401k Plan data: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION plan

THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 401k Plan overview

Plan Name	THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION
Plan identification number	501

THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION Benefits

401k Plan Type

Welfare Benefit

Plan Features/Benefits

Health (other than dental or vision)
Life insurance
Temporary disability (accident and sickness)
Long-term disability cover
Other welfare benefit cover
Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

THE DAVID EDWARD COMPANY, LTD. has sponsored the creation of one or more 401k plans.

Company Name: THE DAVID EDWARD COMPANY, LTD.

Employer identification number (EIN): 521367707

NAIC Classification: 337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-06-01 DAVID PITTS 2021-08-03 DAVID PITTS, PLAN TRUSTEE 2021-08-03
501 2019-06-01 DAVID PITTS 2021-01-19 DAVID PITTS, PLAN TRUSTEE 2021-01-19
501 2018-06-01
501 2017-06-01 KEVIN PITTS KEVIN PITTS, PLAN TRUSTEE 2019-03-15
501 2016-06-01 JIM FRACK, CFO JIM FRACK, CFO 2018-03-10
501 2015-06-01 JIM FRACK, CFO JIM FRACK, CFO 2017-03-08
501 2014-06-01 JIM FRACK, CFO JIM FRACK, CFO 2016-03-03
501 2013-06-01 PHILIP LOGAN CFO PHILIP LOGAN CFO 2015-02-27
501 2012-06-01 ADAM FEUERSTEIN ADAM FEUERSTEIN 2013-12-30
501 2011-06-01 ADAM FEUERSTEIN
501 2010-06-01 ADAM FEUERSTEIN
501 2009-06-01 ADAM FEUERSTEIN ADAM FEUERSTEIN 2011-03-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2020-06-01	DAVID PITTS	2021-08-03	DAVID PITTS, PLAN TRUSTEE	2021-08-03
501	2019-06-01	DAVID PITTS	2021-01-19	DAVID PITTS, PLAN TRUSTEE	2021-01-19
501	2018-06-01
501	2017-06-01	KEVIN PITTS		KEVIN PITTS, PLAN TRUSTEE	2019-03-15
501	2016-06-01	JIM FRACK, CFO		JIM FRACK, CFO	2018-03-10
501	2015-06-01	JIM FRACK, CFO		JIM FRACK, CFO	2017-03-08
501	2014-06-01	JIM FRACK, CFO		JIM FRACK, CFO	2016-03-03
501	2013-06-01	PHILIP LOGAN CFO		PHILIP LOGAN CFO	2015-02-27
501	2012-06-01	ADAM FEUERSTEIN		ADAM FEUERSTEIN	2013-12-30
501	2011-06-01	ADAM FEUERSTEIN
501	2010-06-01	ADAM FEUERSTEIN
501	2009-06-01	ADAM FEUERSTEIN		ADAM FEUERSTEIN	2011-03-11

Plan Statistics for THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION

401k plan membership statisitcs for THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION

