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FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 401k Plan overview

Plan NameFOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST
Plan identification number 001

FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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

FOURSOME INC. has sponsored the creation of one or more 401k plans.

Company Name:FOURSOME INC.
Employer identification number (EIN):043221730
NAIC Classification:424800

Additional information about FOURSOME INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 2005-12-06
Company Identification Number: 602562488
Legal Registered Office Address: 23416 HWY 99 STE B

EDMONDS
United States of America (USA)
98026

More information about FOURSOME INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01NANCY EBERHARDT2020-10-28 PATRICK HIGGINS2020-10-28
0012019-01-01NANCY EBERHARDT2020-07-23 PATRICK HIGGINS2020-07-23
0012018-01-01NANCY EBERHARDT2019-06-18 PATRICK HIGGINS2019-06-20
0012017-01-01NANCY EBERHARDT2018-07-16 PATRICK HIGGINS2018-07-16
0012016-01-01NANCY EBERHARDT2017-05-02 PATRICK HIGGINS2017-05-02
0012015-01-01PATRICK HIGGINS2016-07-22 PATRICK HIGGINS2016-07-22
0012014-01-01NANCY EBERHARDT2015-07-23 PATRICK HIGGINS2015-07-23
0012013-01-01PATRICK HIGGINS2014-07-08 PATRICK HIGGINS2014-07-08
0012012-01-01NANCY EBERHARDT PATRICK J HIGGINS2013-07-03
0012011-01-01PATRICK HIGGINS
0012010-01-01PATRICK J HIGGINS
0012009-01-01PATRICK HIGGINS

Plan Statistics for FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST

401k plan membership statisitcs for FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST

Measure Date Value
2012: FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0151
Total number of active participants reported on line 7a of the Form 55002012-01-0142
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-017
Total of all active and inactive participants2012-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0149
Number of participants with account balances2012-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0150
Total number of active participants reported on line 7a of the Form 55002011-01-0141
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0110
Total of all active and inactive participants2011-01-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0151
Number of participants with account balances2011-01-0151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-0153
Total number of active participants reported on line 7a of the Form 55002010-01-0144
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0112
Total of all active and inactive participants2010-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0156
Number of participants with account balances2010-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0156
Total number of active participants reported on line 7a of the Form 55002009-01-0142
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0114
Total of all active and inactive participants2009-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0156
Number of participants with account balances2009-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST

Measure Date Value
2012 : FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$1,112,289
Expenses. Total of all expenses incurred2012-12-31$313,652
Benefits paid (including direct rollovers)2012-12-31$312,508
Total plan assets at end of year2012-12-31$7,660,529
Total plan assets at beginning of year2012-12-31$6,861,892
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$189,421
Expenses. Other expenses not covered elsewhere2012-12-31$1,144
Other income received2012-12-31$673,395
Net income (gross income less expenses)2012-12-31$798,637
Net plan assets at end of year (total assets less liabilities)2012-12-31$7,660,529
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$6,861,892
Assets. Value of participant loans2012-12-31$314,068
Total contributions received or receivable from employer(s)2012-12-31$249,473
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$196,158
Expenses. Total of all expenses incurred2011-12-31$120,372
Benefits paid (including direct rollovers)2011-12-31$119,150
Total plan assets at end of year2011-12-31$6,861,893
Total plan assets at beginning of year2011-12-31$6,786,107
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$181,648
Expenses. Other expenses not covered elsewhere2011-12-31$1,222
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-258,407
Net income (gross income less expenses)2011-12-31$75,786
Net plan assets at end of year (total assets less liabilities)2011-12-31$6,861,893
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$6,786,107
Assets. Value of participant loans2011-12-31$327,676
Total contributions received or receivable from employer(s)2011-12-31$272,917
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$1,952,236
Expenses. Total of all expenses incurred2010-12-31$1,638,273
Benefits paid (including direct rollovers)2010-12-31$1,637,201
Total plan assets at end of year2010-12-31$6,786,107
Total plan assets at beginning of year2010-12-31$6,472,144
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$183,633
Expenses. Other expenses not covered elsewhere2010-12-31$1,072
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$1,495,624
Net income (gross income less expenses)2010-12-31$313,963
Net plan assets at end of year (total assets less liabilities)2010-12-31$6,786,107
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$6,472,144
Assets. Value of participant loans2010-12-31$260,858
Total contributions received or receivable from employer(s)2010-12-31$272,979
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST

2012: FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: FOURSOME INC. SAVINGS AND RETIREMENT PLAN AND TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-809157
Policy instance 1
Insurance contract or identification numberGA-809157
Number of Individuals Covered42
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $13,560
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $13,560
Insurance broker organization code?3
Insurance broker nameUBS FINANCIAL SVCS INS AGCY
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-809157
Policy instance 1
Insurance contract or identification numberGA-809157
Number of Individuals Covered51
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $13,140
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-809157
Policy instance 1
Insurance contract or identification numberGA-809157
Number of Individuals Covered56
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12,516
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $12,516
Insurance broker organization code?3
Insurance broker nameUBS FINANCIAL SVCS INS AGCY

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