401k Plan data: VIAFIELD, A COOPERATIVE plan

VIAFIELD, A COOPERATIVE 401k Plan overview

Plan Name	VIAFIELD, A COOPERATIVE
Plan identification number	506

VIAFIELD, A COOPERATIVE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

401k Sponsoring company profile

VIAFIELD has sponsored the creation of one or more 401k plans.

Company Name: VIAFIELD

Employer identification number (EIN): 420243960

NAIC Classification: 115110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VIAFIELD, A COOPERATIVE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2015-05-01 ANNE BENNING ANNE BENNING 2016-08-22
506 2014-05-01 ANNE BENNING ANNE BENNING 2015-06-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2015-05-01	ANNE BENNING		ANNE BENNING	2016-08-22
506	2014-05-01	ANNE BENNING		ANNE BENNING	2015-06-26

Plan Statistics for VIAFIELD, A COOPERATIVE

401k plan membership statisitcs for VIAFIELD, A COOPERATIVE

Measure Date Value
2015: VIAFIELD, A COOPERATIVE 2015 401k membership
Total participants, beginning-of-year 2015-05-01 104
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 95
Total of all active and inactive participants 2015-05-01 95
Total participants 2015-05-01 95
2014: VIAFIELD, A COOPERATIVE 2014 401k membership
Total participants, beginning-of-year 2014-05-01 80
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 104
Total of all active and inactive participants 2014-05-01 104
Total participants 2014-05-01 104

Measure	Date	Value
2015: VIAFIELD, A COOPERATIVE 2015 401k membership
Total participants, beginning-of-year	2015-05-01	104
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	95
Total of all active and inactive participants	2015-05-01	95
Total participants	2015-05-01	95
2014: VIAFIELD, A COOPERATIVE 2014 401k membership
Total participants, beginning-of-year	2014-05-01	80
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	104
Total of all active and inactive participants	2014-05-01	104
Total participants	2014-05-01	104

Form 5500 Responses for VIAFIELD, A COOPERATIVE

2015: VIAFIELD, A COOPERATIVE 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	No
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2014: VIAFIELD, A COOPERATIVE 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	No
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AL8W

Policy instance

Insurance contract or identification number	GLUG0AL8W
Number of Individuals Covered	95
Insurance policy start date	2015-05-01
Insurance policy end date	2016-05-01
Total amount of commissions paid to insurance broker	USD $3,383
Total amount of fees paid to insurance company	USD $1,928
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	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	VOLUNTARY LIFE AND AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $51,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,383
Amount paid for insurance broker fees	1928
Additional information about fees paid to insurance broker	OTHER COMP
Insurance broker organization code?	3
Insurance broker name	ASSOCIATED FINANCIAL GROUP LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0AL8W

Policy instance

Insurance contract or identification number	GVTL0AL8W
Number of Individuals Covered	104
Insurance policy start date	2014-05-01
Insurance policy end date	2015-05-01
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	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	VOLUNTARY LIFE AND AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $53,293
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	VIAFIELD
Employer identification number (EIN):	420243960
NAIC Classification:	115110