401k Plan data: FOREST RESOURCES LL 401(K) PLAN plan

FOREST RESOURCES LL 401(K) PLAN 401k Plan overview

Plan Name	FOREST RESOURCES LL 401(K) PLAN
Plan identification number	001

FOREST RESOURCES LL 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FOREST RESOURCES LLC has sponsored the creation of one or more 401k plans.

Company Name: FOREST RESOURCES LLC

Employer identification number (EIN): 061523460

NAIC Classification: 326100

Additional information about FOREST RESOURCES LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2921949

More information about FOREST RESOURCES LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOREST RESOURCES LL 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 PATRICK GEBHARDT
001 2014-01-01 PATRICK GEBHARDT
001 2013-01-01 PATRICK GEBHARDT
001 2012-01-01 PATRICK GEBHARDT PATRICK GEBHARDT 2013-10-08
001 2011-01-01 PATRICK GEBHARDT
001 2010-01-01 PATRICK GEBHARDT
001 2009-01-01 PATRICK GEBHARDT PATRICK GEBHARDT 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	PATRICK GEBHARDT
001	2014-01-01	PATRICK GEBHARDT
001	2013-01-01	PATRICK GEBHARDT
001	2012-01-01	PATRICK GEBHARDT	PATRICK GEBHARDT	2013-10-08
001	2011-01-01	PATRICK GEBHARDT
001	2010-01-01	PATRICK GEBHARDT
001	2009-01-01	PATRICK GEBHARDT	PATRICK GEBHARDT	2010-10-11

Plan Statistics for FOREST RESOURCES LL 401(K) PLAN

401k plan membership statisitcs for FOREST RESOURCES LL 401(K) PLAN

Measure Date Value
2015: FOREST RESOURCES LL 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 161
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: FOREST RESOURCES LL 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 127
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 34
Total of all active and inactive participants 2014-01-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 161
Number of participants with account balances 2014-01-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: FOREST RESOURCES LL 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 122
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 37
Total of all active and inactive participants 2013-01-01 159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 159
Number of participants with account balances 2013-01-01 159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: FOREST RESOURCES LL 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 168
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 122
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 41
Total of all active and inactive participants 2012-01-01 163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 163
Number of participants with account balances 2012-01-01 163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: FOREST RESOURCES LL 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 120
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 48
Total of all active and inactive participants 2011-01-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 168
Number of participants with account balances 2011-01-01 168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: FOREST RESOURCES LL 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 154
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 47
Total of all active and inactive participants 2010-01-01 201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 201
Number of participants with account balances 2010-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: FOREST RESOURCES LL 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 237
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 171
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 48
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 0
Total participants 2009-01-01 219
Number of participants with account balances 2009-01-01 219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: FOREST RESOURCES LL 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	161
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: FOREST RESOURCES LL 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	127
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	34
Total of all active and inactive participants	2014-01-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	161
Number of participants with account balances	2014-01-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: FOREST RESOURCES LL 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	122
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	37
Total of all active and inactive participants	2013-01-01	159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	159
Number of participants with account balances	2013-01-01	159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: FOREST RESOURCES LL 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	168
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	122
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	41
Total of all active and inactive participants	2012-01-01	163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	163
Number of participants with account balances	2012-01-01	163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: FOREST RESOURCES LL 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	120
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	48
Total of all active and inactive participants	2011-01-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	168
Number of participants with account balances	2011-01-01	168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: FOREST RESOURCES LL 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	154
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	47
Total of all active and inactive participants	2010-01-01	201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	201
Number of participants with account balances	2010-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: FOREST RESOURCES LL 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	237
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	171
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	48
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	0
Total participants	2009-01-01	219
Number of participants with account balances	2009-01-01	219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on FOREST RESOURCES LL 401(K) PLAN

