401k Plan data: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN plan

THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN
Plan identification number	002

THOMAS E. HAYS INSURANCE 401K 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.

401k Sponsoring company profile

THOMAS E. HAYS INSURANCE has sponsored the creation of one or more 401k plans.

Company Name: THOMAS E. HAYS INSURANCE

Employer identification number (EIN): 953477729

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 GARY CONKEY 2017-04-25 GARY CONKEY 2017-04-25
002 2015-01-01 GARY CONKEY 2016-04-14 GARY CONKEY 2016-04-14
002 2014-01-01 GARY CONKEY 2015-04-14 GARY CONKEY 2015-04-14
002 2013-01-01 GARY CONKEY 2014-05-13 GARY CONKEY 2014-05-13
002 2012-01-01 GARY CONKEY GARY CONKEY 2013-08-01
002 2011-01-01 THOMAS E. HAYS THOMAS E. HAYS 2012-05-08
002 2009-01-01 THOMAS E. HAYS THOMAS E. HAYS 2010-09-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	GARY CONKEY	2017-04-25	GARY CONKEY	2017-04-25
002	2015-01-01	GARY CONKEY	2016-04-14	GARY CONKEY	2016-04-14
002	2014-01-01	GARY CONKEY	2015-04-14	GARY CONKEY	2015-04-14
002	2013-01-01	GARY CONKEY	2014-05-13	GARY CONKEY	2014-05-13
002	2012-01-01	GARY CONKEY		GARY CONKEY	2013-08-01
002	2011-01-01	THOMAS E. HAYS		THOMAS E. HAYS	2012-05-08
002	2009-01-01	THOMAS E. HAYS		THOMAS E. HAYS	2010-09-21

Plan Statistics for THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN

401k plan membership statisitcs for THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN

Measure Date Value
2012: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
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 0
Total of all active and inactive participants 2012-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
Number of retired or separated participants receiving benefits 2009-01-01 0
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 7
Number of participants with account balances 2009-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
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	0
Total of all active and inactive participants	2012-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
Number of retired or separated participants receiving benefits	2009-01-01	0
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	7
Number of participants with account balances	2009-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN

Measure	Date	Value
2012 : THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$17,815
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$256,529
Total plan assets at beginning of year	2012-12-31	$238,714
Value of fidelity bond covering the plan	2012-12-31	$1,000,000
Total contributions received or receivable from participants	2012-12-31	$4,560
Other income received	2012-12-31	$10,855
Net income (gross income less expenses)	2012-12-31	$17,815
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$256,529
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$238,714
Total contributions received or receivable from employer(s)	2012-12-31	$2,400
2011 : THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$14,000
Expenses. Total of all expenses incurred	2011-12-31	$22,101
Benefits paid (including direct rollovers)	2011-12-31	$22,101
Total plan assets at end of year	2011-12-31	$238,714
Total plan assets at beginning of year	2011-12-31	$246,815
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$4,800
Other income received	2011-12-31	$6,800
Net income (gross income less expenses)	2011-12-31	$-8,101
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$238,714
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$246,815
Total contributions received or receivable from employer(s)	2011-12-31	$2,400
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN

2012: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: THOMAS E. HAYS INSURANCE 401K PROFIT SHARING 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	THOMAS E. HAYS INSURANCE
Employer identification number (EIN):	953477729
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages