401k Plan data: PAUL HILGERS HOOF CARE DEFINED BENEFIT PLAN AND TRUST plan

PAUL HILGERS HOOF CARE DEFINED BENEFIT PLAN AND TRUST 401k Plan overview

Plan Name	PAUL HILGERS HOOF CARE DEFINED BENEFIT PLAN AND TRUST
Plan identification number	001

PAUL HILGERS HOOF CARE DEFINED BENEFIT PLAN AND TRUST Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
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

PAUL HILGERS HOOF CARE has sponsored the creation of one or more 401k plans.

Company Name: PAUL HILGERS HOOF CARE

Employer identification number (EIN): 391423653

NAIC Classification: 812910
NAIC Description: Pet Care (except Veterinary) Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAUL HILGERS HOOF CARE DEFINED BENEFIT PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-12-31 PAUL HILGERS 2014-04-24
001 2011-12-31 PAUL HILGERS 2013-07-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-12-31	PAUL HILGERS	2014-04-24
001	2011-12-31	PAUL HILGERS	2013-07-29

Financial Data on PAUL HILGERS HOOF CARE DEFINED BENEFIT PLAN AND TRUST

Measure	Date	Value
2011 : PAUL HILGERS HOOF CARE DEFINED BENEFIT PLAN AND TRUST 2011 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-30	$0

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 )

Policy contract number

0353920

Policy instance

Insurance contract or identification number	0353920
Number of Individuals Covered	2
Insurance policy start date	2010-12-31
Insurance policy end date	2011-12-30
Total amount of commissions paid to insurance broker	USD $5,550
Total amount of fees paid to insurance company	USD $11
Are there contracts with allocated funds for individual policies?	Yes
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

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Company Name:	PAUL HILGERS HOOF CARE
Employer identification number (EIN):	391423653
NAIC Classification:	812910
NAIC Description:	Pet Care (except Veterinary) Services