401k Plan data: BARD OPTICAL DEFINED BENEFIT PENSION PLAN plan

BARD OPTICAL DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	BARD OPTICAL DEFINED BENEFIT PENSION PLAN
Plan identification number	001

BARD OPTICAL DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily flat dollar (includes dollars per year of service)
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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.
Life insurance

401k Sponsoring company profile

J.A.K.ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name: J.A.K.ENTERPRISES, INC.

Employer identification number (EIN): 371101286

NAIC Classification: 446130
NAIC Description: Optical Goods Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BARD OPTICAL DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 DIANA J. HALL 2017-10-16
001 2015-01-01
001 2014-01-01 ERIN D. PATTON 2015-10-09
001 2013-01-01 MICHAEL RENNER 2014-10-06
001 2012-01-01 MICHAEL RENNER 2013-07-25
001 2011-01-01 MICHAEL RENNER
001 2010-01-01 MICHAEL RENNER 2011-09-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01	DIANA J. HALL	2017-10-16
001	2015-01-01
001	2014-01-01	ERIN D. PATTON	2015-10-09
001	2013-01-01	MICHAEL RENNER	2014-10-06
001	2012-01-01	MICHAEL RENNER	2013-07-25
001	2011-01-01	MICHAEL RENNER
001	2010-01-01	MICHAEL RENNER	2011-09-06

Plan Statistics for BARD OPTICAL DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for BARD OPTICAL DEFINED BENEFIT PENSION PLAN

Measure Date Value
2016: BARD OPTICAL DEFINED BENEFIT PENSION PLAN 2016 401k membership
Market value of plan assets 2016-12-30 1,470,251
Acturial value of plan assets 2016-12-30 1,470,251
Funding target for retired participants and beneficiaries receiving payment 2016-12-30 0
Number of terminated vested participants 2016-12-30 39
Fundng target for terminated vested participants 2016-12-30 45,308
Active participant vested funding target 2016-12-30 1,414,549
Number of active participants 2016-12-30 30
Total funding liabilities for active participants 2016-12-30 1,417,826
Total participant count 2016-12-30 69
Total funding target for all participants 2016-12-30 1,463,134
Balance at beginning of prior year after applicable adjustments 2016-12-30 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-30 143,892
Amount remaining of carryover balance 2016-12-30 0
Amount remaining of prefunding balance 2016-12-30 143,892
Present value of excess contributions 2016-12-30 45,845
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-30 48,238
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-30 0
Reductions in caryover balances due to elections or deemed elections 2016-12-30 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-30 0
Balance of carryovers at beginning of current year 2016-12-30 0
Balance of prefunding at beginning of current year 2016-12-30 146,094
Total employer contributions 2016-12-30 66,681
Total employee contributions 2016-12-30 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-30 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-30 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-30 63,477
Unpaid minimum required contributions for all prior years 2016-12-30 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-30 0
Remaining amount of unpaid minimum required contributions 2016-12-30 0
Minimum required contributions for current year target normal cost 2016-12-30 0
Net shortfall amortization installment of oustanding balance 2016-12-30 0
Waiver amortization installment 2016-12-30 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-30 0
Carryover balance elected to use to offset funding requirement 2016-12-30 0
Prefunding balance elected to use to offset funding requirement 2016-12-30 0
Additional cash requirement 2016-12-30 0
Contributions allocatedtoward minimum required contributions for current year 2016-12-30 63,477
Unpaid minimum required contributions for current year 2016-12-30 0
Unpaid minimum required contributions for all years 2016-12-30 0
2011: BARD OPTICAL DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 30
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 12
Total of all active and inactive participants 2011-01-01 42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 12

Measure	Date	Value
2016: BARD OPTICAL DEFINED BENEFIT PENSION PLAN 2016 401k membership
Market value of plan assets	2016-12-30	1,470,251
Acturial value of plan assets	2016-12-30	1,470,251
Funding target for retired participants and beneficiaries receiving payment	2016-12-30	0
Number of terminated vested participants	2016-12-30	39
Fundng target for terminated vested participants	2016-12-30	45,308
Active participant vested funding target	2016-12-30	1,414,549
Number of active participants	2016-12-30	30
Total funding liabilities for active participants	2016-12-30	1,417,826
Total participant count	2016-12-30	69
Total funding target for all participants	2016-12-30	1,463,134
Balance at beginning of prior year after applicable adjustments	2016-12-30	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-30	143,892
Amount remaining of carryover balance	2016-12-30	0
Amount remaining of prefunding balance	2016-12-30	143,892
Present value of excess contributions	2016-12-30	45,845
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-30	48,238
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-30	0
Reductions in caryover balances due to elections or deemed elections	2016-12-30	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-30	0
Balance of carryovers at beginning of current year	2016-12-30	0
Balance of prefunding at beginning of current year	2016-12-30	146,094
Total employer contributions	2016-12-30	66,681
Total employee contributions	2016-12-30	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-30	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-30	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-30	63,477
Unpaid minimum required contributions for all prior years	2016-12-30	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-30	0
Remaining amount of unpaid minimum required contributions	2016-12-30	0
Minimum required contributions for current year target normal cost	2016-12-30	0
Net shortfall amortization installment of oustanding balance	2016-12-30	0
Waiver amortization installment	2016-12-30	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-30	0
Carryover balance elected to use to offset funding requirement	2016-12-30	0
Prefunding balance elected to use to offset funding requirement	2016-12-30	0
Additional cash requirement	2016-12-30	0
Contributions allocatedtoward minimum required contributions for current year	2016-12-30	63,477
Unpaid minimum required contributions for current year	2016-12-30	0
Unpaid minimum required contributions for all years	2016-12-30	0
2011: BARD OPTICAL DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	30
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	12
Total of all active and inactive participants	2011-01-01	42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	12

Financial Data on BARD OPTICAL DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2011 : BARD OPTICAL DEFINED BENEFIT PENSION PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$251,472
Expenses. Total of all expenses incurred	2011-12-31	$595
Benefits paid (including direct rollovers)	2011-12-31	$525
Total plan assets at end of year	2011-12-31	$819,664
Total plan assets at beginning of year	2011-12-31	$568,787
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$70
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-42,966
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$250,877
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$819,664
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$568,787
Total contributions received or receivable from employer(s)	2011-12-31	$294,438
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for BARD OPTICAL DEFINED BENEFIT PENSION PLAN

2011: BARD OPTICAL DEFINED BENEFIT PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract number	VARIOUS
Policy instance	1

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Company Name:	J.A.K.ENTERPRISES, INC.
Employer identification number (EIN):	371101286
NAIC Classification:	446130
NAIC Description:	Optical Goods Stores