401k Plan data: GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN plan

GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN
Plan identification number	001

GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

GREAT WESTERN INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: GREAT WESTERN INSURANCE COMPANY

Employer identification number (EIN): 870395954

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 MEDHA JOHNSON
001 2017-01-01 PEYTON BROWN
001 2016-01-01 PEYTON BROWN 2017-10-16 PEYTON BROWN 2017-10-16
001 2015-01-01 PEYTON BROWN 2016-10-14 PEYTON BROWN 2016-10-14
001 2014-01-01 LANCE JENSEN 2015-10-15 LANCE JENSEN 2015-10-15
001 2013-01-01 LANCE JENSEN 2014-09-05 LANCE JENSE 2014-09-05
001 2012-01-01 DUSTIN HIRSCHI 2013-09-25 DUSTIN HIRSCHI 2013-09-25
001 2011-01-01 JOHN E. LINDQUIST 2012-07-30 JOHN E. LINDQUIST 2012-07-30
001 2010-01-01 JOHN E. LINDQUIST 2011-06-23 JOHN E. LINDQUIST 2011-06-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01	MEDHA JOHNSON
001	2017-01-01	PEYTON BROWN
001	2016-01-01	PEYTON BROWN	2017-10-16	PEYTON BROWN	2017-10-16
001	2015-01-01	PEYTON BROWN	2016-10-14	PEYTON BROWN	2016-10-14
001	2014-01-01	LANCE JENSEN	2015-10-15	LANCE JENSEN	2015-10-15
001	2013-01-01	LANCE JENSEN	2014-09-05	LANCE JENSE	2014-09-05
001	2012-01-01	DUSTIN HIRSCHI	2013-09-25	DUSTIN HIRSCHI	2013-09-25
001	2011-01-01	JOHN E. LINDQUIST	2012-07-30	JOHN E. LINDQUIST	2012-07-30
001	2010-01-01	JOHN E. LINDQUIST	2011-06-23	JOHN E. LINDQUIST	2011-06-23

Plan Statistics for GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Number of participants with account balances 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 108
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 59
Total of all active and inactive participants 2017-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 167
Number of participants with account balances 2017-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 23

Measure	Date	Value
2018: GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Number of participants with account balances	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	108
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	59
Total of all active and inactive participants	2017-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	167
Number of participants with account balances	2017-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	23

Financial Data on GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2018 : GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-09-10	$0
Total transfer of assets from this plan	2018-09-10	$10,431,597
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-10	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-10	$0
Total income from all sources (including contributions)	2018-09-10	$884,602
Total loss/gain on sale of assets	2018-09-10	$0
Total of all expenses incurred	2018-09-10	$947,204
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-09-10	$921,789
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-09-10	$535,260
Value of total assets at end of year	2018-09-10	$0
Value of total assets at beginning of year	2018-09-10	$10,494,199
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-09-10	$25,415
Total interest from all sources	2018-09-10	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-09-10	$3,443
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-09-10	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-09-10	$0
Total dividends received from registered investment company shares (eg mutual funds)	2018-09-10	$3,443
Was this plan covered by a fidelity bond	2018-09-10	Yes
Value of fidelity bond cover	2018-09-10	$1,000,000
If this is an individual account plan, was there a blackout period	2018-09-10	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-09-10	$0
Were there any nonexempt tranactions with any party-in-interest	2018-09-10	No
Contributions received from participants	2018-09-10	$110,445
Income. Received or receivable in cash from other sources (including rollovers)	2018-09-10	$911
Administrative expenses (other) incurred	2018-09-10	$25,415
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-09-10	No
Value of net income/loss	2018-09-10	$-62,602
Value of net assets at end of year (total assets less liabilities)	2018-09-10	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-09-10	$10,494,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-09-10	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-09-10	No
Were any leases to which the plan was party in default or uncollectible	2018-09-10	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-09-10	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-09-10	$7,783,816
Value of interest in common/collective trusts at end of year	2018-09-10	$0
Value of interest in common/collective trusts at beginning of year	2018-09-10	$2,710,383
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-09-10	$255,585
Net investment gain or loss from common/collective trusts	2018-09-10	$90,314
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-09-10	No
Was there a failure to transmit to the plan any participant contributions	2018-09-10	Yes
Has the plan failed to provide any benefit when due under the plan	2018-09-10	No
Contributions received in cash from employer	2018-09-10	$423,904
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-09-10	$921,789
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	2018-09-10	Yes
Did the plan have assets held for investment	2018-09-10	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	2018-09-10	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-09-10	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-09-10	Yes
Opinion of an independent qualified public accountant for this plan	2018-09-10	Disclaimer
Accountancy firm name	2018-09-10	LWBJ
Accountancy firm EIN	2018-09-10	421462849
2017 : GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,595,653
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,129,518
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,090,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$927,324
Value of total assets at end of year	2017-12-31	$10,494,199
Value of total assets at beginning of year	2017-12-31	$9,028,064
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$38,725
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$123,493
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$123,493
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$313,009
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$1,623
Other income not declared elsewhere	2017-12-31	$41
Administrative expenses (other) incurred	2017-12-31	$38,725
Total non interest bearing cash at beginning of year	2017-12-31	$-424
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,466,135
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$10,494,199
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$9,028,064
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$7,783,816
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$5,967,599
Value of interest in common/collective trusts at end of year	2017-12-31	$2,710,383
Value of interest in common/collective trusts at beginning of year	2017-12-31	$3,060,889
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,198,220
Net investment gain or loss from common/collective trusts	2017-12-31	$346,575
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$612,692
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,090,793
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	LWBJ
Accountancy firm EIN	2017-12-31	421462849

Form 5500 Responses for GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN

2018: GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: GREAT WESTERN INSURANCE COMPANY 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GREAT WESTERN INSURANCE COMPANY
Employer identification number (EIN):	870395954
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages