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MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 401k Plan overview

Plan NameMID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES
Plan identification number 003

MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES Benefits

401k Plan TypeDefined 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.
  • 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.

401k Sponsoring company profile

MID-STATES SUPPLY COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:MID-STATES SUPPLY COMPANY, INC.
Employer identification number (EIN):440607144
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032016-04-01
0032015-04-01
0032014-04-01
0032013-04-01ANDREW BROWN
0032012-04-01ANDREW BROWN
0032011-04-01ANDREW BROWN
0032010-04-01ANDREW BROWN
0032009-04-01ROBERT G. BROWN

Plan Statistics for MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES

401k plan membership statisitcs for MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES

Measure Date Value
2016: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2016 401k membership
Total participants, beginning-of-year2016-04-01316
Total number of active participants reported on line 7a of the Form 55002016-04-010
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-010
Number of participants with account balances2016-04-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-04-01521
Total number of active participants reported on line 7a of the Form 55002015-04-01209
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-01105
Total of all active and inactive participants2015-04-01314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-01314
Number of participants with account balances2015-04-01199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010
2014: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-04-01485
Total number of active participants reported on line 7a of the Form 55002014-04-01454
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-0164
Total of all active and inactive participants2014-04-01518
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-012
Total participants2014-04-01520
Number of participants with account balances2014-04-01262
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-010
2013: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-04-01425
Total number of active participants reported on line 7a of the Form 55002013-04-01440
Number of retired or separated participants receiving benefits2013-04-0147
Number of other retired or separated participants entitled to future benefits2013-04-010
Total of all active and inactive participants2013-04-01487
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-012
Total participants2013-04-01489
Number of participants with account balances2013-04-01229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-010
2012: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-04-01364
Total number of active participants reported on line 7a of the Form 55002012-04-01379
Number of retired or separated participants receiving benefits2012-04-0144
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-01423
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-01423
Number of participants with account balances2012-04-01188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-010
2011: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-04-01330
Total number of active participants reported on line 7a of the Form 55002011-04-01331
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-0137
Total of all active and inactive participants2011-04-01368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-01368
Number of participants with account balances2011-04-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
2010: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2010 401k membership
Total participants, beginning-of-year2010-04-01307
Total number of active participants reported on line 7a of the Form 55002010-04-01292
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-0137
Total of all active and inactive participants2010-04-01329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-04-012
Total participants2010-04-01331
Number of participants with account balances2010-04-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-04-010
2009: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-04-01337
Total number of active participants reported on line 7a of the Form 55002009-04-01295
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-0137
Total of all active and inactive participants2009-04-01332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-012
Total participants2009-04-01334
Number of participants with account balances2009-04-01137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Financial Data on MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES

Measure Date Value
2016 : MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$0
Total income from all sources (including contributions)2016-10-31$136,721
Total loss/gain on sale of assets2016-10-31$0
Total of all expenses incurred2016-10-31$4,954,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$4,954,091
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$20,494
Value of total assets at end of year2016-10-31$0
Value of total assets at beginning of year2016-10-31$4,817,370
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$0
Total interest from all sources2016-10-31$1,629
Total dividends received (eg from common stock, registered investment company shares)2016-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-10-31$0
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$1,000,000
If this is an individual account plan, was there a blackout period2016-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-10-31$0
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Contributions received from participants2016-10-31$14,053
Participant contributions at end of year2016-10-31$0
Participant contributions at beginning of year2016-10-31$253,359
Participant contributions at end of year2016-10-31$0
Participant contributions at beginning of year2016-10-31$17,827
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-10-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$-4,817,370
Value of net assets at end of year (total assets less liabilities)2016-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$4,817,370
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Interest on participant loans2016-10-31$1,629
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-10-31$4,540,465
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-31$0
Asset value of US Government securities at end of year2016-10-31$0
Asset value of US Government securities at beginning of year2016-10-31$0
Net investment gain/loss from pooled separate accounts2016-10-31$114,598
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31Yes
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$6,441
Employer contributions (assets) at end of year2016-10-31$0
Employer contributions (assets) at beginning of year2016-10-31$5,719
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-31$4,954,091
Did the plan have assets held for investment2016-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31Yes
Opinion of an independent qualified public accountant for this plan2016-10-31Disclaimer
Accountancy firm name2016-10-31BKD, LLP
Accountancy firm EIN2016-10-31440160260
Total unrealized appreciation/depreciation of assets2016-03-31$0
Total transfer of assets to this plan2016-03-31$0
Total transfer of assets from this plan2016-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$0
Total income from all sources (including contributions)2016-03-31$457,576
Total loss/gain on sale of assets2016-03-31$0
Total of all expenses incurred2016-03-31$1,278,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$1,278,115
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$669,791
Value of total assets at end of year2016-03-31$4,817,370
Value of total assets at beginning of year2016-03-31$5,637,909
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$0
Total interest from all sources2016-03-31$10,826
Total dividends received (eg from common stock, registered investment company shares)2016-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$1,000,000
If this is an individual account plan, was there a blackout period2016-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-31$0
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Contributions received from participants2016-03-31$498,671
Participant contributions at end of year2016-03-31$253,359
Participant contributions at beginning of year2016-03-31$285,362
Participant contributions at end of year2016-03-31$17,827
Participant contributions at beginning of year2016-03-31$28,861
Income. Received or receivable in cash from other sources (including rollovers)2016-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Income. Non cash contributions2016-03-31$0
Value of net income/loss2016-03-31$-820,539
Value of net assets at end of year (total assets less liabilities)2016-03-31$4,817,370
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$5,637,909
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Interest on participant loans2016-03-31$10,826
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-03-31$4,540,465
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-03-31$5,315,604
Asset value of US Government securities at end of year2016-03-31$0
Asset value of US Government securities at beginning of year2016-03-31$0
Net investment gain/loss from pooled separate accounts2016-03-31$-223,041
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31No
Was there a failure to transmit to the plan any participant contributions2016-03-31Yes
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$171,120
Employer contributions (assets) at end of year2016-03-31$5,719
Employer contributions (assets) at beginning of year2016-03-31$8,082
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$1,278,115
Did the plan have assets held for investment2016-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31Yes
Opinion of an independent qualified public accountant for this plan2016-03-31Disclaimer
Accountancy firm name2016-03-31BKD, LLP
Accountancy firm EIN2016-03-31440160260
2015 : MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Total income from all sources (including contributions)2015-03-31$1,239,456
Total loss/gain on sale of assets2015-03-31$0
Total of all expenses incurred2015-03-31$886,429
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$886,429
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$874,497
Value of total assets at end of year2015-03-31$5,637,909
Value of total assets at beginning of year2015-03-31$5,284,882
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$0
Total interest from all sources2015-03-31$11,105
Total dividends received (eg from common stock, registered investment company shares)2015-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$1,000,000
If this is an individual account plan, was there a blackout period2015-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Contributions received from participants2015-03-31$637,053
Participant contributions at end of year2015-03-31$285,362
Participant contributions at beginning of year2015-03-31$264,513
Participant contributions at end of year2015-03-31$28,861
Participant contributions at beginning of year2015-03-31$44,220
Income. Received or receivable in cash from other sources (including rollovers)2015-03-31$35,794
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Income. Non cash contributions2015-03-31$0
Value of net income/loss2015-03-31$353,027
Value of net assets at end of year (total assets less liabilities)2015-03-31$5,637,909
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$5,284,882
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Interest on participant loans2015-03-31$11,105
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-03-31$5,315,604
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-03-31$4,962,462
Asset value of US Government securities at end of year2015-03-31$0
Asset value of US Government securities at beginning of year2015-03-31$0
Net investment gain/loss from pooled separate accounts2015-03-31$353,854
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31No
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$201,650
Employer contributions (assets) at end of year2015-03-31$8,082
Employer contributions (assets) at beginning of year2015-03-31$13,687
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$886,429
Did the plan have assets held for investment2015-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31Yes
Opinion of an independent qualified public accountant for this plan2015-03-31Disclaimer
Accountancy firm name2015-03-31BKD, LLP
Accountancy firm EIN2015-03-31440160260
2014 : MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-03-31$0
Total transfer of assets to this plan2014-03-31$0
Total transfer of assets from this plan2014-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total income from all sources (including contributions)2014-03-31$1,339,292
Total loss/gain on sale of assets2014-03-31$0
Total of all expenses incurred2014-03-31$208,467
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$208,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$700,423
Value of total assets at end of year2014-03-31$5,284,882
Value of total assets at beginning of year2014-03-31$4,154,057
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$0
Total interest from all sources2014-03-31$10,864
Total dividends received (eg from common stock, registered investment company shares)2014-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$1,000,000
If this is an individual account plan, was there a blackout period2014-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$515,056
Participant contributions at end of year2014-03-31$264,513
Participant contributions at beginning of year2014-03-31$208,229
Participant contributions at end of year2014-03-31$44,220
Participant contributions at beginning of year2014-03-31$38,998
Income. Received or receivable in cash from other sources (including rollovers)2014-03-31$25,791
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Income. Non cash contributions2014-03-31$0
Value of net income/loss2014-03-31$1,130,825
Value of net assets at end of year (total assets less liabilities)2014-03-31$5,284,882
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$4,154,057
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Interest on participant loans2014-03-31$10,864
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-03-31$4,962,462
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-03-31$3,895,411
Asset value of US Government securities at end of year2014-03-31$0
Asset value of US Government securities at beginning of year2014-03-31$0
Net investment gain/loss from pooled separate accounts2014-03-31$628,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$159,576
Employer contributions (assets) at end of year2014-03-31$13,687
Employer contributions (assets) at beginning of year2014-03-31$11,419
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$208,467
Did the plan have assets held for investment2014-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31Yes
Opinion of an independent qualified public accountant for this plan2014-03-31Disclaimer
Accountancy firm name2014-03-31BKD, LLP
Accountancy firm EIN2014-03-31440160260
2013 : MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$0
Total income from all sources (including contributions)2013-03-31$892,792
Total loss/gain on sale of assets2013-03-31$0
Total of all expenses incurred2013-03-31$201,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$201,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$597,390
Value of total assets at end of year2013-03-31$4,154,057
Value of total assets at beginning of year2013-03-31$3,462,516
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$0
Total interest from all sources2013-03-31$6,938
Total dividends received (eg from common stock, registered investment company shares)2013-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$1,000,000
If this is an individual account plan, was there a blackout period2013-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$436,518
Participant contributions at end of year2013-03-31$208,229
Participant contributions at beginning of year2013-03-31$161,205
Participant contributions at end of year2013-03-31$38,998
Participant contributions at beginning of year2013-03-31$33,388
Income. Received or receivable in cash from other sources (including rollovers)2013-03-31$56,943
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Value of net income/loss2013-03-31$691,541
Value of net assets at end of year (total assets less liabilities)2013-03-31$4,154,057
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$3,462,516
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Interest on participant loans2013-03-31$6,938
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-03-31$3,895,411
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-03-31$3,260,235
Asset value of US Government securities at end of year2013-03-31$0
Asset value of US Government securities at beginning of year2013-03-31$0
Net investment gain/loss from pooled separate accounts2013-03-31$288,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31No
Was there a failure to transmit to the plan any participant contributions2013-03-31No
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$103,929
Employer contributions (assets) at end of year2013-03-31$11,419
Employer contributions (assets) at beginning of year2013-03-31$7,688
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$201,251
Did the plan have assets held for investment2013-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31Yes
Opinion of an independent qualified public accountant for this plan2013-03-31Disclaimer
Accountancy firm name2013-03-31BKD, LLP
Accountancy firm EIN2013-03-31440160260
2012 : MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$232
Total income from all sources (including contributions)2012-03-31$553,658
Total loss/gain on sale of assets2012-03-31$0
Total of all expenses incurred2012-03-31$84,566
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$84,566