Measure Date Value
2018: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2018 401k membership
Total participants, beginning-of-year 2018-06-01 152
Total number of active participants reported on line 7a of the Form 5500 2018-06-01 0
Number of retired or separated participants receiving benefits 2018-06-01 0
Number of other retired or separated participants entitled to future benefits 2018-06-01 0
Total of all active and inactive participants 2018-06-01 0
2017: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2017 401k membership
Total participants, beginning-of-year 2017-06-01 174
Total number of active participants reported on line 7a of the Form 5500 2017-06-01 152
Number of retired or separated participants receiving benefits 2017-06-01 0
Number of other retired or separated participants entitled to future benefits 2017-06-01 0
Total of all active and inactive participants 2017-06-01 152
2016: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2016 401k membership
Total participants, beginning-of-year 2016-06-01 184
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 174
Number of retired or separated participants receiving benefits 2016-06-01 0
Number of other retired or separated participants entitled to future benefits 2016-06-01 0
Total of all active and inactive participants 2016-06-01 174
2015: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2015 401k membership
Total participants, beginning-of-year 2015-06-01 182
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 184
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 0
Total of all active and inactive participants 2015-06-01 184
2014: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2014 401k membership
Total participants, beginning-of-year 2014-06-01 204
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 182
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 182
2013: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2013 401k membership
Total participants, beginning-of-year 2013-06-01 204
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 204
Total of all active and inactive participants 2013-06-01 204
2012: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2012 401k membership
Total participants, beginning-of-year 2012-06-01 220
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 204
Total of all active and inactive participants 2012-06-01 204
2011: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2011 401k membership
Total participants, beginning-of-year 2011-06-01 231
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 220
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 220
2010: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2010 401k membership
Total participants, beginning-of-year 2010-06-01 189
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 165
Number of retired or separated participants receiving benefits 2010-06-01 0
Number of other retired or separated participants entitled to future benefits 2010-06-01 0
Total of all active and inactive participants 2010-06-01 165
2009: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2009 401k membership
Total participants, beginning-of-year 2009-06-01 233
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 196
Number of retired or separated participants receiving benefits 2009-06-01 0
Number of other retired or separated participants entitled to future benefits 2009-06-01 0
Total of all active and inactive participants 2009-06-01 196
Total participants 2009-06-01 0

Measure	Date	Value
2018: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2018 401k membership
Total participants, beginning-of-year	2018-06-01	152
Total number of active participants reported on line 7a of the Form 5500	2018-06-01	0
Number of retired or separated participants receiving benefits	2018-06-01	0
Number of other retired or separated participants entitled to future benefits	2018-06-01	0
Total of all active and inactive participants	2018-06-01	0
2017: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2017 401k membership
Total participants, beginning-of-year	2017-06-01	174
Total number of active participants reported on line 7a of the Form 5500	2017-06-01	152
Number of retired or separated participants receiving benefits	2017-06-01	0
Number of other retired or separated participants entitled to future benefits	2017-06-01	0
Total of all active and inactive participants	2017-06-01	152
2016: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2016 401k membership
Total participants, beginning-of-year	2016-06-01	184
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	174
Number of retired or separated participants receiving benefits	2016-06-01	0
Number of other retired or separated participants entitled to future benefits	2016-06-01	0
Total of all active and inactive participants	2016-06-01	174
2015: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2015 401k membership
Total participants, beginning-of-year	2015-06-01	182
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	184
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	184
2014: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2014 401k membership
Total participants, beginning-of-year	2014-06-01	204
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	182
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	182
2013: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2013 401k membership
Total participants, beginning-of-year	2013-06-01	204
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	204
Total of all active and inactive participants	2013-06-01	204
2012: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2012 401k membership
Total participants, beginning-of-year	2012-06-01	220
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	204
Total of all active and inactive participants	2012-06-01	204
2011: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2011 401k membership
Total participants, beginning-of-year	2011-06-01	231
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	220
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	220
2010: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2010 401k membership
Total participants, beginning-of-year	2010-06-01	189
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	165
Number of retired or separated participants receiving benefits	2010-06-01	0
Number of other retired or separated participants entitled to future benefits	2010-06-01	0
Total of all active and inactive participants	2010-06-01	165
2009: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2009 401k membership
Total participants, beginning-of-year	2009-06-01	233
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	196
Number of retired or separated participants receiving benefits	2009-06-01	0
Number of other retired or separated participants entitled to future benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	196
Total participants	2009-06-01	0

