401k Plan data: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN plan

TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN
Plan identification number	002

TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN Benefits

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

401k Sponsoring company profile

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

Company Name: TRINITY SCHOOL, INC.

Employer identification number (EIN): 581197585

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01
002 2012-01-01 KENNETH W BOMAR
002 2011-01-01 KENNETH W BOMAR
002 2010-01-01 KENNETH W BOMAR
002 2009-01-01 KENNETH W BOMAR

Plan Statistics for TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN

Measure Date Value
2012: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 85
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 65
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 26
Total of all active and inactive participants 2012-01-01 91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 91
Number of participants with account balances 2012-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 83
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 59
Number of other retired or separated participants entitled to future benefits 2011-01-01 26
Total of all active and inactive participants 2011-01-01 85
Total participants 2011-01-01 85
Number of participants with account balances 2011-01-01 63
2010: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 79
Number of other retired or separated participants entitled to future benefits 2010-01-01 4
Total of all active and inactive participants 2010-01-01 83
Total participants 2010-01-01 83
Number of participants with account balances 2010-01-01 62
2009: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 131
Number of other retired or separated participants entitled to future benefits 2009-01-01 7
Total of all active and inactive participants 2009-01-01 138
Total participants 2009-01-01 138
Number of participants with account balances 2009-01-01 35

Measure	Date	Value
2012: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	85
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	65
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	26
Total of all active and inactive participants	2012-01-01	91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	91
Number of participants with account balances	2012-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	83
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	59
Number of other retired or separated participants entitled to future benefits	2011-01-01	26
Total of all active and inactive participants	2011-01-01	85
Total participants	2011-01-01	85
Number of participants with account balances	2011-01-01	63
2010: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	79
Number of other retired or separated participants entitled to future benefits	2010-01-01	4
Total of all active and inactive participants	2010-01-01	83
Total participants	2010-01-01	83
Number of participants with account balances	2010-01-01	62
2009: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	131
Number of other retired or separated participants entitled to future benefits	2009-01-01	7
Total of all active and inactive participants	2009-01-01	138
Total participants	2009-01-01	138
Number of participants with account balances	2009-01-01	35

Financial Data on TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2012 : TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$16,513
Total unrealized appreciation/depreciation of assets	2012-12-31	$16,513
Total income from all sources (including contributions)	2012-12-31	$433,109
Total loss/gain on sale of assets	2012-12-31	$299
Total of all expenses incurred	2012-12-31	$291,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$291,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$168,670
Value of total assets at end of year	2012-12-31	$2,505,775
Value of total assets at beginning of year	2012-12-31	$2,364,087
Total interest from all sources	2012-12-31	$1,841
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$167,092
Participant contributions at end of year	2012-12-31	$12,706
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$1,578
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$141,688
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,505,775
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,364,087
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,760,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,699,744
Value of interest in pooled separate accounts at end of year	2012-12-31	$130,363
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$113,378
Interest earned on other investments	2012-12-31	$1,841
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$601,975
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$550,965
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$234,164
Net investment gain/loss from pooled separate accounts	2012-12-31	$11,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$291,421
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	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$299
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	WINDHAM BRANNON, P.C.
Accountancy firm EIN	2012-12-31	581763439
2011 : TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-25,894
Total unrealized appreciation/depreciation of assets	2011-12-31	$-25,894
Total income from all sources (including contributions)	2011-12-31	$325,808
Total loss/gain on sale of assets	2011-12-31	$11,954
Total of all expenses incurred	2011-12-31	$163,650
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$163,650
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$326,018
Value of total assets at end of year	2011-12-31	$2,364,087
Value of total assets at beginning of year	2011-12-31	$2,201,929
Total interest from all sources	2011-12-31	$1,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$175,975
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$150,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$162,158
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,364,087
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,201,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$113,378
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$87,838
Interest earned on other investments	2011-12-31	$1,646
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$2,250,709
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$2,114,091
Net investment gain/loss from pooled separate accounts	2011-12-31	$12,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$163,650
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	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$11,954
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	WINDHAM BRANNON, P.C.
Accountancy firm EIN	2011-12-31	581763439
2010 : TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$212,438
Total unrealized appreciation/depreciation of assets	2010-12-31	$212,438
Total income from all sources (including contributions)	2010-12-31	$388,048
Total loss/gain on sale of assets	2010-12-31	$-3,630
Total of all expenses incurred	2010-12-31	$388,078
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$388,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$171,062
Value of total assets at end of year	2010-12-31	$2,201,929
Value of total assets at beginning of year	2010-12-31	$2,201,959
Total interest from all sources	2010-12-31	$688
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$250,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$171,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-30
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,201,929
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,201,959
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$87,838
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$42,064
Interest earned on other investments	2010-12-31	$688
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$2,114,091
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,159,895
Net investment gain/loss from pooled separate accounts	2010-12-31	$7,490
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$388,078
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	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$3,630
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	WINDHAM BRANNON, P.C.
Accountancy firm EIN	2010-12-31	581763439

Form 5500 Responses for TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN

2012: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: TRINITY SCHOOL TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

314324

Policy instance

Insurance contract or identification number	314324
Number of Individuals Covered	68
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

314324

Policy instance

Insurance contract or identification number	314324
Number of Individuals Covered	63
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

314324

Policy instance

Insurance contract or identification number	314324
Number of Individuals Covered	62
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	TRINITY SCHOOL, INC.
Employer identification number (EIN):	581197585
NAIC Classification:	611000

Plan id#	Filing Submission Date	Name of Administrator
002	2013-01-01
002	2012-01-01	KENNETH W BOMAR
002	2011-01-01	KENNETH W BOMAR
002	2010-01-01	KENNETH W BOMAR
002	2009-01-01	KENNETH W BOMAR