401k Plan data: 403B THRIFT PLAN OF KATAHDIN, INC. plan

403B THRIFT PLAN OF KATAHDIN, INC. 401k Plan overview

Plan Name	403B THRIFT PLAN OF KATAHDIN, INC.
Plan identification number	003

403B THRIFT PLAN OF KATAHDIN, INC. Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

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

Company Name: KATAHDIN, INC.

Employer identification number (EIN): 411323281

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403B THRIFT PLAN OF KATAHDIN, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2012-01-01 ROBERT MADSEN ROBERT MADSEN 2013-07-23
003 2011-01-01 ROBERT MADSEN ROBERT MADSEN 2012-09-14
003 2010-01-01 ROBERT MADSEN ROBERT MADSEN 2011-07-19
003 2009-01-01 ROBERT D. MADSEN ROBERT MADSEN 2010-07-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2012-01-01	ROBERT MADSEN	ROBERT MADSEN	2013-07-23
003	2011-01-01	ROBERT MADSEN	ROBERT MADSEN	2012-09-14
003	2010-01-01	ROBERT MADSEN	ROBERT MADSEN	2011-07-19
003	2009-01-01	ROBERT D. MADSEN	ROBERT MADSEN	2010-07-28

Plan Statistics for 403B THRIFT PLAN OF KATAHDIN, INC.

401k plan membership statisitcs for 403B THRIFT PLAN OF KATAHDIN, INC.

Measure Date Value
2012: 403B THRIFT PLAN OF KATAHDIN, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
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 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: 403B THRIFT PLAN OF KATAHDIN, INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 7
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: 403B THRIFT PLAN OF KATAHDIN, INC. 2010 401k membership
Total participants, beginning-of-year 2010-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2
Number of other retired or separated participants entitled to future benefits 2010-01-01 10
Total of all active and inactive participants 2010-01-01 12
Total participants 2010-01-01 12
Number of participants with account balances 2010-01-01 12
2009: 403B THRIFT PLAN OF KATAHDIN, INC. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 12
Total of all active and inactive participants 2009-01-01 13
Total participants 2009-01-01 13
Number of participants with account balances 2009-01-01 13

Measure	Date	Value
2012: 403B THRIFT PLAN OF KATAHDIN, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
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	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: 403B THRIFT PLAN OF KATAHDIN, INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	7
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: 403B THRIFT PLAN OF KATAHDIN, INC. 2010 401k membership
Total participants, beginning-of-year	2010-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2
Number of other retired or separated participants entitled to future benefits	2010-01-01	10
Total of all active and inactive participants	2010-01-01	12
Total participants	2010-01-01	12
Number of participants with account balances	2010-01-01	12
2009: 403B THRIFT PLAN OF KATAHDIN, INC. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	12
Total of all active and inactive participants	2009-01-01	13
Total participants	2009-01-01	13
Number of participants with account balances	2009-01-01	13

Financial Data on 403B THRIFT PLAN OF KATAHDIN, INC.

Measure	Date	Value
2012 : 403B THRIFT PLAN OF KATAHDIN, INC. 2012 401k financial data
Total income from all sources	2012-12-31	$22,751
Expenses. Total of all expenses incurred	2012-12-31	$194,384
Benefits paid (including direct rollovers)	2012-12-31	$194,294
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$171,633
Other income received	2012-12-31	$22,751
Net income (gross income less expenses)	2012-12-31	$-171,633
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$171,633
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$90
2011 : 403B THRIFT PLAN OF KATAHDIN, INC. 2011 401k financial data
Total income from all sources	2011-12-31	$17,398
Expenses. Total of all expenses incurred	2011-12-31	$185,757
Benefits paid (including direct rollovers)	2011-12-31	$185,606
Total plan assets at end of year	2011-12-31	$171,633
Total plan assets at beginning of year	2011-12-31	$339,992
Total contributions received or receivable from participants	2011-12-31	$20,067
Other income received	2011-12-31	$-4,790
Net income (gross income less expenses)	2011-12-31	$-168,359
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$171,633
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$339,992
Total contributions received or receivable from employer(s)	2011-12-31	$2,121
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$151
2010 : 403B THRIFT PLAN OF KATAHDIN, INC. 2010 401k financial data
Total income from all sources	2010-12-31	$54,410
Expenses. Total of all expenses incurred	2010-12-31	$14,825
Benefits paid (including direct rollovers)	2010-12-31	$14,621
Total plan assets at end of year	2010-12-31	$339,992
Total plan assets at beginning of year	2010-12-31	$300,407
Total contributions received or receivable from participants	2010-12-31	$9,161
Other income received	2010-12-31	$42,624
Net income (gross income less expenses)	2010-12-31	$39,585
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$339,992
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$300,407
Total contributions received or receivable from employer(s)	2010-12-31	$2,625
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$204

Form 5500 Responses for 403B THRIFT PLAN OF KATAHDIN, INC.

2012: 403B THRIFT PLAN OF KATAHDIN, INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: 403B THRIFT PLAN OF KATAHDIN, INC. 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: 403B THRIFT PLAN OF KATAHDIN, INC. 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: 403B THRIFT PLAN OF KATAHDIN, INC. 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	KATAHDIN, INC.
Employer identification number (EIN):	411323281
NAIC Classification:	624100
NAIC Description:	Individual and Family Services