accountancy firm name	2017-10-01	CARLSONSV
Accountancy firm EIN	2017-10-01	411562398
Total unrealized appreciation/depreciation of assets	2017-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$398
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$388
Total income from all sources (including contributions)	2017-09-30	$783,393
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$163,733
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$140,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$319,468
Value of total assets at end of year	2017-09-30	$3,982,860
Value of total assets at beginning of year	2017-09-30	$3,363,190
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$22,794
Total interest from all sources	2017-09-30	$2,259
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$100,494
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	No
Administrative expenses professional fees incurred	2017-09-30	$21,874
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$400,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Contributions received from participants	2017-09-30	$189,750
Participant contributions at end of year	2017-09-30	$33,133
Participant contributions at beginning of year	2017-09-30	$59,649
Assets. Other investments not covered elsewhere at beginning of year	2017-09-30	$77,141
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-09-30	$398
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-09-30	$388
Other income not declared elsewhere	2017-09-30	$1,356
Administrative expenses (other) incurred	2017-09-30	$920
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$619,660
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$3,982,462
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$3,362,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-09-30	$3,466,162
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-09-30	$2,847,276
Interest on participant loans	2017-09-30	$2,259
Value of interest in common/collective trusts at end of year	2017-09-30	$79,693
Value of interest in common/collective trusts at beginning of year	2017-09-30	$103,411
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-09-30	$126
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$96,254
Asset value of US Government securities at end of year	2017-09-30	$126,712
Asset value of US Government securities at beginning of year	2017-09-30	$116,437
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-30	$357,063
Net investment gain or loss from common/collective trusts	2017-09-30	$2,753
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	No
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Contributions received in cash from employer	2017-09-30	$129,718
Income. Dividends from preferred stock	2017-09-30	$100,494
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$140,939
Asset. Corporate debt instrument preferred debt at end of year	2017-09-30	$65,411
Asset. Corporate debt instrument preferred debt at beginning of year	2017-09-30	$57,974
Asset. Corporate debt instrument debt (other) at end of year	2017-09-30	$115,369
Asset. Corporate debt instrument debt (other) at beginning of year	2017-09-30	$101,302
Did the plan have assets held for investment	2017-09-30	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	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	No
Opinion of an independent qualified public accountant for this plan	2017-09-30	Unqualified
Accountancy firm name	2017-09-30	CARLSONSV
Accountancy firm EIN	2017-09-30	411562398
2016 : CO-OP 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$388
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total income from all sources (including contributions)	2016-09-30	$573,649
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$98,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$77,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$256,614
Value of total assets at end of year	2016-09-30	$3,363,190
Value of total assets at beginning of year	2016-09-30	$2,887,344
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$20,853
Total interest from all sources	2016-09-30	$3,232
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$113,269
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-09-30	$113,269
Administrative expenses professional fees incurred	2016-09-30	$19,998
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$400,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$154,613
Participant contributions at end of year	2016-09-30	$59,649
Participant contributions at beginning of year	2016-09-30	$79,457
Assets. Other investments not covered elsewhere at end of year	2016-09-30	$77,141
Assets. Other investments not covered elsewhere at beginning of year	2016-09-30	$348,934
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-09-30	$388
Other income not declared elsewhere	2016-09-30	$7,691
Administrative expenses (other) incurred	2016-09-30	$855
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$475,458
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$3,362,802
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$2,887,344
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-09-30	$2,847,276
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-09-30	$2,353,996
Interest on participant loans	2016-09-30	$3,232
Value of interest in common/collective trusts at end of year	2016-09-30	$103,411
Value of interest in common/collective trusts at beginning of year	2016-09-30	$104,957
Asset value of US Government securities at end of year	2016-09-30	$116,437
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-09-30	$191,799
Net investment gain or loss from common/collective trusts	2016-09-30	$1,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Contributions received in cash from employer	2016-09-30	$102,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$77,338
Asset. Corporate debt instrument preferred debt at end of year	2016-09-30	$57,974
Asset. Corporate debt instrument debt (other) at end of year	2016-09-30	$101,302
Did the plan have assets held for investment	2016-09-30	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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	No
Opinion of an independent qualified public accountant for this plan	2016-09-30	Unqualified
Accountancy firm name	2016-09-30	CARLSON HIGHLAND & COMPANY, LLP
Accountancy firm EIN	2016-09-30	411562398
2015 : CO-OP 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$217,659
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$307,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$287,619
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$245,218
Value of total assets at end of year	2015-09-30	$2,887,344
Value of total assets at beginning of year	2015-09-30	$2,976,830
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$19,526
Total interest from all sources	2015-09-30	$3,818
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$120,213
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-09-30	$120,213
Administrative expenses professional fees incurred	2015-09-30	$19,526
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$250,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Contributions received from participants	2015-09-30	$145,383
Participant contributions at end of year	2015-09-30	$79,457
Participant contributions at beginning of year	2015-09-30	$78,405
Assets. Other investments not covered elsewhere at end of year	2015-09-30	$348,934
Assets. Other investments not covered elsewhere at beginning of year	2015-09-30	$282,772
Income. Received or receivable in cash from other sources (including rollovers)	2015-09-30	$1,181
Other income not declared elsewhere	2015-09-30	$6,342
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-89,486
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$2,887,344
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$2,976,830
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-09-30	$2,353,996
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-30	$2,430,884
Interest on participant loans	2015-09-30	$3,818
Value of interest in common/collective trusts at end of year	2015-09-30	$104,957
Value of interest in common/collective trusts at beginning of year	2015-09-30	$184,769
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-30	$-157,734
Net investment gain or loss from common/collective trusts	2015-09-30	$-198
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$98,654
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$287,619
Did the plan have assets held for investment	2015-09-30	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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	No
Opinion of an independent qualified public accountant for this plan	2015-09-30	Unqualified
Accountancy firm name	2015-09-30	CARLSON HIGHLAND & COMPANY, LLP
Accountancy firm EIN	2015-09-30	411562398
2014 : CO-OP 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$570,622
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$45,178
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$27,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$316,981
Value of total assets at end of year	2014-09-30	$2,976,830
Value of total assets at beginning of year	2014-09-30	$2,451,386
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$17,351
Total interest from all sources	2014-09-30	$3,851
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$71,148
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-09-30	$71,148
Administrative expenses professional fees incurred	2014-09-30	$17,351
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$250,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$149,542
Participant contributions at end of year	2014-09-30	$78,405
Participant contributions at beginning of year	2014-09-30	$89,330
Assets. Other investments not covered elsewhere at end of year	2014-09-30	$282,772
Income. Received or receivable in cash from other sources (including rollovers)	2014-09-30	$61,648
Other income not declared elsewhere	2014-09-30	$18,071
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$525,444
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$2,976,830
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$2,451,386
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-09-30	$2,430,884
Interest on participant loans	2014-09-30	$3,851
Value of interest in master investment trust accounts at beginning of year	2014-09-30	$2,362,056
Value of interest in common/collective trusts at end of year	2014-09-30	$184,769
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-09-30	$155,458
Net investment gain or loss from common/collective trusts	2014-09-30	$5,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$105,791
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$27,827
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	No
Opinion of an independent qualified public accountant for this plan	2014-09-30	Unqualified
Accountancy firm name	2014-09-30	CARLSON HIGHLAND & COMPANY, LLP
Accountancy firm EIN	2014-09-30	411562398
2013 : CO-OP 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$522,402
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$122,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$102,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$244,327
Value of total assets at end of year	2013-09-30	$2,451,386
Value of total assets at beginning of year	2013-09-30	$2,051,287
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$19,398
Total interest from all sources	2013-09-30	$3,503
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Administrative expenses professional fees incurred	2013-09-30	$19,398
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$250,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$145,319
Participant contributions at end of year	2013-09-30	$89,330
Participant contributions at beginning of year	2013-09-30	$65,487
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$400,099
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$2,451,386
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$2,051,287
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Interest on participant loans	2013-09-30	$3,503
Value of interest in master investment trust accounts at end of year	2013-09-30	$2,362,056
Value of interest in master investment trust accounts at beginning of year	2013-09-30	$1,985,800
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$99,008
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$102,905
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	No
Opinion of an independent qualified public accountant for this plan	2013-09-30	Unqualified
Accountancy firm name	2013-09-30	CARLSON HIGHLAND & COMPANY, LLP
Accountancy firm EIN	2013-09-30	411562398
2012 : CO-OP 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total income from all sources (including contributions)	2012-09-30	$503,437
Total loss/gain on sale of assets	2012-09-30	$0
Total of all expenses incurred	2012-09-30	$147,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$135,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$197,063
Value of total assets at end of year	2012-09-30	$2,051,287
Value of total assets at beginning of year	2012-09-30	$1,695,757
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$12,674
Total interest from all sources	2012-09-30	$2,018
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$0
Administrative expenses professional fees incurred	2012-09-30	$12,674
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$250,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$116,626
Participant contributions at end of year	2012-09-30	$65,487
Participant contributions at beginning of year	2012-09-30	$59,427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$355,530
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$2,051,287
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$1,695,757
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Interest on participant loans	2012-09-30	$2,018
Value of interest in master investment trust accounts at end of year	2012-09-30	$1,985,800
Value of interest in master investment trust accounts at beginning of year	2012-09-30	$1,636,330
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$80,437
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$135,233
Did the plan have assets held for investment	2012-09-30	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	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	No
Opinion of an independent qualified public accountant for this plan	2012-09-30	Unqualified
Accountancy firm name	2012-09-30	CARLSON HIGHLAND & COMPANY, LLP
Accountancy firm EIN	2012-09-30	411562398
2010 : CO-OP 401(K) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-09-30	$0

