401k Plan data: CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN plan

CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN
Plan identification number	002

CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Life insurance

401k Sponsoring company profile

CLOVER TOOL CO., INC. has sponsored the creation of one or more 401k plans.

Company Name: CLOVER TOOL CO., INC.

Employer identification number (EIN): 454083548

NAIC Classification: 423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01
002 2016-01-01
002 2015-01-01 CAROL MANLEY 2016-09-27
002 2014-01-01 CAROL MANLEY 2015-10-01
002 2013-01-01 CAROL MANLEY
002 2012-01-01 CAROL MANLEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2017-01-01
002	2016-01-01
002	2015-01-01	CAROL MANLEY	2016-09-27
002	2014-01-01	CAROL MANLEY	2015-10-01
002	2013-01-01	CAROL MANLEY
002	2012-01-01	CAROL MANLEY

Plan Statistics for CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 11
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 11
Number of participants with account balances 2013-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 10
Total of all active and inactive participants 2012-01-01 10
Total participants 2012-01-01 10

Measure	Date	Value
2013: CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	11
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	11
Number of participants with account balances	2013-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	10
Total of all active and inactive participants	2012-01-01	10
Total participants	2012-01-01	10

Financial Data on CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2013 : CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$133,768
Expenses. Total of all expenses incurred	2013-12-31	$8,384
Benefits paid (including direct rollovers)	2013-12-31	$7,623
Total plan assets at end of year	2013-12-31	$166,442
Total plan assets at beginning of year	2013-12-31	$41,058
Total contributions received or receivable from participants	2013-12-31	$53,398
Expenses. Other expenses not covered elsewhere	2013-12-31	$761
Contributions received from other sources (not participants or employers)	2013-12-31	$3,325
Other income received	2013-12-31	$8,856
Net income (gross income less expenses)	2013-12-31	$125,384
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$166,442
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$41,058
Total contributions received or receivable from employer(s)	2013-12-31	$68,189
2012 : CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$41,058
Total plan assets at end of year	2012-12-31	$41,058
Total plan assets at beginning of year	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$41,058
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$41,058
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$41,058

Form 5500 Responses for CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN

2013: CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CLOVER TOOL CO., INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract number	VF80311590
Policy instance	1

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Company Name:	CLOVER TOOL CO., INC.
Employer identification number (EIN):	454083548
NAIC Classification:	423800