401k Plan data: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN plan

CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN
Plan identification number	002

CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all 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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CEDAR VALLEY CHEESE, INC. has sponsored the creation of one or more 401k plans.

Company Name: CEDAR VALLEY CHEESE, INC.

Employer identification number (EIN): 391208557

NAIC Classification: 311500
NAIC Description: Dairy Product Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-11-01 KEVIN SCHEIBEL 2023-05-25
002 2021-11-01 KEVIN SCHEIBEL 2022-12-21
002 2020-11-01 KEVIN SCHEIBEL 2022-05-19
002 2019-11-01 DEBRA A DREWS 2021-02-16
002 2018-11-01 DEBRA A DREWS 2020-04-27
002 2017-11-01 DEBRA A DREWS 2019-05-19
002 2016-11-01 DEBRA A DREWS 2018-05-23
002 2016-11-01 DEBRA A DREWS 2018-11-10
002 2015-11-01 DEBRA A. DREWS 2017-03-27
002 2014-11-01 DEBRA A. DREWS
002 2013-11-01 DEBRA A. DREWS
002 2012-11-01 DEBRA DREWS DEBRA DREWS 2014-04-22
002 2011-11-01 DEBRA DREWS DEBRA DREWS 2013-04-01
002 2010-11-01 DEBRA DREWS
002 2009-11-01 DEBRA DREWS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-11-01	KEVIN SCHEIBEL	2023-05-25
002	2021-11-01	KEVIN SCHEIBEL	2022-12-21
002	2020-11-01	KEVIN SCHEIBEL	2022-05-19
002	2019-11-01	DEBRA A DREWS	2021-02-16
002	2018-11-01	DEBRA A DREWS	2020-04-27
002	2017-11-01	DEBRA A DREWS	2019-05-19
002	2016-11-01	DEBRA A DREWS	2018-05-23
002	2016-11-01	DEBRA A DREWS	2018-11-10
002	2015-11-01	DEBRA A. DREWS	2017-03-27
002	2014-11-01	DEBRA A. DREWS
002	2013-11-01	DEBRA A. DREWS
002	2012-11-01	DEBRA DREWS		DEBRA DREWS	2014-04-22
002	2011-11-01	DEBRA DREWS		DEBRA DREWS	2013-04-01
002	2010-11-01	DEBRA DREWS
002	2009-11-01	DEBRA DREWS

Plan Statistics for CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN

401k plan membership statisitcs for CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN

Measure Date Value
2014: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-11-01 69
Total number of active participants reported on line 7a of the Form 5500 2014-11-01 55
Number of retired or separated participants receiving benefits 2014-11-01 0
Number of other retired or separated participants entitled to future benefits 2014-11-01 12
Total of all active and inactive participants 2014-11-01 67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-11-01 0
Total participants 2014-11-01 67
Number of participants with account balances 2014-11-01 55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-11-01 6
2013: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-11-01 61
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 51
Number of retired or separated participants receiving benefits 2013-11-01 0
Number of other retired or separated participants entitled to future benefits 2013-11-01 11
Total of all active and inactive participants 2013-11-01 62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-11-01 0
Total participants 2013-11-01 62
Number of participants with account balances 2013-11-01 61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-11-01 1
2012: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-11-01 60
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 54
Number of retired or separated participants receiving benefits 2012-11-01 0
Number of other retired or separated participants entitled to future benefits 2012-11-01 8
Total of all active and inactive participants 2012-11-01 62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-11-01 0
Total participants 2012-11-01 62
Number of participants with account balances 2012-11-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-11-01 4
2011: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-11-01 58
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 50
Number of retired or separated participants receiving benefits 2011-11-01 0
Number of other retired or separated participants entitled to future benefits 2011-11-01 11
Total of all active and inactive participants 2011-11-01 61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-11-01 0
Total participants 2011-11-01 61
Number of participants with account balances 2011-11-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-11-01 4
2010: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-11-01 61
Total number of active participants reported on line 7a of the Form 5500 2010-11-01 48
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 10
Total of all active and inactive participants 2010-11-01 58
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-11-01 0
Total participants 2010-11-01 58
Number of participants with account balances 2010-11-01 53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-11-01 6
2009: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-11-01 55
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 44
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 7
Total of all active and inactive participants 2009-11-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-11-01 0
Total participants 2009-11-01 51
Number of participants with account balances 2009-11-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-11-01 2

