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CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 401k Plan overview

Plan NameCENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN
Plan identification number 001

CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

CENTRAL STATES HEALTH & LIFE CO. OF OMAHA has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL STATES HEALTH & LIFE CO. OF OMAHA
Employer identification number (EIN):470123035
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01STACY WAGNER2019-11-08 JAIME AMODEO2019-11-08
0012018-01-01
0012017-01-01STACY WAGNER JAIME AMODEO2018-09-19
0012016-01-01STACY WAGNER JAIME AMODEO2017-09-08
0012015-01-01STACY WAGNER JAIME AMODEO2016-09-21
0012014-01-01STACY WAGNER
0012013-01-01STACY WAGNER JAIME AMODEO2014-10-10
0012012-01-01STACY WAGNER JAIME AMODEO2013-09-17
0012011-01-01STACY WAGNER JAIME AMODEO2012-10-09
0012010-01-01KAREN SCHMIDT JAIME AMODEO2011-07-27
0012009-01-01KAREN SCHMIDT JAIME AMODEO2010-10-01

Plan Statistics for CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN

401k plan membership statisitcs for CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN

Measure Date Value
2018: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01320
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2017 401k membership
Market value of plan assets2017-12-3121,836,015
Acturial value of plan assets2017-12-3122,171,246
Funding target for retired participants and beneficiaries receiving payment2017-12-319,063,008
Number of terminated vested participants2017-12-3194
Fundng target for terminated vested participants2017-12-314,286,845
Active participant vested funding target2017-12-316,840,694
Number of active participants2017-12-3182
Total funding liabilities for active participants2017-12-316,841,457
Total participant count2017-12-31346
Total funding target for all participants2017-12-3120,191,310
Balance at beginning of prior year after applicable adjustments2017-12-311,605,180
Prefunding balance at beginning of prior year after applicable adjustments2017-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2017-12-310
Prefunding balanced used to offset prior years funding requirement2017-12-310
Amount remaining of carryover balance2017-12-311,605,180
Amount remaining of prefunding balance2017-12-310
Present value of excess contributions2017-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-12-310
Reductions in caryover balances due to elections or deemed elections2017-12-310
Reductions in prefunding balances due to elections or deemed elections2017-12-310
Balance of carryovers at beginning of current year2017-12-311,749,165
Balance of prefunding at beginning of current year2017-12-310
Total employer contributions2017-12-310
Total employee contributions2017-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2017-12-310
Contributions made to avoid restrictions adjusted to valuation date2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-310
Unpaid minimum required contributions for all prior years2017-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2017-12-310
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-3165,000
Net shortfall amortization installment of oustanding balance2017-12-310
Waiver amortization installment2017-12-310
Total funding amount beforereflecting carryover/prefunding balances2017-12-310
Carryover balance elected to use to offset funding requirement2017-12-310
Prefunding balance elected to use to offset funding requirement2017-12-310
Additional cash requirement2017-12-310
Contributions allocatedtoward minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
Total participants, beginning-of-year2017-01-01344
Total number of active participants reported on line 7a of the Form 55002017-01-0169
Number of retired or separated participants receiving benefits2017-01-01166
Number of other retired or separated participants entitled to future benefits2017-01-0177
Total of all active and inactive participants2017-01-01312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-018
Total participants2017-01-01320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2016 401k membership
Market value of plan assets2016-12-3122,584,441
Acturial value of plan assets2016-12-3123,720,129
Funding target for retired participants and beneficiaries receiving payment2016-12-318,379,444
Number of terminated vested participants2016-12-31164
Fundng target for terminated vested participants2016-12-315,119,408
Active participant vested funding target2016-12-317,038,306
Number of active participants2016-12-3191
Total funding liabilities for active participants2016-12-317,038,983
Total participant count2016-12-31415
Total funding target for all participants2016-12-3120,537,835
Balance at beginning of prior year after applicable adjustments2016-12-311,641,624
Prefunding balance at beginning of prior year after applicable adjustments2016-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2016-12-310
Prefunding balanced used to offset prior years funding requirement2016-12-310
Amount remaining of carryover balance2016-12-311,641,624
Amount remaining of prefunding balance2016-12-310
Present value of excess contributions2016-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2016-12-310
Reductions in caryover balances due to elections or deemed elections2016-12-310
Reductions in prefunding balances due to elections or deemed elections2016-12-310
Balance of carryovers at beginning of current year2016-12-311,605,180
Balance of prefunding at beginning of current year2016-12-310
Total employer contributions2016-12-310
Total employee contributions2016-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2016-12-310
Contributions made to avoid restrictions adjusted to valuation date2016-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-310
Unpaid minimum required contributions for all prior years2016-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2016-12-310
Remaining amount of unpaid minimum required contributions2016-12-310
Minimum required contributions for current year target normal cost2016-12-3165,000
Net shortfall amortization installment of oustanding balance2016-12-310
Waiver amortization installment2016-12-310
Total funding amount beforereflecting carryover/prefunding balances2016-12-310
Carryover balance elected to use to offset funding requirement2016-12-310
Prefunding balance elected to use to offset funding requirement2016-12-310
Additional cash requirement2016-12-310
Contributions allocatedtoward minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for all years2016-12-310
Total participants, beginning-of-year2016-01-01416
Total number of active participants reported on line 7a of the Form 55002016-01-0182
Number of retired or separated participants receiving benefits2016-01-01162
Number of other retired or separated participants entitled to future benefits2016-01-0194
Total of all active and inactive participants2016-01-01338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-016
Total participants2016-01-01344
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01420
Total number of active participants reported on line 7a of the Form 55002015-01-0191
Number of retired or separated participants receiving benefits2015-01-01155
Number of other retired or separated participants entitled to future benefits2015-01-01164
Total of all active and inactive participants2015-01-01410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-016
Total participants2015-01-01416
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01421
Total number of active participants reported on line 7a of the Form 55002014-01-0194
Number of retired or separated participants receiving benefits2014-01-01152
Number of other retired or separated participants entitled to future benefits2014-01-01166
Total of all active and inactive participants2014-01-01412
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-018
Total participants2014-01-01420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01420
Total number of active participants reported on line 7a of the Form 55002013-01-0197
Number of retired or separated participants receiving benefits2013-01-01147
Number of other retired or separated participants entitled to future benefits2013-01-01169
Total of all active and inactive participants2013-01-01413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-018
Total participants2013-01-01421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01423
Total number of active participants reported on line 7a of the Form 55002012-01-01100
Number of retired or separated participants receiving benefits2012-01-01139
Number of other retired or separated participants entitled to future benefits2012-01-01174
Total of all active and inactive participants2012-01-01413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-017
Total participants2012-01-01420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01426
Total number of active participants reported on line 7a of the Form 55002011-01-01108
Number of retired or separated participants receiving benefits2011-01-01132
Number of other retired or separated participants entitled to future benefits2011-01-01177
Total of all active and inactive participants2011-01-01417
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-016
Total participants2011-01-01423
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01430
Total number of active participants reported on line 7a of the Form 55002010-01-01116
Number of retired or separated participants receiving benefits2010-01-01123
Number of other retired or separated participants entitled to future benefits2010-01-01181
Total of all active and inactive participants2010-01-01420
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-016
Total participants2010-01-01426
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-015
2009: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01435
Total number of active participants reported on line 7a of the Form 55002009-01-01130
Number of retired or separated participants receiving benefits2009-01-01114
Number of other retired or separated participants entitled to future benefits2009-01-01180
Total of all active and inactive participants2009-01-01424
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-016
Total participants2009-01-01430
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN

Measure Date Value
2018 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$3,114,828
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$25,808,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$25,702,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,750,000
Value of total assets at end of year2018-12-31$671,045
Value of total assets at beginning of year2018-12-31$23,364,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$106,209
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$192,904
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$192,904
Administrative expenses professional fees incurred2018-12-31$15,220
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Total non interest bearing cash at end of year2018-12-31$671,045
Total non interest bearing cash at beginning of year2018-12-31$79,002
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-22,693,495
Value of net assets at end of year (total assets less liabilities)2018-12-31$671,045
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$23,364,540
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$90,989
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$23,285,538
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$171,924
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,750,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$25,702,114
Contract administrator fees2018-12-31$0
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MCFARLIN & BROKKE PC
Accountancy firm EIN2018-12-31470543458
2017 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,943,141
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,414,616
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,350,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$0
Value of total assets at end of year2017-12-31$23,364,540
Value of total assets at beginning of year2017-12-31$21,836,015
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$63,998
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$382,545
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$382,545
Administrative expenses professional fees incurred2017-12-31$8,579
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Total non interest bearing cash at end of year2017-12-31$79,002
Total non interest bearing cash at beginning of year2017-12-31$78,871
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,528,525
Value of net assets at end of year (total assets less liabilities)2017-12-31$23,364,540
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$21,836,015
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$55,419
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$23,285,538
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$21,757,144
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$3,560,596
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,350,618
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MCFARLIN & BROKKE PC
Accountancy firm EIN2017-12-31470543458
2016 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$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$0
Total income from all sources (including contributions)2016-12-31$1,907,691
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,656,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,593,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$0
Value of total assets at end of year2016-12-31$21,836,015
Value of total assets at beginning of year2016-12-31$22,584,441
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$63,032
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$320,930
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$320,930
Administrative expenses professional fees incurred2016-12-31$8,565
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Total non interest bearing cash at end of year2016-12-31$78,871
Total non interest bearing cash at beginning of year2016-12-31$74,400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-748,426
Value of net assets at end of year (total assets less liabilities)2016-12-31$21,836,015
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$22,584,441
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$54,467
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$21,757,144
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$22,510,041
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,586,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,593,085
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MCFARLIN & BROKKE PC
Accountancy firm EIN2016-12-31470543458
2015 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$-522,570
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$960,324
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$895,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$0
Value of total assets at end of year2015-12-31$22,584,441
Value of total assets at beginning of year2015-12-31$24,067,335
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$64,523
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$299,818
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$299,818
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Administrative expenses (other) incurred2015-12-31$10,054
Total non interest bearing cash at end of year2015-12-31$74,400
Total non interest bearing cash at beginning of year2015-12-31$74,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,482,894
Value of net assets at end of year (total assets less liabilities)2015-12-31$22,584,441
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$24,067,335
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$54,469
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$22,510,041
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$23,993,220
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-822,388
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$895,801
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31MCFARLIN & BROKKE PC
Accountancy firm EIN2015-12-31470543458
2014 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$2,160,152
Total loss/gain on sale of assets2014-12-31$1,380,308
Total of all expenses incurred2014-12-31$956,169
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$857,635
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$24,067,335
Value of total assets at beginning of year2014-12-31$22,863,352
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$98,534
Total interest from all sources2014-12-31$16,003
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$763,841
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$763,841
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$5,734,016
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$48,711
Administrative expenses (other) incurred2014-12-31$13,580
Total non interest bearing cash at end of year2014-12-31$74,115
Total non interest bearing cash at beginning of year2014-12-31$404,874
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,203,983
Value of net assets at end of year (total assets less liabilities)2014-12-31$24,067,335
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$22,863,352
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$84,954
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$23,993,220
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$15,128,775
Income. Interest from US Government securities2014-12-31$15,805
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$198
Asset value of US Government securities at beginning of year2014-12-31$1,546,976
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$857,635
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$1,380,308
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31MCFARLIN & BROKKE PC
Accountancy firm EIN2014-12-31470543458
2013 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$491,732
Total unrealized appreciation/depreciation of assets2013-12-31$491,732
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$2,574,239
Total loss/gain on sale of assets2013-12-31$249,294
Total of all expenses incurred2013-12-31$949,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$803,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$22,863,352
Value of total assets at beginning of year2013-12-31$21,238,228
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$145,474
Total interest from all sources2013-12-31$28,760
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$441,229
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$441,229
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Assets. Other investments not covered elsewhere at end of year2013-12-31$5,734,016
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$4,836,048
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$48,711
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$94,039
Other income not declared elsewhere2013-12-31$144,759
Administrative expenses (other) incurred2013-12-31$22,249
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,625,124
Value of net assets at end of year (total assets less liabilities)2013-12-31$22,863,352
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$21,238,228
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$123,225
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$15,128,775