Financial Data on THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION

Measure	Date	Value
2019 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2019 401k financial data
Total income from all sources (including contributions)	2019-05-31	$212,551
Total of all expenses incurred	2019-05-31	$324,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-05-31	$324,145
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-05-31	$212,551
Value of total assets at end of year	2019-05-31	$14,088
Value of total assets at beginning of year	2019-05-31	$125,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-05-31	No
Was this plan covered by a fidelity bond	2019-05-31	Yes
Value of fidelity bond cover	2019-05-31	$625,000
If this is an individual account plan, was there a blackout period	2019-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-05-31	No
Contributions received from participants	2019-05-31	$90,392
Total non interest bearing cash at end of year	2019-05-31	$14,088
Total non interest bearing cash at beginning of year	2019-05-31	$125,682
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-05-31	No
Value of net income/loss	2019-05-31	$-111,594
Value of net assets at end of year (total assets less liabilities)	2019-05-31	$14,088
Value of net assets at beginning of year (total assets less liabilities)	2019-05-31	$125,682
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-05-31	No
Were any leases to which the plan was party in default or uncollectible	2019-05-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2019-05-31	$83,691
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-05-31	No
Was there a failure to transmit to the plan any participant contributions	2019-05-31	No
Has the plan failed to provide any benefit when due under the plan	2019-05-31	No
Contributions received in cash from employer	2019-05-31	$122,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-05-31	$240,454
Did the plan have assets held for investment	2019-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-05-31	No
Opinion of an independent qualified public accountant for this plan	2019-05-31	Unqualified
Accountancy firm name	2019-05-31	BERTZ, HESS & CO., LLP
Accountancy firm EIN	2019-05-31	231709427
2018 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2018 401k financial data
Total income from all sources (including contributions)	2018-05-31	$944,867
Total of all expenses incurred	2018-05-31	$1,207,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-05-31	$1,207,707
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-05-31	$944,867
Value of total assets at end of year	2018-05-31	$125,682
Value of total assets at beginning of year	2018-05-31	$388,522
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-05-31	No
Was this plan covered by a fidelity bond	2018-05-31	Yes
Value of fidelity bond cover	2018-05-31	$625,000
If this is an individual account plan, was there a blackout period	2018-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-05-31	No
Contributions received from participants	2018-05-31	$283,431
Total non interest bearing cash at end of year	2018-05-31	$125,682
Total non interest bearing cash at beginning of year	2018-05-31	$388,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-05-31	No
Value of net income/loss	2018-05-31	$-262,840
Value of net assets at end of year (total assets less liabilities)	2018-05-31	$125,682
Value of net assets at beginning of year (total assets less liabilities)	2018-05-31	$388,522
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-05-31	No
Were any leases to which the plan was party in default or uncollectible	2018-05-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2018-05-31	$201,530
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-05-31	No
Was there a failure to transmit to the plan any participant contributions	2018-05-31	No
Has the plan failed to provide any benefit when due under the plan	2018-05-31	No
Contributions received in cash from employer	2018-05-31	$661,436
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-05-31	$1,006,177
Did the plan have assets held for investment	2018-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-05-31	No
Opinion of an independent qualified public accountant for this plan	2018-05-31	Disclaimer
Accountancy firm name	2018-05-31	BERTZ, HESS & CO., LLP
Accountancy firm EIN	2018-05-31	231709427
2017 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2017 401k financial data
Total income from all sources (including contributions)	2017-05-31	$1,538,287
Total of all expenses incurred	2017-05-31	$1,310,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-05-31	$1,304,669
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-05-31	$1,538,287
Value of total assets at end of year	2017-05-31	$388,522
Value of total assets at beginning of year	2017-05-31	$160,331
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-05-31	$5,427
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-05-31	No
Was this plan covered by a fidelity bond	2017-05-31	Yes
Value of fidelity bond cover	2017-05-31	$625,000
If this is an individual account plan, was there a blackout period	2017-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-05-31	No
Contributions received from participants	2017-05-31	$371,791
Administrative expenses (other) incurred	2017-05-31	$5,427
Total non interest bearing cash at end of year	2017-05-31	$388,522
Total non interest bearing cash at beginning of year	2017-05-31	$160,331
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-05-31	No
Value of net income/loss	2017-05-31	$228,191
Value of net assets at end of year (total assets less liabilities)	2017-05-31	$388,522
Value of net assets at beginning of year (total assets less liabilities)	2017-05-31	$160,331
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-05-31	No
Were any leases to which the plan was party in default or uncollectible	2017-05-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2017-05-31	$219,127
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-05-31	No
Was there a failure to transmit to the plan any participant contributions	2017-05-31	No
Has the plan failed to provide any benefit when due under the plan	2017-05-31	No
Contributions received in cash from employer	2017-05-31	$1,166,496
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-05-31	$1,085,542
Did the plan have assets held for investment	2017-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-05-31	No
Opinion of an independent qualified public accountant for this plan	2017-05-31	Unqualified
Accountancy firm name	2017-05-31	BERTZ, HESS & CO., LLP
Accountancy firm EIN	2017-05-31	231709427
2016 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2016 401k financial data
Total income from all sources (including contributions)	2016-05-31	$1,204,880
Total of all expenses incurred	2016-05-31	$1,496,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-05-31	$1,487,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-05-31	$1,204,880
Value of total assets at end of year	2016-05-31	$160,331
Value of total assets at beginning of year	2016-05-31	$451,649
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-05-31	$8,506
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-05-31	No
Was this plan covered by a fidelity bond	2016-05-31	Yes
Value of fidelity bond cover	2016-05-31	$625,000
If this is an individual account plan, was there a blackout period	2016-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-05-31	No
Contributions received from participants	2016-05-31	$391,022
Administrative expenses (other) incurred	2016-05-31	$8,506
Total non interest bearing cash at end of year	2016-05-31	$160,331
Total non interest bearing cash at beginning of year	2016-05-31	$451,649
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-05-31	No
Value of net income/loss	2016-05-31	$-291,318
Value of net assets at end of year (total assets less liabilities)	2016-05-31	$160,331
Value of net assets at beginning of year (total assets less liabilities)	2016-05-31	$451,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-05-31	No
Were any leases to which the plan was party in default or uncollectible	2016-05-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2016-05-31	$201,637
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-05-31	No
Was there a failure to transmit to the plan any participant contributions	2016-05-31	No
Has the plan failed to provide any benefit when due under the plan	2016-05-31	No
Contributions received in cash from employer	2016-05-31	$813,858
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-05-31	$1,286,055
Did the plan have assets held for investment	2016-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-05-31	No
Opinion of an independent qualified public accountant for this plan	2016-05-31	Unqualified
Accountancy firm name	2016-05-31	BERTZ, HESS & CO., LLP
Accountancy firm EIN	2016-05-31	231709427
2015 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2015 401k financial data
Total income from all sources (including contributions)	2015-05-31	$1,374,335
Total of all expenses incurred	2015-05-31	$1,144,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-05-31	$1,131,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-05-31	$1,374,335
Value of total assets at end of year	2015-05-31	$451,649
Value of total assets at beginning of year	2015-05-31	$221,695
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-05-31	$12,957
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-05-31	No
Was this plan covered by a fidelity bond	2015-05-31	Yes
Value of fidelity bond cover	2015-05-31	$625,000
If this is an individual account plan, was there a blackout period	2015-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-05-31	No
Contributions received from participants	2015-05-31	$390,103
Income. Received or receivable in cash from other sources (including rollovers)	2015-05-31	$33,397
Administrative expenses (other) incurred	2015-05-31	$12,957
Total non interest bearing cash at end of year	2015-05-31	$451,649
Total non interest bearing cash at beginning of year	2015-05-31	$221,695
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-05-31	No
Value of net income/loss	2015-05-31	$229,954
Value of net assets at end of year (total assets less liabilities)	2015-05-31	$451,649
Value of net assets at beginning of year (total assets less liabilities)	2015-05-31	$221,695
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-05-31	No
Were any leases to which the plan was party in default or uncollectible	2015-05-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2015-05-31	$191,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-05-31	No