Measure	Date	Value
2015 : FOREST RESOURCES LL 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-11-19	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-11-19	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-11-19	$0
Total income from all sources (including contributions)	2015-11-19	$828,736
Total loss/gain on sale of assets	2015-11-19	$0
Total of all expenses incurred	2015-11-19	$17,810,959
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-11-19	$17,801,499
Expenses. Certain deemed distributions of participant loans	2015-11-19	$1,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-11-19	$805,095
Value of total assets at end of year	2015-11-19	$0
Value of total assets at beginning of year	2015-11-19	$16,982,223
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-11-19	$8,346
Total interest from all sources	2015-11-19	$51,591
Total dividends received (eg from common stock, registered investment company shares)	2015-11-19	$56,814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-11-19	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-11-19	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-11-19	$56,814
Was this plan covered by a fidelity bond	2015-11-19	Yes
Value of fidelity bond cover	2015-11-19	$500,000
If this is an individual account plan, was there a blackout period	2015-11-19	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-11-19	$0
Were there any nonexempt tranactions with any party-in-interest	2015-11-19	No
Contributions received from participants	2015-11-19	$431,907
Participant contributions at end of year	2015-11-19	$0
Participant contributions at beginning of year	2015-11-19	$425,006
Income. Received or receivable in cash from other sources (including rollovers)	2015-11-19	$83,319
Other income not declared elsewhere	2015-11-19	$215
Administrative expenses (other) incurred	2015-11-19	$8,346
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-11-19	No
Value of net income/loss	2015-11-19	$-16,982,223
Value of net assets at end of year (total assets less liabilities)	2015-11-19	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-11-19	$16,982,223
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-11-19	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-11-19	No
Were any leases to which the plan was party in default or uncollectible	2015-11-19	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-11-19	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-11-19	$13,221,973
Interest on participant loans	2015-11-19	$8,105
Interest earned on other investments	2015-11-19	$43,486
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-11-19	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-11-19	$3,335,244
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-11-19	$-84,979
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-11-19	No
Was there a failure to transmit to the plan any participant contributions	2015-11-19	No
Has the plan failed to provide any benefit when due under the plan	2015-11-19	No
Contributions received in cash from employer	2015-11-19	$289,869
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-11-19	$17,801,499
Did the plan have assets held for investment	2015-11-19	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	2015-11-19	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-11-19	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-11-19	Yes
Opinion of an independent qualified public accountant for this plan	2015-11-19	Disclaimer
Accountancy firm name	2015-11-19	CROWE HORWATH LLP
Accountancy firm EIN	2015-11-19	350921680
2014 : FOREST RESOURCES LL 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$2,172,127
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,320,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,313,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,145,038
Value of total assets at end of year	2014-12-31	$16,982,223
Value of total assets at beginning of year	2014-12-31	$17,130,599
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$6,626
Total interest from all sources	2014-12-31	$79,890
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$114,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$114,524
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$676,015
Participant contributions at end of year	2014-12-31	$425,006
Participant contributions at beginning of year	2014-12-31	$445,806
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$20,000
Administrative expenses (other) incurred	2014-12-31	$6,626
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-148,376
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$16,982,223
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$17,130,599
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$13,221,973
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$12,929,190
Interest on participant loans	2014-12-31	$18,499
Interest earned on other investments	2014-12-31	$61,391
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$3,335,244
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$3,755,603
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$832,675
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$449,023
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,313,877
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2014-12-31	350921680
2013 : FOREST RESOURCES LL 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$3,921,599
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$587,507
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$581,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,298,564
Value of total assets at end of year	2013-12-31	$17,130,599
Value of total assets at beginning of year	2013-12-31	$13,796,507
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,472
Total interest from all sources	2013-12-31	$87,906
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$99,792
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$99,792
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$595,392
Participant contributions at end of year	2013-12-31	$445,806
Participant contributions at beginning of year	2013-12-31	$483,221
Participant contributions at beginning of year	2013-12-31	$1,923
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$307,250
Administrative expenses (other) incurred	2013-12-31	$6,472
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,334,092
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$17,130,599
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$13,796,507
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$12,929,190
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$9,650,330
Interest on participant loans	2013-12-31	$20,266
Interest earned on other investments	2013-12-31	$67,640
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$3,755,603
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$3,659,661
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,435,337
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$395,922
Employer contributions (assets) at beginning of year	2013-12-31	$1,372
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$581,035
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2013-12-31	350921680
2012 : FOREST RESOURCES LL 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$2,599,549
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$858,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$851,756
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,223,783
Value of total assets at end of year	2012-12-31	$13,796,507
Value of total assets at beginning of year	2012-12-31	$12,055,296
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$6,582
Total interest from all sources	2012-12-31	$98,352
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$129,937
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$129,937
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$505,475
Participant contributions at end of year	2012-12-31	$483,221
Participant contributions at beginning of year	2012-12-31	$501,850
Participant contributions at end of year	2012-12-31	$1,923
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$384,771
Administrative expenses (other) incurred	2012-12-31	$6,582
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,741,211
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$13,796,507
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$12,055,296
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$9,650,330
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$8,080,000
Interest on participant loans	2012-12-31	$20,642
Interest earned on other investments	2012-12-31	$77,710
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$3,659,661
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$3,473,446
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,147,477
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$333,537
Employer contributions (assets) at end of year	2012-12-31	$1,372
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$851,756
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2012-12-31	350921680
2011 : FOREST RESOURCES LL 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$740,913
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,383,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,376,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$925,332
Value of total assets at end of year	2011-12-31	$12,055,296
Value of total assets at beginning of year	2011-12-31	$13,698,285
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$7,155
Total interest from all sources	2011-12-31	$109,321
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$111,072
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	$111,072
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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	$571,288
Participant contributions at end of year	2011-12-31	$501,850
Participant contributions at beginning of year	2011-12-31	$501,344
Administrative expenses (other) incurred	2011-12-31	$7,155
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	$-1,642,989
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$12,055,296
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$13,698,285
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	$8,080,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$9,716,962
Interest on participant loans	2011-12-31	$21,654
Interest earned on other investments	2011-12-31	$87,667
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$3,473,446
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$3,479,979
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-404,812
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	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$354,044
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,376,747
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	CROWE HORWATH LLP
Accountancy firm EIN	2011-12-31	350921680
2010 : FOREST RESOURCES LL 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,392,425
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,068,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,052,103
Expenses. Certain deemed distributions of participant loans	2010-12-31	$8,681
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,097,190
Value of total assets at end of year	2010-12-31	$13,698,285
Value of total assets at beginning of year	2010-12-31	$12,374,009
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$7,365
Total interest from all sources	2010-12-31	$122,342
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$104,074
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	$104,074
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
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	$677,964
Participant contributions at end of year	2010-12-31	$501,344
Participant contributions at beginning of year	2010-12-31	$434,118
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$227
Administrative expenses (other) incurred	2010-12-31	$7,365
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	$1,324,276
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$13,698,285
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$12,374,009
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	$9,716,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$8,480,723
Interest on participant loans	2010-12-31	$26,248
Interest earned on other investments	2010-12-31	$96,094
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$3,479,979
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$3,459,168
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,068,819
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
Contributions received in cash from employer	2010-12-31	$418,999
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,052,103
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	CROWE HORWATH LLP
Accountancy firm EIN	2010-12-31	350921680
2009 : FOREST RESOURCES LL 401(K) 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 FOREST RESOURCES LL 401(K) PLAN