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$13,282,676
Income. Interest from US Government securities2013-12-31$28,756
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$404,874
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$383,852
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$383,852
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$4
Asset value of US Government securities at end of year2013-12-31$1,546,976
Asset value of US Government securities at beginning of year2013-12-31$1,891,613
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,218,465
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Employer contributions (assets) at beginning of year2013-12-31$750,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$803,641
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$5,193,603
Aggregate carrying amount (costs) on sale of assets2013-12-31$4,944,309
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31MCFARLIN & BROKKE PC
Accountancy firm EIN2013-12-31470543458
2012 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$650,529
Total unrealized appreciation/depreciation of assets2012-12-31$650,529
Total income from all sources (including contributions)2012-12-31$4,494,757
Total loss/gain on sale of assets2012-12-31$109,344
Total of all expenses incurred2012-12-31$899,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$769,109
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,250,000
Value of total assets at end of year2012-12-31$21,238,228
Value of total assets at beginning of year2012-12-31$17,643,035
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$130,455
Total interest from all sources2012-12-31$32,005
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$355,648
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$355,648
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$4,836,048
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$5,210,047
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$94,039
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$21,666
Other income not declared elsewhere2012-12-31$156,897
Administrative expenses (other) incurred2012-12-31$19,276
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$3,595,193
Value of net assets at end of year (total assets less liabilities)2012-12-31$21,238,228
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$17,643,035
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$111,179
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$13,282,676
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$10,176,432
Income. Interest from US Government securities2012-12-31$31,890
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$383,852
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$356,185
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$356,185
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$115
Asset value of US Government securities at end of year2012-12-31$1,891,613
Asset value of US Government securities at beginning of year2012-12-31$1,878,705
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$940,334
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,250,000
Employer contributions (assets) at end of year2012-12-31$750,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$769,109
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$5,707,503
Aggregate carrying amount (costs) on sale of assets2012-12-31$5,598,159
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31SEIM JOHNSON, LLP
Accountancy firm EIN2012-12-31047097913
2011 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-284,594
Total unrealized appreciation/depreciation of assets2011-12-31$-284,594
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$23,708
Total income from all sources (including contributions)2011-12-31$714,826
Total loss/gain on sale of assets2011-12-31$8,049
Total of all expenses incurred2011-12-31$848,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$723,335
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,500,000
Value of total assets at end of year2011-12-31$17,643,035
Value of total assets at beginning of year2011-12-31$17,800,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$124,864
Total interest from all sources2011-12-31$34,356
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$306,934
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$306,934
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at end of year2011-12-31$5,210,047
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$5,947,379
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$21,666
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$40,644
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$23,708
Other income not declared elsewhere2011-12-31$152,354
Administrative expenses (other) incurred2011-12-31$18,161
Total non interest bearing cash at beginning of year2011-12-31$121,943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-133,373
Value of net assets at end of year (total assets less liabilities)2011-12-31$17,643,035
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$17,776,408
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$106,703
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$10,176,432
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$9,337,225
Income. Interest from US Government securities2011-12-31$34,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$356,185
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$198,092
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$198,092
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$33
Asset value of US Government securities at end of year2011-12-31$1,878,705
Asset value of US Government securities at beginning of year2011-12-31$2,154,833
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,002,273
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$723,335
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$3,900,368
Aggregate carrying amount (costs) on sale of assets2011-12-31$3,892,319
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31SEIM JOHNSON, LLP
Accountancy firm EIN2011-12-31047097913
2010 : CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$791,454
Total unrealized appreciation/depreciation of assets2010-12-31$791,454
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$23,708
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$411
Total income from all sources (including contributions)2010-12-31$2,865,392
Total loss/gain on sale of assets2010-12-31$-1,354
Total of all expenses incurred2010-12-31$772,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$659,770
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$500,000
Value of total assets at end of year2010-12-31$17,800,116
Value of total assets at beginning of year2010-12-31$15,684,279
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$113,082
Total interest from all sources2010-12-31$54,624
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$207,462
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$207,462
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Assets. Other investments not covered elsewhere at end of year2010-12-31$5,947,379
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$4,638,899
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$40,644
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$31,763
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$23,708
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$411
Other income not declared elsewhere2010-12-31$153,519
Administrative expenses (other) incurred2010-12-31$16,240
Total non interest bearing cash at end of year2010-12-31$121,943
Total non interest bearing cash at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,092,540
Value of net assets at end of year (total assets less liabilities)2010-12-31$17,776,408
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$15,683,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$96,842
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$9,337,225
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$7,583,562
Income. Interest from corporate debt instruments2010-12-31$54,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$198,092
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$264,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$264,408
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$42
Asset value of US Government securities at end of year2010-12-31$2,154,833
Asset value of US Government securities at beginning of year2010-12-31$3,165,647
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,159,687
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$659,770
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$3,745,201
Aggregate carrying amount (costs) on sale of assets2010-12-31$3,746,555
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31SEIM JOHNSON, LLP
Accountancy firm EIN2010-12-31047097913

Form 5500 Responses for CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN

2018: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CENTRAL STATES HEALTH & LIFE CO OF OMAHA EMPLOYEES PENSION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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