401k Plan data: RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN plan

RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN 401k Plan overview

Plan Name	RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN
Plan identification number	502

RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN Benefits

401k Plan Type	Other Pension Benefit
Plan Features/Benefits	Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408. Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

RICHARDSON MANUFACTURING COMPANY has sponsored the creation of one or more 401k plans.

Company Name: RICHARDSON MANUFACTURING COMPANY

Employer identification number (EIN): 371075734

NAIC Classification: 333900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01 GREGORY GODZICKI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2017-01-01	GREGORY GODZICKI

Plan Statistics for RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN

401k plan membership statisitcs for RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN

Measure Date Value
2017: RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 128
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 0
Total of all active and inactive participants 2017-01-01 128
Total participants 2017-01-01 128

Measure	Date	Value
2017: RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	128
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	0
Total of all active and inactive participants	2017-01-01	128
Total participants	2017-01-01	128

Financial Data on RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN

Measure	Date	Value
2017 : RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	No
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
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 assets at end of year (total assets less liabilities)	2017-12-31	$0
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
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
Did the plan have assets held for investment	2017-12-31	No
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

Form 5500 Responses for RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN

2017: RICHARDSON MANUFACTURING COMPANY BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00441881

Policy instance

Insurance contract or identification number	00441881
Number of Individuals Covered	100
Insurance policy start date	2016-10-01
Insurance policy end date	2017-09-30
Total amount of commissions paid to insurance broker	USD $4,988
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	OPTIONAL AD&D & OPTIONAL LIFE INS
Welfare Benefit Premiums Paid to Carrier	USD $70,658
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

03W8015

Policy instance

Insurance contract or identification number	03W8015
Number of Individuals Covered	128
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $26,646
Total amount of fees paid to insurance company	USD $26,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	RICHARDSON MANUFACTURING COMPANY
Employer identification number (EIN):	371075734
NAIC Classification:	333900