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MID STATES SUPPLY, INC. 401(K) PLAN 401k Plan overview

Plan NameMID STATES SUPPLY, INC. 401(K) PLAN
Plan identification number 001

MID STATES SUPPLY, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SSC MID STATE SUPPLY, INC. has sponsored the creation of one or more 401k plans.

Company Name:SSC MID STATE SUPPLY, INC.
Employer identification number (EIN):811718099
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID STATES SUPPLY, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-04-01
0012021-04-01
0012020-04-01
0012019-04-01
0012018-04-01
0012017-04-01
0012016-04-01

Plan Statistics for MID STATES SUPPLY, INC. 401(K) PLAN

401k plan membership statisitcs for MID STATES SUPPLY, INC. 401(K) PLAN

Measure Date Value
2017: MID STATES SUPPLY, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01122
Total number of active participants reported on line 7a of the Form 55002017-04-0158
Number of retired or separated participants receiving benefits2017-04-0110
Number of other retired or separated participants entitled to future benefits2017-04-0129
Total of all active and inactive participants2017-04-0197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-0197
Number of participants with account balances2017-04-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-04-010
2016: MID STATES SUPPLY, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01206
Total number of active participants reported on line 7a of the Form 55002016-04-0175
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-0147
Total of all active and inactive participants2016-04-01122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-01122
Number of participants with account balances2016-04-0180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010

Financial Data on MID STATES SUPPLY, INC. 401(K) PLAN

Measure Date Value
2018 : MID STATES SUPPLY, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$11,043
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$0
Total income from all sources (including contributions)2018-03-31$244,471
Total loss/gain on sale of assets2018-03-31$0
Total of all expenses incurred2018-03-31$103,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-03-31$84,372
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-03-31$157,102
Value of total assets at end of year2018-03-31$900,851
Value of total assets at beginning of year2018-03-31$748,901
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-03-31$19,192
Total interest from all sources2018-03-31$2,552
Total dividends received (eg from common stock, registered investment company shares)2018-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-03-31No
Was this plan covered by a fidelity bond2018-03-31Yes
Value of fidelity bond cover2018-03-31$1,000,000
If this is an individual account plan, was there a blackout period2018-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-03-31$0
Were there any nonexempt tranactions with any party-in-interest2018-03-31No
Contributions received from participants2018-03-31$112,414
Participant contributions at end of year2018-03-31$4,988
Participant contributions at beginning of year2018-03-31$4,008
Income. Received or receivable in cash from other sources (including rollovers)2018-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-03-31$133
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-03-31$0
Assets. Loans (other than to participants) at end of year2018-03-31$68,135
Assets. Loans (other than to participants) at beginning of year2018-03-31$26,866
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-03-31$11,043
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-03-31$0
Total non interest bearing cash at end of year2018-03-31$0
Total non interest bearing cash at beginning of year2018-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Income. Non cash contributions2018-03-31$0
Value of net income/loss2018-03-31$140,907
Value of net assets at end of year (total assets less liabilities)2018-03-31$889,808
Value of net assets at beginning of year (total assets less liabilities)2018-03-31$748,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-03-31No
Were any leases to which the plan was party in default or uncollectible2018-03-31No
Investment advisory and management fees2018-03-31$19,192
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-03-31$821,630
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-03-31$713,824
Interest on participant loans2018-03-31$2,552
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-03-31$5,045
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-03-31$2,618
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-03-31$84,817
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-03-31No
Was there a failure to transmit to the plan any participant contributions2018-03-31Yes
Has the plan failed to provide any benefit when due under the plan2018-03-31No
Contributions received in cash from employer2018-03-31$44,688
Employer contributions (assets) at end of year2018-03-31$920
Employer contributions (assets) at beginning of year2018-03-31$1,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-03-31$84,372
Did the plan have assets held for investment2018-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-03-31Yes
Opinion of an independent qualified public accountant for this plan2018-03-31Disclaimer
Accountancy firm name2018-03-31BKD, LLP
Accountancy firm EIN2018-03-31440160260
2017 : MID STATES SUPPLY, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-03-31$0
Total transfer of assets to this plan2017-03-31$0
Total transfer of assets from this plan2017-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Expenses. Interest paid2017-03-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-03-31$0
Total income from all sources (including contributions)2017-03-31$1,271,882
Total loss/gain on sale of assets2017-03-31$0
Total of all expenses incurred2017-03-31$522,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$493,735
Expenses. Certain deemed distributions of participant loans2017-03-31$0
Value of total corrective distributions2017-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$1,230,641
Value of total assets at end of year2017-03-31$748,901
Value of total assets at beginning of year2017-03-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$29,246
Total interest from all sources2017-03-31$923
Total dividends received (eg from common stock, registered investment company shares)2017-03-31$18,704
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-03-31$18,704
Administrative expenses professional fees incurred2017-03-31$29,246
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$1,000,000
If this is an individual account plan, was there a blackout period2017-03-31No
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Contributions received from participants2017-03-31$131,194
Participant contributions at end of year2017-03-31$4,008
Participant contributions at beginning of year2017-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-03-31$1,041,405
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-03-31$0
Assets. Loans (other than to participants) at end of year2017-03-31$26,866
Assets. Loans (other than to participants) at beginning of year2017-03-31$0
Administrative expenses (other) incurred2017-03-31$0
Total non interest bearing cash at end of year2017-03-31$0
Total non interest bearing cash at beginning of year2017-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Income. Non cash contributions2017-03-31$0
Value of net income/loss2017-03-31$748,901
Value of net assets at end of year (total assets less liabilities)2017-03-31$748,901
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Investment advisory and management fees2017-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-03-31$713,824
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-03-31$0
Interest on participant loans2017-03-31$923
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-03-31$2,618
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-03-31$21,614
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31No
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Contributions received in cash from employer2017-03-31$58,042
Employer contributions (assets) at end of year2017-03-31$1,585
Employer contributions (assets) at beginning of year2017-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-03-31$493,735
Contract administrator fees2017-03-31$0
Did the plan have assets held for investment2017-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31Yes
Opinion of an independent qualified public accountant for this plan2017-03-31Disclaimer
Accountancy firm name2017-03-31BKD, LLP
Accountancy firm EIN2017-03-31440160260

Form 5500 Responses for MID STATES SUPPLY, INC. 401(K) PLAN

2017: MID STATES SUPPLY, INC. 401(K) PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement - TrustYes
2016: MID STATES SUPPLY, INC. 401(K) PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01First time form 5500 has been submittedYes
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-JFOI
Policy instance 1
Insurance contract or identification numberGAP-CP-JFOI
Number of Individuals Covered78
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameCHRISTA JO KREINEST

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