Measure	Date	Value
2014: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-11-01	69
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	55
Number of retired or separated participants receiving benefits	2014-11-01	0
Number of other retired or separated participants entitled to future benefits	2014-11-01	12
Total of all active and inactive participants	2014-11-01	67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-11-01	0
Total participants	2014-11-01	67
Number of participants with account balances	2014-11-01	55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-11-01	6
2013: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-11-01	61
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	51
Number of retired or separated participants receiving benefits	2013-11-01	0
Number of other retired or separated participants entitled to future benefits	2013-11-01	11
Total of all active and inactive participants	2013-11-01	62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-11-01	0
Total participants	2013-11-01	62
Number of participants with account balances	2013-11-01	61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-11-01	1
2012: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-11-01	60
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	54
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	8
Total of all active and inactive participants	2012-11-01	62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-11-01	0
Total participants	2012-11-01	62
Number of participants with account balances	2012-11-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-11-01	4
2011: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	58
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	50
Number of retired or separated participants receiving benefits	2011-11-01	0
Number of other retired or separated participants entitled to future benefits	2011-11-01	11
Total of all active and inactive participants	2011-11-01	61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-11-01	0
Total participants	2011-11-01	61
Number of participants with account balances	2011-11-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-11-01	4
2010: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-11-01	61
Total number of active participants reported on line 7a of the Form 5500	2010-11-01	48
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	10
Total of all active and inactive participants	2010-11-01	58
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-11-01	0
Total participants	2010-11-01	58
Number of participants with account balances	2010-11-01	53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-11-01	6
2009: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-11-01	55
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	44
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	7
Total of all active and inactive participants	2009-11-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-11-01	0
Total participants	2009-11-01	51
Number of participants with account balances	2009-11-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-11-01	2

