401k Plan data: S. D. DEACON FLEXIBLE BENEFIT PLAN plan

S. D. DEACON FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan Name	S. D. DEACON FLEXIBLE BENEFIT PLAN
Plan identification number	501

S. D. DEACON FLEXIBLE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Supplemental unemployment Dental Vision Temporary disability (accident and sickness) Long-term disability cover Apprenticeship and training Scholarship (funded) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

DEACON HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: DEACON HOLDINGS, INC.

Employer identification number (EIN): 943321764

NAIC Classification: 236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan S. D. DEACON FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 RICHARD G. SMITH RICHARD G. SMITH 2014-06-20
501 2012-01-01 RICHARD G. SMITH RICHARD G. SMITH 2013-07-29
501 2011-01-01 RICHARD G. SMITH RICHARD G. SMITH 2012-09-19
501 2010-01-01 RICHARD G. SMITH RICHARD G. SMITH 2011-07-26
501 2009-01-01 RICHARD G. SMITH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	RICHARD G. SMITH	RICHARD G. SMITH	2014-06-20
501	2012-01-01	RICHARD G. SMITH	RICHARD G. SMITH	2013-07-29
501	2011-01-01	RICHARD G. SMITH	RICHARD G. SMITH	2012-09-19
501	2010-01-01	RICHARD G. SMITH	RICHARD G. SMITH	2011-07-26
501	2009-01-01	RICHARD G. SMITH

Plan Statistics for S. D. DEACON FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for S. D. DEACON FLEXIBLE BENEFIT PLAN

Measure Date Value
2013: S. D. DEACON FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 161
Total of all active and inactive participants 2013-01-01 161
2012: S. D. DEACON FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 158
Total of all active and inactive participants 2012-01-01 158
2011: S. D. DEACON FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 124
Total of all active and inactive participants 2011-01-01 124
2010: S. D. DEACON FLEXIBLE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 141
Total of all active and inactive participants 2010-01-01 141
2009: S. D. DEACON FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 240
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 159
Number of retired or separated participants receiving benefits 2009-01-01 8
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 167

Measure	Date	Value
2013: S. D. DEACON FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	161
Total of all active and inactive participants	2013-01-01	161
2012: S. D. DEACON FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	158
Total of all active and inactive participants	2012-01-01	158
2011: S. D. DEACON FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	124
Total of all active and inactive participants	2011-01-01	124
2010: S. D. DEACON FLEXIBLE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	141
Total of all active and inactive participants	2010-01-01	141
2009: S. D. DEACON FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	240
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	159
Number of retired or separated participants receiving benefits	2009-01-01	8
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	167

Form 5500 Responses for S. D. DEACON FLEXIBLE BENEFIT PLAN

2013: S. D. DEACON FLEXIBLE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: S. D. DEACON FLEXIBLE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: S. D. DEACON FLEXIBLE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Multi-employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: S. D. DEACON FLEXIBLE BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Multi-employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: S. D. DEACON FLEXIBLE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	DEACON HOLDINGS, INC.
Employer identification number (EIN):	943321764
NAIC Classification:	236200