Form 5500 Responses for CO-OP 401(K) PLAN

2017: CO-OP 401(K) PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	Yes
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: CO-OP 401(K) PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: CO-OP 401(K) PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: CO-OP 401(K) PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: CO-OP 401(K) PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: CO-OP 401(K) PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: CO-OP 401(K) PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: CO-OP 401(K) PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )

Policy contract number

166920

Policy instance

Insurance contract or identification number	166920
Number of Individuals Covered	0
Insurance policy start date	2017-10-01
Insurance policy end date	2017-10-01
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?	0
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?	Yes
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	No
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?	No

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

Policy contract number

32937

Policy instance

Insurance contract or identification number	32937
Number of Individuals Covered	0
Insurance policy start date	2017-10-01
Insurance policy end date	2017-10-01
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?	0
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?	Yes
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	No
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?	No

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

G-027795

Policy instance

Insurance contract or identification number	G-027795
Number of Individuals Covered	0
Insurance policy start date	2017-10-01
Insurance policy end date	2017-10-01
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?	0
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?	Yes
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	No
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?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

062491

Policy instance

Insurance contract or identification number	062491
Number of Individuals Covered	0
Insurance policy start date	2017-10-01
Insurance policy end date	2017-10-01
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?	0
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?	Yes
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	No
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?	No

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Company Name:	CEDAR COUNTRY COOPERATIVE
Employer identification number (EIN):	390465150
NAIC Classification:	115110