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$442,481
Value of total assets at end of year2012-03-31$3,462,516
Value of total assets at beginning of year2012-03-31$2,993,656
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$0
Total interest from all sources2012-03-31$6,300
Total dividends received (eg from common stock, registered investment company shares)2012-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$1,000,000
If this is an individual account plan, was there a blackout period2012-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$351,325
Participant contributions at end of year2012-03-31$161,205
Participant contributions at beginning of year2012-03-31$124,429
Participant contributions at end of year2012-03-31$33,388
Participant contributions at beginning of year2012-03-31$23,184
Income. Received or receivable in cash from other sources (including rollovers)2012-03-31$10,473
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-03-31$232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Income. Non cash contributions2012-03-31$0
Value of net income/loss2012-03-31$469,092
Value of net assets at end of year (total assets less liabilities)2012-03-31$3,462,516
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$2,993,424
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Interest on participant loans2012-03-31$6,300
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-03-31$3,260,235
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-03-31$2,840,834
Net investment gain/loss from pooled separate accounts2012-03-31$104,877
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31No
Was there a failure to transmit to the plan any participant contributions2012-03-31Yes
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$80,683
Employer contributions (assets) at end of year2012-03-31$7,688
Employer contributions (assets) at beginning of year2012-03-31$5,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$84,566
Did the plan have assets held for investment2012-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31Yes
Opinion of an independent qualified public accountant for this plan2012-03-31Disclaimer
Accountancy firm name2012-03-31BKD, LLP
Accountancy firm EIN2012-03-31440160260
2011 : MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$232
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$0
Total income from all sources (including contributions)2011-03-31$667,973
Total loss/gain on sale of assets2011-03-31$0
Total of all expenses incurred2011-03-31$234,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$234,173
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$379,051
Value of total assets at end of year2011-03-31$2,993,656
Value of total assets at beginning of year2011-03-31$2,559,624
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$0
Total interest from all sources2011-03-31$6,147
Total dividends received (eg from common stock, registered investment company shares)2011-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$1,000,000
If this is an individual account plan, was there a blackout period2011-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-03-31$0
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$307,857
Participant contributions at end of year2011-03-31$124,429
Participant contributions at beginning of year2011-03-31$133,050
Participant contributions at end of year2011-03-31$23,184
Participant contributions at beginning of year2011-03-31$19,000
Income. Received or receivable in cash from other sources (including rollovers)2011-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-03-31$232
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Income. Non cash contributions2011-03-31$0
Value of net income/loss2011-03-31$433,800
Value of net assets at end of year (total assets less liabilities)2011-03-31$2,993,424
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$2,559,624
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Interest on participant loans2011-03-31$6,147
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-03-31$2,840,834
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-03-31$2,407,574
Net investment gain/loss from pooled separate accounts2011-03-31$282,775
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31No
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$71,194
Employer contributions (assets) at end of year2011-03-31$5,209
Employer contributions (assets) at beginning of year2011-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$234,173
Did the plan have assets held for investment2011-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31Yes
Opinion of an independent qualified public accountant for this plan2011-03-31Disclaimer
Accountancy firm name2011-03-31BKD, LLP
Accountancy firm EIN2011-03-31440160260
2010 : MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-03-31$0

Form 5500 Responses for MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES

2016: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingYes
2016-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement - TrustYes
2015: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement - TrustYes
2014: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement - TrustYes
2013: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement - TrustYes
2012: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement - TrustYes
2011: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement - TrustYes
2010: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan funding arrangement – TrustYes
2010-04-01Plan benefit arrangement - TrustYes
2009: MID-STATES SUPPLY COMPANY, INC. 401(K) PLAN FOR UNION AND NON-UNION EMPLOYEES 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-EF47
Policy instance 1
Insurance contract or identification numberGAP-54-EF47
Number of Individuals Covered199
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-EF47
Policy instance 1
Insurance contract or identification numberGAP-54-EF47
Number of Individuals Covered262
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-EF47
Policy instance 1
Insurance contract or identification numberGAP-54-EF47
Number of Individuals Covered229
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-EF47
Policy instance 1
Insurance contract or identification numberGAP-54-EF47
Number of Individuals Covered188
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-EF47
Policy instance 1
Insurance contract or identification numberGAP-54-EF47
Number of Individuals Covered149
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-EF47
Policy instance 1
Insurance contract or identification numberGAP-54-EF47
Number of Individuals Covered138
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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