401k Plan data: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN plan

HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 401k Plan overview

Plan Name	HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN
Plan identification number	002

HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG has sponsored the creation of one or more 401k plans.

Company Name: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG

Employer identification number (EIN): 363442733

NAIC Classification: 541310
NAIC Description: Architectural Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 HILDY JOHNSTON
002 2013-01-01 HILDY JOHNSTON
002 2012-01-01 HILDY JOHNSTON 2013-09-17
002 2011-01-01 HILDY JOHNSTON 2012-10-08
002 2010-01-01 HILDY JOHNSTON
002 2009-01-01 HILDY JOHNSTON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2014-01-01	HILDY JOHNSTON
002	2013-01-01	HILDY JOHNSTON
002	2012-01-01	HILDY JOHNSTON	2013-09-17
002	2011-01-01	HILDY JOHNSTON	2012-10-08
002	2010-01-01	HILDY JOHNSTON
002	2009-01-01	HILDY JOHNSTON

Plan Statistics for HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN

401k plan membership statisitcs for HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN

Measure Date Value
2014: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 7
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 3
Total of all active and inactive participants 2014-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 10
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8
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 3
Total of all active and inactive participants 2013-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 11
Number of participants with account balances 2013-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2010: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 12
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 1
Total of all active and inactive participants 2010-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 13
Number of participants with account balances 2010-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 13
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 0
Total of all active and inactive participants 2009-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 13
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	7
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	3
Total of all active and inactive participants	2014-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	10
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8
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	3
Total of all active and inactive participants	2013-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	11
Number of participants with account balances	2013-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2010: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	12
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	1
Total of all active and inactive participants	2010-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	13
Number of participants with account balances	2010-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	13
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	0
Total of all active and inactive participants	2009-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	13
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN

Measure	Date	Value
2014 : HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$72,121
Expenses. Total of all expenses incurred	2014-12-31	$22,572
Benefits paid (including direct rollovers)	2014-12-31	$18,862
Total plan assets at end of year	2014-12-31	$961,951
Total plan assets at beginning of year	2014-12-31	$912,402
Total contributions received or receivable from participants	2014-12-31	$13,980
Other income received	2014-12-31	$58,141
Net income (gross income less expenses)	2014-12-31	$49,549
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$961,951
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$912,402
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$3,710
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$135,085
Expenses. Total of all expenses incurred	2013-12-31	$16,144
Benefits paid (including direct rollovers)	2013-12-31	$12,645
Total plan assets at end of year	2013-12-31	$912,402
Total plan assets at beginning of year	2013-12-31	$793,461
Total contributions received or receivable from participants	2013-12-31	$21,375
Other income received	2013-12-31	$113,710
Net income (gross income less expenses)	2013-12-31	$118,941
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$912,402
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$793,461
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$3,499
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2010 : HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN 2010 401k financial data
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$103,960
Expenses. Total of all expenses incurred	2010-12-31	$2,744
Total plan assets at end of year	2010-12-31	$687,234
Total plan assets at beginning of year	2010-12-31	$586,018
Total contributions received or receivable from participants	2010-12-31	$53,919
Other income received	2010-12-31	$50,041
Net income (gross income less expenses)	2010-12-31	$101,216
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$687,234
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$586,018
Total contributions received or receivable from employer(s)	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$2,744
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 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 HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 401(K) PLAN

2014: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 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 - Trust	Yes
2013: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 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 - Trust	Yes
2010: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 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 - Trust	Yes
2009: HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG 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 - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

92294

Policy instance

Insurance contract or identification number	92294
Number of Individuals Covered	7
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $3,716
Total amount of fees paid to insurance company	USD $516
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,716
Insurance broker organization code?	3
Amount paid for insurance broker fees	516
Additional information about fees paid to insurance broker	TPA ADMINISTRATION FEES
Insurance broker name	HUNTER BENEFITS CONSULTING GROUP

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

Policy contract number

92294

Policy instance

Insurance contract or identification number	92294
Number of Individuals Covered	8
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,370
Total amount of fees paid to insurance company	USD $502
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?	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,370
Insurance broker organization code?	3
Amount paid for insurance broker fees	502
Additional information about fees paid to insurance broker	TPA ADMINISTRATION FEES
Insurance broker name	HUNTER BENEFITS CONSULTING GROUP

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

Policy contract number

92294

Policy instance

Insurance contract or identification number	92294
Number of Individuals Covered	8
Insurance policy start date	2010-05-19
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,684
Total amount of fees paid to insurance company	USD $1,077
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?	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,684
Additional information about fees paid to insurance broker	BROKER COMMISION
Insurance broker organization code?	3
Amount paid for insurance broker fees	1077
Insurance broker name	HUNTER BENEFITS CONSULTING GROUP

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Company Name:	HASBROUCK PETERSON ZIMOCH SIRIRATTUMRONG
Employer identification number (EIN):	363442733
NAIC Classification:	541310
NAIC Description:	Architectural Services