2015: FOREST RESOURCES LL 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FOREST RESOURCES LL 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FOREST RESOURCES LL 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
2012: FOREST RESOURCES LL 401(K) 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: FOREST RESOURCES LL 401(K) 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: FOREST RESOURCES LL 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
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 funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: FOREST RESOURCES LL 401(K) 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 – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

039928

Policy instance

Insurance contract or identification number	039928
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $6,638
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?	Yes
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
Amount paid for insurance broker fees	6638
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PLAN
Insurance broker organization code?	4
Insurance broker name	LOCKTON FINANCIAL ADVISORS LLC

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

039928

Policy instance

Insurance contract or identification number	039928
Number of Individuals Covered	161
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $8,841
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?	Yes
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
Amount paid for insurance broker fees	8841
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PLAN
Insurance broker organization code?	4
Insurance broker name	LOCKTON FINANCIAL ADVISORS LLC

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

39928

Policy instance

Insurance contract or identification number	39928
Number of Individuals Covered	159
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $28,151
Total amount of fees paid to insurance company	USD $28,151
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?	Yes
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 $28,151
Amount paid for insurance broker fees	28151
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PLAN
Insurance broker organization code?	4
Insurance broker name	LOCKTON FINANCIAL ADVISORS LLC

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

39928

Policy instance

Insurance contract or identification number	39928
Number of Individuals Covered	163
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $8,830
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?	Yes
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
Amount paid for insurance broker fees	8830
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PLAN
Insurance broker organization code?	4
Insurance broker name	LOCKTON FINANCIAL ADVISORS LLC

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

39928

Policy instance

Insurance contract or identification number	39928
Number of Individuals Covered	168
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $8,703
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?	Yes
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

39928

Policy instance

Insurance contract or identification number	39928
Number of Individuals Covered	201
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $8,689
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?	Yes
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

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Company Name:	FOREST RESOURCES LLC
Employer identification number (EIN):	061523460
NAIC Classification:	326100

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2921949