401k Plan data: CARBON DESIGN 401(K) PLAN plan

CARBON DESIGN 401(K) PLAN 401k Plan overview

Plan Name	CARBON DESIGN 401(K) PLAN
Plan identification number	001

CARBON DESIGN 401(K) PLAN Benefits

401k Plan Type

Defined 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.
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.
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

CARBON DESIGN SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: CARBON DESIGN SYSTEM, INC.

Employer identification number (EIN): 030439326

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARBON DESIGN 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 KRISTIN LARSON
001 2014-01-01 PETER DUMAS
001 2013-01-01 PETER DUMAS
001 2012-01-01 PETER W. DUMAS 2013-07-01 PETER W. DUMAS 2013-07-01
001 2011-01-01 PETER DUMAS 2012-04-23 PETER DUMAS 2012-04-23
001 2010-01-01 PETER W. DUMAS 2011-05-19 PETER W. DUMAS 2011-05-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	KRISTIN LARSON
001	2014-01-01	PETER DUMAS
001	2013-01-01	PETER DUMAS
001	2012-01-01	PETER W. DUMAS	2013-07-01	PETER W. DUMAS	2013-07-01
001	2011-01-01	PETER DUMAS	2012-04-23	PETER DUMAS	2012-04-23
001	2010-01-01	PETER W. DUMAS	2011-05-19	PETER W. DUMAS	2011-05-19

Plan Statistics for CARBON DESIGN 401(K) PLAN

401k plan membership statisitcs for CARBON DESIGN 401(K) PLAN

Measure Date Value
2015: CARBON DESIGN 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CARBON DESIGN 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 29
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 11
Total of all active and inactive participants 2014-01-01 40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 40
Number of participants with account balances 2014-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CARBON DESIGN 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 31
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 13
Total of all active and inactive participants 2013-01-01 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 44
Number of participants with account balances 2013-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2015: CARBON DESIGN 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CARBON DESIGN 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	29
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	11
Total of all active and inactive participants	2014-01-01	40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	40
Number of participants with account balances	2014-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CARBON DESIGN 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	31
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	13
Total of all active and inactive participants	2013-01-01	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	44
Number of participants with account balances	2013-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on CARBON DESIGN 401(K) PLAN

Measure	Date	Value
2015 : CARBON DESIGN 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-21	$0
Total plan liabilities at end of year	2015-12-21	$0
Total plan liabilities at beginning of year	2015-12-21	$0
Total income from all sources	2015-12-21	$231,777
Expenses. Total of all expenses incurred	2015-12-21	$2,861,787
Benefits paid (including direct rollovers)	2015-12-21	$2,861,706
Total plan assets at end of year	2015-12-21	$0
Total plan assets at beginning of year	2015-12-21	$2,630,010
Value of fidelity bond covering the plan	2015-12-21	$500,000
Total contributions received or receivable from participants	2015-12-21	$239,356
Expenses. Other expenses not covered elsewhere	2015-12-21	$0
Contributions received from other sources (not participants or employers)	2015-12-21	$0
Other income received	2015-12-21	$-7,579
Noncash contributions received	2015-12-21	$0
Net income (gross income less expenses)	2015-12-21	$-2,630,010
Net plan assets at end of year (total assets less liabilities)	2015-12-21	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-21	$2,630,010
Assets. Value of participant loans	2015-12-21	$0
Total contributions received or receivable from employer(s)	2015-12-21	$0
Value of certain deemed distributions of participant loans	2015-12-21	$0
Value of corrective distributions	2015-12-21	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-21	$81
2014 : CARBON DESIGN 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$446,156
Expenses. Total of all expenses incurred	2014-12-31	$225,643
Benefits paid (including direct rollovers)	2014-12-31	$210,003
Total plan assets at end of year	2014-12-31	$2,630,010
Total plan assets at beginning of year	2014-12-31	$2,409,497
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$302,473
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$143,683
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$220,513
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,630,010
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,409,497
Assets. Value of participant loans	2014-12-31	$6,563
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$15,484
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$156
2013 : CARBON DESIGN 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$664,940
Expenses. Total of all expenses incurred	2013-12-31	$133,521
Benefits paid (including direct rollovers)	2013-12-31	$128,627
Total plan assets at end of year	2013-12-31	$2,409,497
Total plan assets at beginning of year	2013-12-31	$1,878,078
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$268,800
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$396,140
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$531,419
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,409,497
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,878,078
Assets. Value of participant loans	2013-12-31	$3,282
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,894

Form 5500 Responses for CARBON DESIGN 401(K) PLAN

2015: CARBON DESIGN 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CARBON DESIGN 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CARBON DESIGN 401(K) 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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

985998-000

Policy instance

Insurance contract or identification number	985998-000
Number of Individuals Covered	0
Insurance policy start date	2013-01-01
Insurance policy end date	2013-04-30
Total amount of commissions paid to insurance broker	USD $2,127
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Commission paid to Insurance Broker	USD $2,127
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	CES INS AGENCY INC

Potentially related plans

CARBON DESIGN GROUP 401(K) PLAN [EIN = 911651881]

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Company Name:	CARBON DESIGN SYSTEM, INC.
Employer identification number (EIN):	030439326
NAIC Classification:	339900