Was there a failure to transmit to the plan any participant contributions	2015-05-31	No
Has the plan failed to provide any benefit when due under the plan	2015-05-31	No
Contributions received in cash from employer	2015-05-31	$950,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-05-31	$939,425
Did the plan have assets held for investment	2015-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-05-31	No
Opinion of an independent qualified public accountant for this plan	2015-05-31	Unqualified
Accountancy firm name	2015-05-31	BERTZ, HESS & CO., LLP
Accountancy firm EIN	2015-05-31	231709427
2014 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2014 401k financial data
Total income from all sources (including contributions)	2014-05-31	$1,884,047
Total of all expenses incurred	2014-05-31	$1,773,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-05-31	$1,773,079
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-05-31	$1,884,047
Value of total assets at end of year	2014-05-31	$221,695
Value of total assets at beginning of year	2014-05-31	$110,727
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-05-31	No
Was this plan covered by a fidelity bond	2014-05-31	Yes
Value of fidelity bond cover	2014-05-31	$625,000
If this is an individual account plan, was there a blackout period	2014-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-05-31	No
Contributions received from participants	2014-05-31	$382,509
Income. Received or receivable in cash from other sources (including rollovers)	2014-05-31	$181,262
Total non interest bearing cash at end of year	2014-05-31	$221,695
Total non interest bearing cash at beginning of year	2014-05-31	$110,727
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-05-31	No
Value of net income/loss	2014-05-31	$110,968
Value of net assets at end of year (total assets less liabilities)	2014-05-31	$221,695
Value of net assets at beginning of year (total assets less liabilities)	2014-05-31	$110,727
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-05-31	No
Were any leases to which the plan was party in default or uncollectible	2014-05-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2014-05-31	$235,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-05-31	No
Was there a failure to transmit to the plan any participant contributions	2014-05-31	No
Has the plan failed to provide any benefit when due under the plan	2014-05-31	No
Contributions received in cash from employer	2014-05-31	$1,320,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-05-31	$1,537,408
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-05-31	No
Did the plan have assets held for investment	2014-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-05-31	No
Opinion of an independent qualified public accountant for this plan	2014-05-31	Unqualified
Accountancy firm name	2014-05-31	BERTZ, HESS & CO. LLP
Accountancy firm EIN	2014-05-31	231709427
2013 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2013 401k financial data
Total income from all sources (including contributions)	2013-05-31	$1,406,667
Total of all expenses incurred	2013-05-31	$1,344,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-05-31	$1,344,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-05-31	$1,406,667
Value of total assets at end of year	2013-05-31	$110,727
Value of total assets at beginning of year	2013-05-31	$48,943
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-05-31	No
Was this plan covered by a fidelity bond	2013-05-31	Yes
Value of fidelity bond cover	2013-05-31	$625,000
If this is an individual account plan, was there a blackout period	2013-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-05-31	No
Contributions received from participants	2013-05-31	$451,159
Income. Received or receivable in cash from other sources (including rollovers)	2013-05-31	$31,608
Total non interest bearing cash at end of year	2013-05-31	$110,727
Total non interest bearing cash at beginning of year	2013-05-31	$48,943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-05-31	No
Value of net income/loss	2013-05-31	$61,784
Value of net assets at end of year (total assets less liabilities)	2013-05-31	$110,727
Value of net assets at beginning of year (total assets less liabilities)	2013-05-31	$48,943
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-05-31	No
Were any leases to which the plan was party in default or uncollectible	2013-05-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2013-05-31	$284,154
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-05-31	No
Was there a failure to transmit to the plan any participant contributions	2013-05-31	No
Has the plan failed to provide any benefit when due under the plan	2013-05-31	No
Contributions received in cash from employer	2013-05-31	$923,900
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-05-31	$1,060,729
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-05-31	No
Did the plan have assets held for investment	2013-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-05-31	No
Opinion of an independent qualified public accountant for this plan	2013-05-31	Unqualified
Accountancy firm name	2013-05-31	BERTZ, HESS, AND COMPANY
Accountancy firm EIN	2013-05-31	231709427
2012 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-05-31	$0