Financial Data on CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN

Measure	Date	Value
2015 : CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2015 401k financial data
Transfers to/from the plan	2015-10-31	$0
Total income from all sources	2015-10-31	$371,303
Expenses. Total of all expenses incurred	2015-10-31	$79,041
Benefits paid (including direct rollovers)	2015-10-31	$78,682
Total plan assets at end of year	2015-10-31	$4,495,179
Total plan assets at beginning of year	2015-10-31	$4,202,917
Value of fidelity bond covering the plan	2015-10-31	$500,000
Total contributions received or receivable from participants	2015-10-31	$190,359
Expenses. Other expenses not covered elsewhere	2015-10-31	$359
Contributions received from other sources (not participants or employers)	2015-10-31	$3,026
Other income received	2015-10-31	$31,357
Net income (gross income less expenses)	2015-10-31	$292,262
Net plan assets at end of year (total assets less liabilities)	2015-10-31	$4,495,179
Net plan assets at beginning of year (total assets less liabilities)	2015-10-31	$4,202,917
Assets. Value of participant loans	2015-10-31	$74,583
Total contributions received or receivable from employer(s)	2015-10-31	$146,561
Value of certain deemed distributions of participant loans	2015-10-31	$0
Value of corrective distributions	2015-10-31	$0
Funding deficiency by the employer to the plan for this plan year	2015-10-31	$0
Minimum employer required contribution for this plan year	2015-10-31	$0
Amount contributed by the employer to the plan for this plan year	2015-10-31	$0
2014 : CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2014 401k financial data
Transfers to/from the plan	2014-10-31	$0
Total income from all sources	2014-10-31	$634,799
Expenses. Total of all expenses incurred	2014-10-31	$234,515
Benefits paid (including direct rollovers)	2014-10-31	$234,339
Total plan assets at end of year	2014-10-31	$4,202,917
Total plan assets at beginning of year	2014-10-31	$3,802,633
Value of fidelity bond covering the plan	2014-10-31	$500,000
Total contributions received or receivable from participants	2014-10-31	$164,221
Expenses. Other expenses not covered elsewhere	2014-10-31	$176
Contributions received from other sources (not participants or employers)	2014-10-31	$0
Other income received	2014-10-31	$328,384
Net income (gross income less expenses)	2014-10-31	$400,284
Net plan assets at end of year (total assets less liabilities)	2014-10-31	$4,202,917
Net plan assets at beginning of year (total assets less liabilities)	2014-10-31	$3,802,633
Assets. Value of participant loans	2014-10-31	$46,309
Total contributions received or receivable from employer(s)	2014-10-31	$142,194
Value of certain deemed distributions of participant loans	2014-10-31	$0
Value of corrective distributions	2014-10-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-10-31	$0
Minimum employer required contribution for this plan year	2014-10-31	$0
Amount contributed by the employer to the plan for this plan year	2014-10-31	$0
2013 : CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2013 401k financial data
Transfers to/from the plan	2013-10-31	$0
Total income from all sources	2013-10-31	$860,100
Expenses. Total of all expenses incurred	2013-10-31	$60,172
Benefits paid (including direct rollovers)	2013-10-31	$59,863
Total plan assets at end of year	2013-10-31	$3,802,633
Total plan assets at beginning of year	2013-10-31	$3,002,705
Value of fidelity bond covering the plan	2013-10-31	$500,000
Total contributions received or receivable from participants	2013-10-31	$156,091
Expenses. Other expenses not covered elsewhere	2013-10-31	$309
Contributions received from other sources (not participants or employers)	2013-10-31	$0
Other income received	2013-10-31	$704,009
Net income (gross income less expenses)	2013-10-31	$799,928
Net plan assets at end of year (total assets less liabilities)	2013-10-31	$3,802,633
Net plan assets at beginning of year (total assets less liabilities)	2013-10-31	$3,002,705
Assets. Value of participant loans	2013-10-31	$52,606
Total contributions received or receivable from employer(s)	2013-10-31	$0
Value of certain deemed distributions of participant loans	2013-10-31	$0
Value of corrective distributions	2013-10-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-10-31	$0
Minimum employer required contribution for this plan year	2013-10-31	$0
Amount contributed by the employer to the plan for this plan year	2013-10-31	$0
2012 : CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2012 401k financial data
Transfers to/from the plan	2012-10-31	$0
Total income from all sources	2012-10-31	$521,994
Expenses. Total of all expenses incurred	2012-10-31	$160
Benefits paid (including direct rollovers)	2012-10-31	$0
Total plan assets at end of year	2012-10-31	$3,002,705
Total plan assets at beginning of year	2012-10-31	$2,480,871
Value of fidelity bond covering the plan	2012-10-31	$500,000
Total contributions received or receivable from participants	2012-10-31	$147,014
Expenses. Other expenses not covered elsewhere	2012-10-31	$160
Contributions received from other sources (not participants or employers)	2012-10-31	$0
Other income received	2012-10-31	$254,674
Net income (gross income less expenses)	2012-10-31	$521,834
Net plan assets at end of year (total assets less liabilities)	2012-10-31	$3,002,705
Net plan assets at beginning of year (total assets less liabilities)	2012-10-31	$2,480,871
Assets. Value of participant loans	2012-10-31	$60,520
Total contributions received or receivable from employer(s)	2012-10-31	$120,306
Value of certain deemed distributions of participant loans	2012-10-31	$0
Value of corrective distributions	2012-10-31	$0
2011 : CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2011 401k financial data
Transfers to/from the plan	2011-10-31	$0
Total income from all sources	2011-10-31	$267,004
Expenses. Total of all expenses incurred	2011-10-31	$19,835
Benefits paid (including direct rollovers)	2011-10-31	$19,515
Total plan assets at end of year	2011-10-31	$2,480,871
Total plan assets at beginning of year	2011-10-31	$2,233,702
Value of fidelity bond covering the plan	2011-10-31	$500,000
Total contributions received or receivable from participants	2011-10-31	$147,109
Expenses. Other expenses not covered elsewhere	2011-10-31	$202
Contributions received from other sources (not participants or employers)	2011-10-31	$0
Other income received	2011-10-31	$9,301
Net income (gross income less expenses)	2011-10-31	$247,169
Net plan assets at end of year (total assets less liabilities)	2011-10-31	$2,480,871
Net plan assets at beginning of year (total assets less liabilities)	2011-10-31	$2,233,702
Assets. Value of participant loans	2011-10-31	$30,405
Total contributions received or receivable from employer(s)	2011-10-31	$110,594
Value of certain deemed distributions of participant loans	2011-10-31	$0
Value of corrective distributions	2011-10-31	$118
Funding deficiency by the employer to the plan for this plan year	2011-10-31	$0
Minimum employer required contribution for this plan year	2011-10-31	$0
Amount contributed by the employer to the plan for this plan year	2011-10-31	$0
2010 : CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2010 401k financial data
Funding deficiency by the employer to the plan for this plan year	2010-10-31	$0
Minimum employer required contribution for this plan year	2010-10-31	$0
Amount contributed by the employer to the plan for this plan year	2010-10-31	$0

