401k Plan data: DONN F. GUSTAFSON PROFIT SHARING PLAN plan

DONN F. GUSTAFSON PROFIT SHARING PLAN 401k Plan overview

Plan Name	DONN F. GUSTAFSON PROFIT SHARING PLAN
Plan identification number	001

DONN F. GUSTAFSON PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Plan covering Self-Employed individuals. 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

DONN F. GUSTAFSON has sponsored the creation of one or more 401k plans.

Company Name: DONN F. GUSTAFSON

Employer identification number (EIN): 362907411

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DONN F. GUSTAFSON PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 DONN F. GUSTAFSON 2016-12-12 DONN F. GUSTAFSON 2016-12-12
001 2015-01-01 DONN F. GUSTAFSON 2016-06-27
001 2014-01-01 DONN F. GUSTAFSON 2015-06-18 DONN F GUSTAFSON 2015-06-18
001 2013-01-01 DONN GUSTAFSON 2014-05-28 DONN GUSTAFSON 2014-05-28
001 2012-01-01 DONN GUSTAFSON 2013-06-21 DONN GUSTAFSON 2013-06-21
001 2011-01-01 DONN GUSTAFSON 2012-05-25 DONN GUSTAFSON 2012-05-25
001 2010-01-01 D0NN GUSTAFSON 2011-06-24 D0NN GUSTAFSON 2011-06-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	DONN F. GUSTAFSON	2016-12-12	DONN F. GUSTAFSON	2016-12-12
001	2015-01-01	DONN F. GUSTAFSON	2016-06-27
001	2014-01-01	DONN F. GUSTAFSON	2015-06-18	DONN F GUSTAFSON	2015-06-18
001	2013-01-01	DONN GUSTAFSON	2014-05-28	DONN GUSTAFSON	2014-05-28
001	2012-01-01	DONN GUSTAFSON	2013-06-21	DONN GUSTAFSON	2013-06-21
001	2011-01-01	DONN GUSTAFSON	2012-05-25	DONN GUSTAFSON	2012-05-25
001	2010-01-01	D0NN GUSTAFSON	2011-06-24	D0NN GUSTAFSON	2011-06-24

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Company Name:	DONN F. GUSTAFSON
Employer identification number (EIN):	362907411
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages