401k Plan data: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN plan

TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 401k Plan overview

Plan Name	TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN
Plan identification number	001

TRI- STATE ADMINISTRATIVE SERVICES LLC 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

TRI- STATE ADMINISTRATIVE SERVIC has sponsored the creation of one or more 401k plans.

Company Name: TRI- STATE ADMINISTRATIVE SERVIC

Employer identification number (EIN): 272523158

NAIC Classification: 238210
NAIC Description: Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 DEBBIE MICK
001 2016-01-01 DEBORAH MICK
001 2015-01-01 DEBORAH MICK
001 2014-01-01 DEBORAH MICK DEBORAH MICK 2015-10-14
001 2014-01-01 DEBORAH MICK
001 2013-01-01 RICHARD R WEBB
001 2012-01-01 RICHARD WEBB 2013-11-20
001 2011-01-01 RICHARD WEBB 2012-06-12
001 2010-01-01 RICHARD WEBB 2011-06-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	DEBBIE MICK
001	2016-01-01	DEBORAH MICK
001	2015-01-01	DEBORAH MICK
001	2014-01-01	DEBORAH MICK		DEBORAH MICK	2015-10-14
001	2014-01-01	DEBORAH MICK
001	2013-01-01	RICHARD R WEBB
001	2012-01-01	RICHARD WEBB	2013-11-20
001	2011-01-01	RICHARD WEBB	2012-06-12
001	2010-01-01	RICHARD WEBB	2011-06-14

Plan Statistics for TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN

401k plan membership statisitcs for TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN

Measure Date Value
2017: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 70
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 71
Total of all active and inactive participants 2017-01-01 141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 141
Number of participants with account balances 2017-01-01 104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 13
2016: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 276
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 109
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 72
Total of all active and inactive participants 2016-01-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 181
Number of participants with account balances 2016-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 44
2015: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 315
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 214
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 60
Total of all active and inactive participants 2015-01-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 274
Number of participants with account balances 2015-01-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 33
2014: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 352
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 247
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 56
Total of all active and inactive participants 2014-01-01 303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 303
Number of participants with account balances 2014-01-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 50
2013: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 317
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 28
Total of all active and inactive participants 2013-01-01 345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 345
Number of participants with account balances 2013-01-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 30

Measure	Date	Value
2017: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	70
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	71
Total of all active and inactive participants	2017-01-01	141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	141
Number of participants with account balances	2017-01-01	104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	13
2016: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	276
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	109
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	72
Total of all active and inactive participants	2016-01-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	181
Number of participants with account balances	2016-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	44
2015: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	315
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	214
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	60
Total of all active and inactive participants	2015-01-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	274
Number of participants with account balances	2015-01-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	33
2014: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	352
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	247
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	56
Total of all active and inactive participants	2014-01-01	303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	303
Number of participants with account balances	2014-01-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	50
2013: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	317
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	28
Total of all active and inactive participants	2013-01-01	345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	345
Number of participants with account balances	2013-01-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	30