Form 5500 Responses for CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN

2014: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	Submission has been amended	No
2014-11-01	This submission is the final filing	No
2014-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-11-01	Plan is a collectively bargained plan	No
2014-11-01	Plan funding arrangement – Insurance	Yes
2014-11-01	Plan funding arrangement – Trust	Yes
2014-11-01	Plan benefit arrangement – Insurance	Yes
2013: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Submission has been amended	No
2013-11-01	This submission is the final filing	No
2013-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-11-01	Plan is a collectively bargained plan	No
2013-11-01	Plan funding arrangement – Insurance	Yes
2013-11-01	Plan funding arrangement – Trust	Yes
2013-11-01	Plan benefit arrangement – Insurance	Yes
2012: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	No
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-11-01	Plan is a collectively bargained plan	No
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan funding arrangement – Trust	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2011: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Submission has been amended	No
2011-11-01	This submission is the final filing	No
2011-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-11-01	Plan is a collectively bargained plan	No
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan funding arrangement – Trust	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2010: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 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
2009: CEDAR VALLEY CHEESE, INC. 401(K) SAVINGS PLAN 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

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-711290

Policy instance

Insurance contract or identification number	GA-711290
Number of Individuals Covered	55
Insurance policy start date	2014-11-01
Insurance policy end date	2015-10-31
Total amount of commissions paid to insurance broker	USD $16,903
Total amount of fees paid to insurance company	USD $0
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?	Yes
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 $16,903
Insurance broker organization code?	3
Insurance broker name	COORDINATED CAPITAL SECURITIES INC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-711290

Policy instance

Insurance contract or identification number	GA-711290
Number of Individuals Covered	61
Insurance policy start date	2013-11-01
Insurance policy end date	2014-10-31
Total amount of commissions paid to insurance broker	USD $15,953
Total amount of fees paid to insurance company	USD $0
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?	Yes
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 $15,953
Insurance broker organization code?	3
Insurance broker name	COORDINATED CAPITAL SECURITIES INC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-711290

Policy instance

Insurance contract or identification number	GA-711290
Number of Individuals Covered	54
Insurance policy start date	2012-11-01
Insurance policy end date	2013-10-31
Total amount of commissions paid to insurance broker	USD $12,855
Total amount of fees paid to insurance company	USD $0
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?	Yes
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 $12,855
Insurance broker organization code?	3
Insurance broker name	COORDINATED CAPITAL SECURITIES INC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-711290

Policy instance

Insurance contract or identification number	GA-711290
Number of Individuals Covered	50
Insurance policy start date	2011-11-01
Insurance policy end date	2012-10-31
Total amount of commissions paid to insurance broker	USD $10,489
Total amount of fees paid to insurance company	USD $0
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?	Yes
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

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-711290

Policy instance

Insurance contract or identification number	GA-711290
Number of Individuals Covered	53
Insurance policy start date	2010-11-01
Insurance policy end date	2011-10-31
Total amount of commissions paid to insurance broker	USD $9,664
Total amount of fees paid to insurance company	USD $0
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?	Yes
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

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Company Name:	CEDAR VALLEY CHEESE, INC.
Employer identification number (EIN):	391208557
NAIC Classification:	311500
NAIC Description:	Dairy Product Manufacturing