401k Plan data: ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN plan

ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 401k Plan overview

Plan Name	ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN
Plan identification number	001

ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS 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.
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

ST. CHARLES INSURANCE AGENCY, INC. has sponsored the creation of one or more 401k plans.

Company Name: ST. CHARLES INSURANCE AGENCY, INC.

Employer identification number (EIN): 430780845

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 STEVEN CHASE 2015-03-25
001 2013-01-01 STEVEN CHASE 2014-04-11
001 2012-01-01 STEVEN CHASE 2013-05-20
001 2011-01-01 STEVEN CHASE
001 2009-01-01 STEVEN CHASE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2014-01-01	STEVEN CHASE	2015-03-25
001	2013-01-01	STEVEN CHASE	2014-04-11
001	2012-01-01	STEVEN CHASE	2013-05-20
001	2011-01-01	STEVEN CHASE
001	2009-01-01	STEVEN CHASE

Plan Statistics for ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN

401k plan membership statisitcs for ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN

Measure Date Value
2011: ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 33
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 37
Number of participants with account balances 2011-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 32
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 32
Number of participants with account balances 2009-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	33
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	37
Number of participants with account balances	2011-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	32
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	32
Number of participants with account balances	2009-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN

Measure	Date	Value
2011 : ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$87,735
Expenses. Total of all expenses incurred	2011-12-31	$3,607
Benefits paid (including direct rollovers)	2011-12-31	$3,607
Total plan assets at end of year	2011-12-31	$1,974,615
Total plan assets at beginning of year	2011-12-31	$1,890,487
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$94,456
Other income received	2011-12-31	$-54,226
Net income (gross income less expenses)	2011-12-31	$84,128
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,974,615
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,890,487
Assets. Value of participant loans	2011-12-31	$53,864
Total contributions received or receivable from employer(s)	2011-12-31	$47,505
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$353,606
Expenses. Total of all expenses incurred	2010-12-31	$39,206
Benefits paid (including direct rollovers)	2010-12-31	$39,206
Total plan assets at end of year	2010-12-31	$1,890,487
Total plan assets at beginning of year	2010-12-31	$1,576,087
Value of fidelity bond covering the plan	2010-12-31	$1,000,000
Total contributions received or receivable from participants	2010-12-31	$99,365
Other income received	2010-12-31	$200,076
Net income (gross income less expenses)	2010-12-31	$314,400
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,890,487
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,576,087
Assets. Value of participant loans	2010-12-31	$66,966
Total contributions received or receivable from employer(s)	2010-12-31	$54,165
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN

2011: ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ST. CHARLES INSURANCE AGENCY, INC. EMPLOYEE SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ST. CHARLES INSURANCE AGENCY, INC.
Employer identification number (EIN):	430780845
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages