401k Plan data: COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST plan

COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan Name	COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST
Plan identification number	001

COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST Benefits

401k Plan Type

Defined 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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

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

Company Name: COASTLINE

Employer identification number (EIN): 541271662

NAIC Classification: 221300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 RICHARD BAKER 2016-07-29
001 2014-01-01 ALEX MOTTESHEARD 2015-07-30
001 2013-01-01 ALEXANDRA MOTTESHEARD 2014-07-30
001 2012-01-01 COASTLINE 2013-07-30
001 2011-01-01 COASTLINE 2012-07-27
001 2010-01-01 COASTLINE LTD 2011-07-28
001 2008-01-01 RICHARD BAKER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2015-01-01	RICHARD BAKER	2016-07-29
001	2014-01-01	ALEX MOTTESHEARD	2015-07-30
001	2013-01-01	ALEXANDRA MOTTESHEARD	2014-07-30
001	2012-01-01	COASTLINE	2013-07-30
001	2011-01-01	COASTLINE	2012-07-27
001	2010-01-01	COASTLINE LTD	2011-07-28
001	2008-01-01	RICHARD BAKER

Plan Statistics for COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST

401k plan membership statisitcs for COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2008: COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST 2008 401k membership
Total participants, beginning-of-year 2008-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 25
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 25
Number of participants with account balances 2008-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0

Measure	Date	Value
2008: COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST 2008 401k membership
Total participants, beginning-of-year	2008-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	25
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	25
Number of participants with account balances	2008-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0

Financial Data on COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST

Measure	Date	Value
2008 : COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST 2008 401k financial data
Transfers to/from the plan	2008-12-31	$0
Total plan liabilities at end of year	2008-12-31	$0
Total plan liabilities at beginning of year	2008-12-31	$0
Total income from all sources	2008-12-31	$-77,581
Expenses. Total of all expenses incurred	2008-12-31	$0
Benefits paid (including direct rollovers)	2008-12-31	$0
Total plan assets at end of year	2008-12-31	$3,726
Total plan assets at beginning of year	2008-12-31	$81,307
Value of fidelity bond covering the plan	2008-12-31	$30,000
Total contributions received or receivable from participants	2008-12-31	$5,816
Expenses. Other expenses not covered elsewhere	2008-12-31	$0
Contributions received from other sources (not participants or employers)	2008-12-31	$0
Other income received	2008-12-31	$-83,397
Net income (gross income less expenses)	2008-12-31	$-77,581
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$3,726
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$81,307
Total contributions received or receivable from employer(s)	2008-12-31	$0
Value of certain deemed distributions of participant loans	2008-12-31	$0
Value of corrective distributions	2008-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2008-12-31	$0
2007 : COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST 2007 401k financial data
Transfers to/from the plan	2007-12-31	$0
Total plan liabilities at end of year	2007-12-31	$0
Total plan liabilities at beginning of year	2007-12-31	$0
Total income from all sources	2007-12-31	$12,024
Expenses. Total of all expenses incurred	2007-12-31	$1,044
Benefits paid (including direct rollovers)	2007-12-31	$0
Total plan assets at end of year	2007-12-31	$81,307
Total plan assets at beginning of year	2007-12-31	$70,327
Value of fidelity bond covering the plan	2007-12-31	$30,000
Total contributions received or receivable from participants	2007-12-31	$3,800
Expenses. Other expenses not covered elsewhere	2007-12-31	$1,044
Contributions received from other sources (not participants or employers)	2007-12-31	$0
Other income received	2007-12-31	$8,224
Noncash contributions received	2007-12-31	$0
Net income (gross income less expenses)	2007-12-31	$10,980
Net plan assets at end of year (total assets less liabilities)	2007-12-31	$81,307
Net plan assets at beginning of year (total assets less liabilities)	2007-12-31	$70,327
Total contributions received or receivable from employer(s)	2007-12-31	$0
Value of certain deemed distributions of participant loans	2007-12-31	$0
Value of corrective distributions	2007-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2007-12-31	$0

Form 5500 Responses for COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST

2008: COASTLINE LTD 401 K PROFIT SHARING PLAN TRUST 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

UNION CENTRAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 80837 )

Policy contract number

ESP 7651

Policy instance

Insurance contract or identification number	ESP 7651
Number of Individuals Covered	17
Insurance policy start date	2007-01-01
Insurance policy end date	2007-12-31
Total amount of commissions paid to insurance broker	USD $267
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GUARANTEED INVESTMENT
Insurance broker name	WILLIAM J PARKS

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Company Name:	COASTLINE
Employer identification number (EIN):	541271662
NAIC Classification:	221300