401k Plan data: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN plan

MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	MILTON ACADEMY TAX DEFERRED ANNUITY PLAN
Plan identification number	003

MILTON ACADEMY TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations. Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

MILTON ACADEMY has sponsored the creation of one or more 401k plans.

Company Name: MILTON ACADEMY

Employer identification number (EIN): 042103603

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILTON ACADEMY TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2012-01-01 NICK MACKE
003 2011-01-01 NICK MACKE
003 2009-01-01 SUSAN ROWELL

Plan id#	Filing Submission Date	Name of Administrator
003	2012-01-01	NICK MACKE
003	2011-01-01	NICK MACKE
003	2009-01-01	SUSAN ROWELL

Plan Statistics for MILTON ACADEMY TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for MILTON ACADEMY TAX DEFERRED ANNUITY PLAN

Measure Date Value
2012: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
2011: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 375
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 305
Number of other retired or separated participants entitled to future benefits 2011-01-01 44
Total of all active and inactive participants 2011-01-01 349
Total participants 2011-01-01 349
Number of participants with account balances 2011-01-01 175
2009: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 220
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 210
Number of retired or separated participants receiving benefits 2009-01-01 9
Total of all active and inactive participants 2009-01-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 220
Number of participants with account balances 2009-01-01 193

Measure	Date	Value
2012: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
2011: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	375
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	305
Number of other retired or separated participants entitled to future benefits	2011-01-01	44
Total of all active and inactive participants	2011-01-01	349
Total participants	2011-01-01	349
Number of participants with account balances	2011-01-01	175
2009: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	220
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	210
Number of retired or separated participants receiving benefits	2009-01-01	9
Total of all active and inactive participants	2009-01-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	220
Number of participants with account balances	2009-01-01	193

Financial Data on MILTON ACADEMY TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2012 : MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total transfer of assets from this plan	2012-11-01	$8,125,115
Total income from all sources (including contributions)	2012-11-01	$997,255
Total of all expenses incurred	2012-11-01	$362,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-11-01	$361,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-11-01	$332,454
Value of total assets at end of year	2012-11-01	$0
Value of total assets at beginning of year	2012-11-01	$7,490,582
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-11-01	$811
Total interest from all sources	2012-11-01	$69,311
Total dividends received (eg from common stock, registered investment company shares)	2012-11-01	$20,514
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-11-01	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-11-01	$0
Total dividends received from registered investment company shares (eg mutual funds)	2012-11-01	$20,514
Was this plan covered by a fidelity bond	2012-11-01	Yes
Value of fidelity bond cover	2012-11-01	$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-11-01	$0
Were there any nonexempt tranactions with any party-in-interest	2012-11-01	No
Contributions received from participants	2012-11-01	$314,534
Income. Received or receivable in cash from other sources (including rollovers)	2012-11-01	$17,920
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-11-01	No
Value of net income/loss	2012-11-01	$634,533
Value of net assets at end of year (total assets less liabilities)	2012-11-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-11-01	$7,490,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-11-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-11-01	No
Were any leases to which the plan was party in default or uncollectible	2012-11-01	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-11-01	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-11-01	$4,847,406
Value of interest in pooled separate accounts at end of year	2012-11-01	$0
Value of interest in pooled separate accounts at beginning of year	2012-11-01	$241,292
Interest earned on other investments	2012-11-01	$69,311
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-11-01	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-11-01	$2,401,884
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-11-01	$553,466
Net investment gain/loss from pooled separate accounts	2012-11-01	$21,510
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-11-01	No
Was there a failure to transmit to the plan any participant contributions	2012-11-01	No
Has the plan failed to provide any benefit when due under the plan	2012-11-01	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-11-01	$361,911
Contract administrator fees	2012-11-01	$811
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	2012-11-01	No
Did the plan have assets held for investment	2012-11-01	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	2012-11-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-11-01	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-11-01	Yes
Opinion of an independent qualified public accountant for this plan	2012-11-01	Disclaimer
Accountancy firm name	2012-11-01	CARON & BLETZER, PLLC
Accountancy firm EIN	2012-11-01	043499945
2011 : MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$443,426
Total of all expenses incurred	2011-12-31	$595,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$594,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$470,702
Value of total assets at end of year	2011-12-31	$7,490,582
Value of total assets at beginning of year	2011-12-31	$7,642,853
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$840
Total interest from all sources	2011-12-31	$77,040
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$46,561
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$46,561
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$440,919
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$29,783
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-152,271
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,490,582
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,642,853
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,847,406
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$5,156,079
Value of interest in pooled separate accounts at end of year	2011-12-31	$241,292
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$197,192
Interest earned on other investments	2011-12-31	$77,040
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$2,401,884
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$2,289,582
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-177,946
Net investment gain/loss from pooled separate accounts	2011-12-31	$27,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$594,857
Contract administrator fees	2011-12-31	$840
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	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2011-12-31	043499945
2010 : MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$1,175,759
Total of all expenses incurred	2010-12-31	$669,851
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$668,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$428,877
Value of total assets at end of year	2010-12-31	$7,642,853
Value of total assets at beginning of year	2010-12-31	$7,136,945
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$882
Total interest from all sources	2010-12-31	$76,159
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$15,288
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$15,288
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$428,826
Participant contributions at beginning of year	2010-12-31	$2,190
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$51
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$505,908
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$7,642,853
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,136,945
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$5,156,079
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,735,020
Value of interest in pooled separate accounts at end of year	2010-12-31	$197,192
Interest earned on other investments	2010-12-31	$76,159
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$21,926
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$21,926
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$2,289,582
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,377,809
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$633,024
Net investment gain/loss from pooled separate accounts	2010-12-31	$22,411
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$668,969
Contract administrator fees	2010-12-31	$882
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	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2010-12-31	043499945
2009 : MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MILTON ACADEMY TAX DEFERRED ANNUITY PLAN

2012: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MILTON ACADEMY TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MILTON ACADEMY
Employer identification number (EIN):	042103603
NAIC Classification:	611000