Total income from all sources (including contributions)	2012-05-31	$1,800,615
Total loss/gain on sale of assets	2012-05-31	$0
Total of all expenses incurred	2012-05-31	$1,873,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-05-31	$1,873,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-05-31	$1,800,615
Value of total assets at end of year	2012-05-31	$48,943
Value of total assets at beginning of year	2012-05-31	$121,675
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-05-31	$0
Total interest from all sources	2012-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-05-31	No
Was this plan covered by a fidelity bond	2012-05-31	Yes
Value of fidelity bond cover	2012-05-31	$625,000
Were there any nonexempt tranactions with any party-in-interest	2012-05-31	No
Contributions received from participants	2012-05-31	$473,395
Total non interest bearing cash at end of year	2012-05-31	$48,943
Total non interest bearing cash at beginning of year	2012-05-31	$121,675
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-05-31	No
Value of net income/loss	2012-05-31	$-72,732
Value of net assets at end of year (total assets less liabilities)	2012-05-31	$48,943
Value of net assets at beginning of year (total assets less liabilities)	2012-05-31	$121,675
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-05-31	No
Were any leases to which the plan was party in default or uncollectible	2012-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-05-31	$304,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-05-31	No
Was there a failure to transmit to the plan any participant contributions	2012-05-31	No
Has the plan failed to provide any benefit when due under the plan	2012-05-31	No
Assets. Invements in employer securities at end of year	2012-05-31	$0
Assets. Invements in employer securities at beginning of year	2012-05-31	$0
Contributions received in cash from employer	2012-05-31	$1,327,220
Employer contributions (assets) at end of year	2012-05-31	$0
Employer contributions (assets) at beginning of year	2012-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-05-31	$1,568,526
Did the plan have assets held for investment	2012-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-05-31	No
Opinion of an independent qualified public accountant for this plan	2012-05-31	Unqualified
Accountancy firm name	2012-05-31	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2012-05-31	410746749
2011 : THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-05-31	$0
Total income from all sources (including contributions)	2011-05-31	$1,722,995
Total loss/gain on sale of assets	2011-05-31	$-4,315
Total of all expenses incurred	2011-05-31	$1,780,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-05-31	$1,780,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-05-31	$1,724,547
Value of total assets at end of year	2011-05-31	$121,675
Value of total assets at beginning of year	2011-05-31	$178,928
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-05-31	$25
Total interest from all sources	2011-05-31	$2,763
Total dividends received (eg from common stock, registered investment company shares)	2011-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-05-31	No
Was this plan covered by a fidelity bond	2011-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-05-31	No
Contributions received from participants	2011-05-31	$438,593
Administrative expenses (other) incurred	2011-05-31	$25
Total non interest bearing cash at end of year	2011-05-31	$121,675
Total non interest bearing cash at beginning of year	2011-05-31	$178,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-05-31	No
Value of net income/loss	2011-05-31	$-57,253
Value of net assets at end of year (total assets less liabilities)	2011-05-31	$121,675
Value of net assets at beginning of year (total assets less liabilities)	2011-05-31	$178,928
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-05-31	No
Were any leases to which the plan was party in default or uncollectible	2011-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-05-31	$244
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-05-31	$2,763
Expenses. Payments to insurance carriers foe the provision of benefits	2011-05-31	$288,369
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-05-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-05-31	No
Has the plan failed to provide any benefit when due under the plan	2011-05-31	No
Assets. Invements in employer securities at end of year	2011-05-31	$0
Assets. Invements in employer securities at beginning of year	2011-05-31	$0
Contributions received in cash from employer	2011-05-31	$1,285,954
Employer contributions (assets) at end of year	2011-05-31	$0
Employer contributions (assets) at beginning of year	2011-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-05-31	$1,491,854
Did the plan have assets held for investment	2011-05-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-05-31	No
Aggregate proceeds on sale of assets	2011-05-31	$395,235
Aggregate carrying amount (costs) on sale of assets	2011-05-31	$399,550
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-05-31	No
Opinion of an independent qualified public accountant for this plan	2011-05-31	Unqualified
Accountancy firm name	2011-05-31	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2011-05-31	410746749

Form 5500 Responses for THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION

2018: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2018 form 5500 responses
2018-06-01	Type of plan entity	Single employer plan
2018-06-01	Plan funding arrangement – Insurance	Yes
2018-06-01	Plan funding arrangement – Trust	Yes
2018-06-01	Plan benefit arrangement – Insurance	Yes
2018-06-01	Plan benefit arrangement - Trust	Yes
2017: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan funding arrangement – Trust	Yes
2017-06-01	Plan benefit arrangement – Insurance	Yes
2017-06-01	Plan benefit arrangement - Trust	Yes
2016: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan funding arrangement – Trust	Yes
2016-06-01	Plan benefit arrangement – Insurance	Yes
2016-06-01	Plan benefit arrangement - Trust	Yes
2015: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan funding arrangement – Trust	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement - Trust	Yes
2014: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan funding arrangement – Trust	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement - Trust	Yes
2013: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan funding arrangement – Trust	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement - Trust	Yes
2012: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan funding arrangement – Trust	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement - Trust	Yes
2011: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan funding arrangement – Trust	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement - Trust	Yes
2010: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Submission has been amended	Yes
2010-06-01	This submission is the final filing	No
2010-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-06-01	Plan is a collectively bargained plan	No
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan funding arrangement – Trust	Yes
2010-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-06-01	Plan benefit arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement - Trust	Yes
2010-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: THE DAVID EDWARD COMPANY, LTD VOLUNTARY EMPLOYEE ASSOCIATION 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan funding arrangement – Trust	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AH9B

Policy instance

Insurance contract or identification number	G000AH9B
Number of Individuals Covered	150
Insurance policy start date	2017-09-01
Insurance policy end date	2018-09-01
Total amount of commissions paid to insurance broker	USD $1,038
Total amount of fees paid to insurance company	USD $390
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $10,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $754
Amount paid for insurance broker fees	306
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AH9B

Policy instance

Insurance contract or identification number	G000AH9B
Number of Individuals Covered	33
Insurance policy start date	2017-09-01
Insurance policy end date	2018-09-01
Total amount of commissions paid to insurance broker	USD $1,403
Total amount of fees paid to insurance company	USD $353
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,038
Amount paid for insurance broker fees	280
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AH9B

Policy instance

Insurance contract or identification number	G000AH9B
Number of Individuals Covered	164
Insurance policy start date	2016-09-01
Insurance policy end date	2017-09-01
Total amount of commissions paid to insurance broker	USD $778
Total amount of fees paid to insurance company	USD $419
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $7,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AH9B

Policy instance

Insurance contract or identification number	G000AH9B
Number of Individuals Covered	33
Insurance policy start date	2016-09-01
Insurance policy end date	2017-09-01
Total amount of commissions paid to insurance broker	USD $1,051
Total amount of fees paid to insurance company	USD $366
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AH9B

Policy instance

Insurance contract or identification number	G000AH9B
Number of Individuals Covered	191
Insurance policy start date	2014-09-01
Insurance policy end date	2015-09-01
Total amount of commissions paid to insurance broker	USD $840
Total amount of fees paid to insurance company	USD $443
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $8,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $840
Amount paid for insurance broker fees	443
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	RAFFA & ASSOC FINANCIAL SVCS INC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AH9B

Policy instance

Insurance contract or identification number	G000AH9B
Number of Individuals Covered	38
Insurance policy start date	2014-09-01
Insurance policy end date	2015-09-01
Total amount of commissions paid to insurance broker	USD $1,046
Total amount of fees paid to insurance company	USD $356
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,046
Amount paid for insurance broker fees	356
Additional information about fees paid to insurance broker	AGENT BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	RAFFA & ASSOC FINANCIAL SVCS INC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AH9B

Policy instance

Insurance contract or identification number	G000AH9B
Number of Individuals Covered	189
Insurance policy start date	2013-09-01
Insurance policy end date	2014-09-01
Total amount of commissions paid to insurance broker	USD $821
Total amount of fees paid to insurance company	USD $437
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $8,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $821
Amount paid for insurance broker fees	437
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	RAFFA & ASSOC FINANCIAL SVCS INC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000AH9B

Policy instance

Insurance contract or identification number	G000AH9B
Number of Individuals Covered	38
Insurance policy start date	2013-09-01
Insurance policy end date	2014-09-01
Total amount of commissions paid to insurance broker	USD $972
Total amount of fees paid to insurance company	USD $355
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $972
Amount paid for insurance broker fees	355
Additional information about fees paid to insurance broker	AGENT BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	RAFFA & ASSOC FINANCIAL SVCS INC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AH9B

Policy instance

Insurance contract or identification number	GLUG0AH9B
Number of Individuals Covered	204
Insurance policy start date	2012-09-01
Insurance policy end date	2013-09-01
Total amount of commissions paid to insurance broker	USD $887
Total amount of fees paid to insurance company	USD $250
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $8,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $887
Amount paid for insurance broker fees	250
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	RAFFA & ASSOC FINANCIAL SERVICES

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0AH9B

Policy instance

Insurance contract or identification number	GLTD0AH9B
Number of Individuals Covered	42
Insurance policy start date	2012-09-01
Insurance policy end date	2013-09-01
Total amount of commissions paid to insurance broker	USD $1,103
Total amount of fees paid to insurance company	USD $162
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,103
Amount paid for insurance broker fees	162
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	RAFFA & ASSOC FINANCIAL SERVICES

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AH9B

Policy instance

Insurance contract or identification number	GLUG0AH9B
Number of Individuals Covered	204
Insurance policy start date	2012-09-01
Insurance policy end date	2013-09-01
Total amount of commissions paid to insurance broker	USD $887
Total amount of fees paid to insurance company	USD $230
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $8,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $887
Amount paid for insurance broker fees	230
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	4
Insurance broker name	RAFFA & ASSOC FINANCIAL SERVICES

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0AH9B

Policy instance

Insurance contract or identification number	GLTD0AH9B
Number of Individuals Covered	42
Insurance policy start date	2012-09-01
Insurance policy end date	2013-09-01
Total amount of commissions paid to insurance broker	USD $1,103
Total amount of fees paid to insurance company	USD $162
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,103
Amount paid for insurance broker fees	162
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	4
Insurance broker name	RAFFA & ASSOC FINANCIAL SERVICES

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0AH9B

Policy instance

Insurance contract or identification number	GLTD0AH9B
Number of Individuals Covered	40
Insurance policy start date	2010-09-01
Insurance policy end date	2011-09-01
Total amount of commissions paid to insurance broker	USD $923
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $5,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AH9B

Policy instance

Insurance contract or identification number	GLUG0AH9B
Number of Individuals Covered	215
Insurance policy start date	2010-09-01
Insurance policy end date	2011-09-01
Total amount of commissions paid to insurance broker	USD $1,103
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $8,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

818200

Policy instance

Insurance contract or identification number	818200
Number of Individuals Covered	238
Insurance policy start date	2009-09-01
Insurance policy end date	2010-08-31
Total amount of commissions paid to insurance broker	USD $2,546
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $16,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	THE DAVID EDWARD COMPANY, LTD.
Employer identification number (EIN):	521367707
NAIC Classification:	337000