401k Plan data: FRINGS & BAYLIFF FH, INC. , 401(K) PSP plan

FRINGS & BAYLIFF FH, INC. , 401(K) PSP 401k Plan overview

Plan Name	FRINGS & BAYLIFF FH, INC. , 401(K) PSP
Plan identification number	003

FRINGS & BAYLIFF FH, INC. , 401(K) PSP Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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

FRINGS & BAYLIFF FH, INC. has sponsored the creation of one or more 401k plans.

Company Name: FRINGS & BAYLIFF FH, INC.

Employer identification number (EIN): 310946882

NAIC Classification: 812210
NAIC Description: Funeral Homes and Funeral Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRINGS & BAYLIFF FH, INC. , 401(K) PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2017-11-01 JAMES BAYLIFF 2019-02-12 JAMES BAYLIFF 2019-02-12
003 2016-11-01 JAMES BAYLIFF 2018-04-23 JAMES BAYLIFF 2018-04-23
003 2015-11-01 JAMES BAYLIFF 2017-05-26
003 2014-11-01 JAMES BAYLIFF 2016-04-21
003 2013-11-01 JAMES BAYLIFF 2015-08-14
003 2012-11-01 JAMES BAYLIFF 2014-08-13
003 2011-11-01 JAMES BAYLIFF 2013-08-09
003 2010-11-01 PAMELA BAYLIFF
003 2009-11-01 PAMELA BAYLIFF

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2017-11-01	JAMES BAYLIFF	2019-02-12	JAMES BAYLIFF	2019-02-12
003	2016-11-01	JAMES BAYLIFF	2018-04-23	JAMES BAYLIFF	2018-04-23
003	2015-11-01	JAMES BAYLIFF	2017-05-26
003	2014-11-01	JAMES BAYLIFF	2016-04-21
003	2013-11-01	JAMES BAYLIFF	2015-08-14
003	2012-11-01	JAMES BAYLIFF	2014-08-13
003	2011-11-01	JAMES BAYLIFF	2013-08-09
003	2010-11-01	PAMELA BAYLIFF
003	2009-11-01	PAMELA BAYLIFF

Plan Statistics for FRINGS & BAYLIFF FH, INC. , 401(K) PSP

401k plan membership statisitcs for FRINGS & BAYLIFF FH, INC. , 401(K) PSP

Measure Date Value
2010: FRINGS & BAYLIFF FH, INC. , 401(K) PSP 2010 401k membership
Total participants, beginning-of-year 2010-11-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-11-01 2
Number of retired or separated participants receiving benefits 2010-11-01 0
Number of other retired or separated participants entitled to future benefits 2010-11-01 1
Total of all active and inactive participants 2010-11-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-11-01 0
Total participants 2010-11-01 3
Number of participants with account balances 2010-11-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-11-01 0
2009: FRINGS & BAYLIFF FH, INC. , 401(K) PSP 2009 401k membership
Total participants, beginning-of-year 2009-11-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 2
Number of retired or separated participants receiving benefits 2009-11-01 0
Number of other retired or separated participants entitled to future benefits 2009-11-01 1
Total of all active and inactive participants 2009-11-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-11-01 0
Total participants 2009-11-01 3
Number of participants with account balances 2009-11-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-11-01 0

Measure	Date	Value
2010: FRINGS & BAYLIFF FH, INC. , 401(K) PSP 2010 401k membership
Total participants, beginning-of-year	2010-11-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-11-01	2
Number of retired or separated participants receiving benefits	2010-11-01	0
Number of other retired or separated participants entitled to future benefits	2010-11-01	1
Total of all active and inactive participants	2010-11-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-11-01	0
Total participants	2010-11-01	3
Number of participants with account balances	2010-11-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-11-01	0
2009: FRINGS & BAYLIFF FH, INC. , 401(K) PSP 2009 401k membership
Total participants, beginning-of-year	2009-11-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	2
Number of retired or separated participants receiving benefits	2009-11-01	0
Number of other retired or separated participants entitled to future benefits	2009-11-01	1
Total of all active and inactive participants	2009-11-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-11-01	0
Total participants	2009-11-01	3
Number of participants with account balances	2009-11-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-11-01	0

Financial Data on FRINGS & BAYLIFF FH, INC. , 401(K) PSP

Measure	Date	Value
2011 : FRINGS & BAYLIFF FH, INC. , 401(K) PSP 2011 401k financial data
Total income from all sources	2011-10-31	$3,309
Expenses. Total of all expenses incurred	2011-10-31	$0
Total plan assets at end of year	2011-10-31	$748,836
Total plan assets at beginning of year	2011-10-31	$745,527
Other income received	2011-10-31	$3,309
Net income (gross income less expenses)	2011-10-31	$3,309
Net plan assets at end of year (total assets less liabilities)	2011-10-31	$748,836
Net plan assets at beginning of year (total assets less liabilities)	2011-10-31	$745,527
Assets. Value of assets in partnership/joint-venture interests	2011-10-31	$658

Form 5500 Responses for FRINGS & BAYLIFF FH, INC. , 401(K) PSP

2010: FRINGS & BAYLIFF FH, INC. , 401(K) PSP 2010 form 5500 responses
2010-11-01	Type of plan entity	Single employer plan
2010-11-01	Submission has been amended	No
2010-11-01	This submission is the final filing	No
2010-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-11-01	Plan is a collectively bargained plan	No
2010-11-01	Plan funding arrangement – Insurance	Yes
2010-11-01	Plan funding arrangement – Trust	Yes
2010-11-01	Plan benefit arrangement – Insurance	Yes
2010-11-01	Plan benefit arrangement - Trust	Yes
2009: FRINGS & BAYLIFF FH, INC. , 401(K) PSP 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	Submission has been amended	No
2009-11-01	This submission is the final filing	No
2009-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-11-01	Plan is a collectively bargained plan	No
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan funding arrangement – Trust	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

1009560951

Policy instance

Insurance contract or identification number	1009560951
Number of Individuals Covered	1
Insurance policy start date	2010-11-01
Insurance policy end date	2011-10-31
Are there contracts with allocated funds for individual policies?	Yes
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?	No
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

JOHN HANCOCK AGENCY (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

057008

Policy instance

Insurance contract or identification number	057008
Number of Individuals Covered	2
Insurance policy start date	2010-11-01
Insurance policy end date	2011-10-31
Are there contracts with allocated funds for individual policies?	Yes
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?	No
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

2345465

Policy instance

Insurance contract or identification number	2345465
Number of Individuals Covered	3
Insurance policy start date	2010-11-01
Insurance policy end date	2011-10-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	Yes
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?	No
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

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

Policy contract number

11364104

Policy instance

Insurance contract or identification number	11364104
Number of Individuals Covered	1
Insurance policy start date	2010-11-01
Insurance policy end date	2011-10-31
Total amount of commissions paid to insurance broker	USD $183
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
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?	No
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:	FRINGS & BAYLIFF FH, INC.
Employer identification number (EIN):	310946882
NAIC Classification:	812210
NAIC Description:	Funeral Homes and Funeral Services