401k Plan data: ALBENZA, INC. RETIREMENT PLAN plan

ALBENZA, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	ALBENZA, INC. RETIREMENT PLAN
Plan identification number	001

ALBENZA, INC. RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ALBENZA, INC. has sponsored the creation of one or more 401k plans.

Company Name: ALBENZA, INC.

Employer identification number (EIN): 455194904

NAIC Classification: 453990

Additional information about ALBENZA, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2012-04-30

Company Identification Number: P12000040458

Legal Registered Office Address: 7061 S TAMIAMI TRAIL

SARASOTA

34231

More information about ALBENZA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALBENZA, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 JAMES A. WALLER, SR.
001 2015-01-01 JAMES A. WALLER, SR.
001 2014-01-01 JAMES A. WALLER, SR.
001 2013-01-01 JAMES A. WALLER, SR.
001 2012-05-02 JAMES A. WALLER, SR.

Plan id#	Filing Submission Date	Name of Administrator
001	2016-01-01	JAMES A. WALLER, SR.
001	2015-01-01	JAMES A. WALLER, SR.
001	2014-01-01	JAMES A. WALLER, SR.
001	2013-01-01	JAMES A. WALLER, SR.
001	2012-05-02	JAMES A. WALLER, SR.

Plan Statistics for ALBENZA, INC. RETIREMENT PLAN

401k plan membership statisitcs for ALBENZA, INC. RETIREMENT PLAN

Measure Date Value
2016: ALBENZA, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ALBENZA, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3
Number of participants with account balances 2015-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ALBENZA, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Total of all active and inactive participants 2014-01-01 3
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 1
2013: ALBENZA, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ALBENZA, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-02 1
Total number of active participants reported on line 7a of the Form 5500 2012-05-02 1
Total of all active and inactive participants 2012-05-02 1
Total participants 2012-05-02 1
Number of participants with account balances 2012-05-02 1

Measure	Date	Value
2016: ALBENZA, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ALBENZA, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3
Number of participants with account balances	2015-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ALBENZA, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Total of all active and inactive participants	2014-01-01	3
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	1
2013: ALBENZA, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ALBENZA, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-02	1
Total number of active participants reported on line 7a of the Form 5500	2012-05-02	1
Total of all active and inactive participants	2012-05-02	1
Total participants	2012-05-02	1
Number of participants with account balances	2012-05-02	1

Financial Data on ALBENZA, INC. RETIREMENT PLAN

Measure	Date	Value
2016 : ALBENZA, INC. RETIREMENT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$0
Expenses. Total of all expenses incurred	2016-12-31	$64
Benefits paid (including direct rollovers)	2016-12-31	$64
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$64
Value of fidelity bond covering the plan	2016-12-31	$20,000
Total contributions received or receivable from participants	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$-64
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$64
Assets. Value of employer securities	2016-12-31	$0
Total contributions received or receivable from employer(s)	2016-12-31	$0
Value of certain deemed distributions of participant loans	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : ALBENZA, INC. RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-274,047
Expenses. Total of all expenses incurred	2015-12-31	$2,389
Benefits paid (including direct rollovers)	2015-12-31	$2,389
Total plan assets at end of year	2015-12-31	$64
Total plan assets at beginning of year	2015-12-31	$276,500
Total contributions received or receivable from participants	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-274,047
Net income (gross income less expenses)	2015-12-31	$-276,436
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$64
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$276,500
Assets. Value of employer securities	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of certain deemed distributions of participant loans	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : ALBENZA, INC. RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$63,601
Total plan assets at end of year	2014-12-31	$276,500
Total plan assets at beginning of year	2014-12-31	$212,899
Value of fidelity bond covering the plan	2014-12-31	$20,000
Other income received	2014-12-31	$63,601
Net income (gross income less expenses)	2014-12-31	$63,601
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$276,500
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$212,899
Assets. Value of employer securities	2014-12-31	$273,712
2013 : ALBENZA, INC. RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$59,873
Expenses. Total of all expenses incurred	2013-12-31	$0
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$212,899
Total plan assets at beginning of year	2013-12-31	$153,026
Value of fidelity bond covering the plan	2013-12-31	$20,000
Total contributions received or receivable from participants	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$59,873
Net income (gross income less expenses)	2013-12-31	$59,873
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$212,899
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$153,026
Assets. Value of employer securities	2013-12-31	$210,034
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
2012 : ALBENZA, INC. RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$153,076
Expenses. Total of all expenses incurred	2012-12-31	$50
Total plan assets at end of year	2012-12-31	$153,026
Value of fidelity bond covering the plan	2012-12-31	$20,000
Contributions received from other sources (not participants or employers)	2012-12-31	$199,202
Other income received	2012-12-31	$-46,126
Net income (gross income less expenses)	2012-12-31	$153,026
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$153,026
Assets. Value of employer securities	2012-12-31	$150,000
Value of certain deemed distributions of participant loans	2012-12-31	$50

Form 5500 Responses for ALBENZA, INC. RETIREMENT PLAN

2016: ALBENZA, INC. RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ALBENZA, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ALBENZA, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ALBENZA, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ALBENZA, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-05-02	Type of plan entity	Single employer plan
2012-05-02	First time form 5500 has been submitted	Yes
2012-05-02	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-05-02	Plan funding arrangement – Trust	Yes
2012-05-02	Plan benefit arrangement - Trust	Yes

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Company Name:	ALBENZA, INC.
Employer identification number (EIN):	455194904
NAIC Classification:	453990

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2012-04-30
Company Identification Number:	P12000040458
Legal Registered Office Address:	7061 S TAMIAMI TRAIL SARASOTA 34231