Financial Data on TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN

Measure	Date	Value
2017 : TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$610,596
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$555,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$522,346
Expenses. Certain deemed distributions of participant loans	2017-12-31	$21,995
Value of total corrective distributions	2017-12-31	$8,202
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$184,397
Value of total assets at end of year	2017-12-31	$2,651,847
Value of total assets at beginning of year	2017-12-31	$2,596,305
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,511
Total interest from all sources	2017-12-31	$6,254
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$114,351
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$114,351
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$260,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$148,816
Participant contributions at end of year	2017-12-31	$82,558
Participant contributions at beginning of year	2017-12-31	$117,974
Other income not declared elsewhere	2017-12-31	$126
Administrative expenses (other) incurred	2017-12-31	$2,511
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$55,542
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,651,847
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$2,596,305
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,270,639
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$2,232,921
Interest on participant loans	2017-12-31	$6,254
Value of interest in common/collective trusts at end of year	2017-12-31	$298,650
Value of interest in common/collective trusts at beginning of year	2017-12-31	$245,410
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$284,976
Net investment gain or loss from common/collective trusts	2017-12-31	$20,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$35,581
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$522,346
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	EIDE BAILLY
Accountancy firm EIN	2017-12-31	450250958
2016 : TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$640,425
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$519,644
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$499,827
Expenses. Certain deemed distributions of participant loans	2016-12-31	$4,348
Value of total corrective distributions	2016-12-31	$11,302
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$461,107
Value of total assets at end of year	2016-12-31	$2,596,305
Value of total assets at beginning of year	2016-12-31	$2,475,524
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$4,167
Total interest from all sources	2016-12-31	$5,365
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$94,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$94,033
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$248,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$315,176
Participant contributions at end of year	2016-12-31	$117,974
Participant contributions at beginning of year	2016-12-31	$70,253
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$9,962
Administrative expenses (other) incurred	2016-12-31	$4,167
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$120,781
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$2,596,305
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,475,524
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$2,232,921
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,150,775
Interest on participant loans	2016-12-31	$5,365
Value of interest in common/collective trusts at end of year	2016-12-31	$245,410
Value of interest in common/collective trusts at beginning of year	2016-12-31	$254,496
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$63,346
Net investment gain or loss from common/collective trusts	2016-12-31	$16,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$135,969
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$499,827
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	EIDE BAILLY
Accountancy firm EIN	2016-12-31	450250958
2015 : TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$751,718
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$452,069
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$443,223
Expenses. Certain deemed distributions of participant loans	2015-12-31	$341
Value of total corrective distributions	2015-12-31	$5,743
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$785,395
Value of total assets at end of year	2015-12-31	$2,475,524
Value of total assets at beginning of year	2015-12-31	$2,175,875
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$2,762
Total interest from all sources	2015-12-31	$3,344
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$114,493
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$114,493
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$218,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$439,567
Participant contributions at end of year	2015-12-31	$70,253
Participant contributions at beginning of year	2015-12-31	$61,430
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$67,597
Administrative expenses (other) incurred	2015-12-31	$2,762
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$299,649
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,475,524
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,175,875
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,150,775
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,898,347
Interest on participant loans	2015-12-31	$3,344
Value of interest in common/collective trusts at end of year	2015-12-31	$254,496
Value of interest in common/collective trusts at beginning of year	2015-12-31	$216,098
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-151,387
Net investment gain or loss from common/collective trusts	2015-12-31	$-127
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$278,231
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$443,223
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	EIDE BAILLY
Accountancy firm EIN	2015-12-31	450250958
2014 : TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$0
Total transfer of assets from this plan	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	$953,490
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$275,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$244,709
Expenses. Certain deemed distributions of participant loans	2014-12-31	$6,502
Value of total corrective distributions	2014-12-31	$20,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$868,236
Value of total assets at end of year	2014-12-31	$2,175,875
Value of total assets at beginning of year	2014-12-31	$1,497,530
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,348
Total interest from all sources	2014-12-31	$2,390
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$86,031
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	$86,031
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$150,000
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	$516,530
Participant contributions at end of year	2014-12-31	$61,430
Participant contributions at beginning of year	2014-12-31	$25,758
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$10,823
Administrative expenses (other) incurred	2014-12-31	$3,348
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	$678,345
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,175,875
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,497,530
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	$1,898,347
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,348,635
Interest on participant loans	2014-12-31	$2,390
Value of interest in common/collective trusts at end of year	2014-12-31	$216,098
Value of interest in common/collective trusts at beginning of year	2014-12-31	$123,137
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-11,417
Net investment gain or loss from common/collective trusts	2014-12-31	$8,250
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	No
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	$340,883
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$244,709
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	EIDE BAILLY
Accountancy firm EIN	2014-12-31	450250958
2013 : TRI- STATE ADMINISTRATIVE SERVICES LLC 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	$923,302
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$325,482
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$302,597
Value of total corrective distributions	2013-12-31	$21,574
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$720,834
Value of total assets at end of year	2013-12-31	$1,497,530
Value of total assets at beginning of year	2013-12-31	$899,710
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,311
Total interest from all sources	2013-12-31	$1,610
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$40,848
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	$40,848
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$90,000
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	$414,619
Participant contributions at end of year	2013-12-31	$25,758
Participant contributions at beginning of year	2013-12-31	$38,303
Administrative expenses (other) incurred	2013-12-31	$1,311
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	$597,820
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,497,530
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$899,710
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	$1,348,635
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$831,929
Interest on participant loans	2013-12-31	$1,610
Value of interest in common/collective trusts at end of year	2013-12-31	$123,137
Value of interest in common/collective trusts at beginning of year	2013-12-31	$29,478
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$153,095
Net investment gain or loss from common/collective trusts	2013-12-31	$6,915
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	No
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	$306,215
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$302,597
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	EIDE BAILLY
Accountancy firm EIN	2013-12-31	450250958

Form 5500 Responses for TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN

2017: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: TRI- STATE ADMINISTRATIVE SERVICES LLC 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	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: TRI- STATE ADMINISTRATIVE SERVICES LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

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TRI- STATE ELECTRICAL CONTRACTORS, LLC 401(K) PLAN [EIN = 731180519]

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Company Name:	TRI- STATE ADMINISTRATIVE SERVIC
Employer identification number (EIN):	272523158
NAIC Classification:	238210
NAIC Description:	Electrical Contractors and Other Wiring Installation Contractors