401k Plan data: JEFFERSON MACHINE 401(K) PLAN plan

JEFFERSON MACHINE 401(K) PLAN 401k Plan overview

Plan Name	JEFFERSON MACHINE 401(K) PLAN
Plan identification number	001

JEFFERSON MACHINE 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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

JEFFERSON MACHINE COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: JEFFERSON MACHINE COMPANY, INC.

Employer identification number (EIN): 251211010

NAIC Classification: 332700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JEFFERSON MACHINE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-09-01 VELMA COOK 2023-11-03
001 2021-09-01 VELMA COOK 2022-11-02
001 2020-09-01
001 2019-09-01
001 2018-09-01 VELMA COOK 2020-06-02 VELMA COOK 2020-06-02
001 2017-09-01 VELMA COOK 2020-06-02 VELMA COOK 2020-06-02
001 2016-09-01 KIM LONDON 2018-02-26
001 2015-09-01 VELMA R COOK 2017-04-06
001 2014-09-01 VELMA R. COOK
001 2013-09-01 KATHRYN WOLFE 2015-06-15 KATHRYN WOLFE 2015-06-15
001 2012-09-01 KATHRYN WOLFE 2015-07-23 KATHRYN WOLFE 2015-07-23
001 2011-09-01 KATHRYN L. WOLFE 2013-04-02 KATHRYN L. WOLFE 2013-04-02
001 2010-09-01 KATHRYN L. WOLFE 2012-03-30 KATHRYN L. WOLFE 2012-03-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-09-01	VELMA COOK	2023-11-03
001	2021-09-01	VELMA COOK	2022-11-02
001	2020-09-01
001	2019-09-01
001	2018-09-01	VELMA COOK	2020-06-02	VELMA COOK	2020-06-02
001	2017-09-01	VELMA COOK	2020-06-02	VELMA COOK	2020-06-02
001	2016-09-01	KIM LONDON	2018-02-26
001	2015-09-01	VELMA R COOK	2017-04-06
001	2014-09-01	VELMA R. COOK
001	2013-09-01	KATHRYN WOLFE	2015-06-15	KATHRYN WOLFE	2015-06-15
001	2012-09-01	KATHRYN WOLFE	2015-07-23	KATHRYN WOLFE	2015-07-23
001	2011-09-01	KATHRYN L. WOLFE	2013-04-02	KATHRYN L. WOLFE	2013-04-02
001	2010-09-01	KATHRYN L. WOLFE	2012-03-30	KATHRYN L. WOLFE	2012-03-30

Plan Statistics for JEFFERSON MACHINE 401(K) PLAN

401k plan membership statisitcs for JEFFERSON MACHINE 401(K) PLAN

Measure Date Value
2014: JEFFERSON MACHINE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 53
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 42
Number of retired or separated participants receiving benefits 2014-09-01 0
Number of other retired or separated participants entitled to future benefits 2014-09-01 9
Total of all active and inactive participants 2014-09-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-09-01 0
Total participants 2014-09-01 51
Number of participants with account balances 2014-09-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-09-01 3

Measure	Date	Value
2014: JEFFERSON MACHINE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	53
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	42
Number of retired or separated participants receiving benefits	2014-09-01	0
Number of other retired or separated participants entitled to future benefits	2014-09-01	9
Total of all active and inactive participants	2014-09-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-09-01	0
Total participants	2014-09-01	51
Number of participants with account balances	2014-09-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-09-01	3

Financial Data on JEFFERSON MACHINE 401(K) PLAN

Measure	Date	Value
2015 : JEFFERSON MACHINE 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-08-31	$0
Total income from all sources	2015-08-31	$-35,746
Expenses. Total of all expenses incurred	2015-08-31	$374,769
Benefits paid (including direct rollovers)	2015-08-31	$357,191
Total plan assets at end of year	2015-08-31	$2,333,798
Total plan assets at beginning of year	2015-08-31	$2,744,313
Value of fidelity bond covering the plan	2015-08-31	$200,000
Total contributions received or receivable from participants	2015-08-31	$51,504
Expenses. Other expenses not covered elsewhere	2015-08-31	$17,578
Contributions received from other sources (not participants or employers)	2015-08-31	$0
Other income received	2015-08-31	$-87,250
Net income (gross income less expenses)	2015-08-31	$-410,515
Net plan assets at end of year (total assets less liabilities)	2015-08-31	$2,333,798
Net plan assets at beginning of year (total assets less liabilities)	2015-08-31	$2,744,313
Assets. Value of participant loans	2015-08-31	$9,873
Total contributions received or receivable from employer(s)	2015-08-31	$0
Value of certain deemed distributions of participant loans	2015-08-31	$0
Value of corrective distributions	2015-08-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-08-31	$0

Form 5500 Responses for JEFFERSON MACHINE 401(K) PLAN

2014: JEFFERSON MACHINE 401(K) PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan funding arrangement – Trust	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

GA-836084

Policy instance

Insurance contract or identification number	GA-836084
Number of Individuals Covered	46
Insurance policy start date	2014-09-01
Insurance policy end date	2015-08-31
Total amount of commissions paid to insurance broker	USD $55,465
Total amount of fees paid to insurance company	USD $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 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 $55,465
Insurance broker organization code?	3
Insurance broker name	ADAM GOETZ

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Company Name:	JEFFERSON MACHINE COMPANY, INC.
Employer identification number (EIN):	251211010
NAIC Classification:	332700