401k Plan data: BRF/BRFHH RETIREMENT PLAN plan

BRF/BRFHH RETIREMENT PLAN 401k Plan overview

Plan Name	BRF/BRFHH RETIREMENT PLAN
Plan identification number	003

BRF/BRFHH RETIREMENT PLAN 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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA has sponsored the creation of one or more 401k plans.

Company Name: BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA

Employer identification number (EIN): 581711612

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA

Jurisdiction of Incorporation: Louisiana Secretary Of State, Commercial Division

Incorporation Date:

Company Identification Number: 34196224N

More information about BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRF/BRFHH RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2019-01-01
003 2017-01-01
003 2016-01-01
003 2015-01-01
003 2014-01-01 JAMES DEAN
003 2013-10-01 JAMES D. DEAN

Plan Statistics for BRF/BRFHH RETIREMENT PLAN

401k plan membership statisitcs for BRF/BRFHH RETIREMENT PLAN

Measure Date Value
2019: BRF/BRFHH RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 3,405
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 2,687
Number of retired or separated participants receiving benefits 2019-01-01 7
Number of other retired or separated participants entitled to future benefits 2019-01-01 663
Total of all active and inactive participants 2019-01-01 3,357
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 4
Total participants 2019-01-01 3,361
Number of participants with account balances 2019-01-01 3,356
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 140
2017: BRF/BRFHH RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3,928
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,862
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 740
Total of all active and inactive participants 2017-01-01 3,602
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 3,602
Number of participants with account balances 2017-01-01 3,312
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 240
2016: BRF/BRFHH RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3,702
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3,593
Number of retired or separated participants receiving benefits 2016-01-01 14
Number of other retired or separated participants entitled to future benefits 2016-01-01 320
Total of all active and inactive participants 2016-01-01 3,927
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 3,928
Number of participants with account balances 2016-01-01 3,102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 137
2015: BRF/BRFHH RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,866
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3,697
Number of retired or separated participants receiving benefits 2015-01-01 10
Number of other retired or separated participants entitled to future benefits 2015-01-01 203
Total of all active and inactive participants 2015-01-01 3,910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3,910
Number of participants with account balances 2015-01-01 2,685
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 69
2014: BRF/BRFHH RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,072
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,857
Number of retired or separated participants receiving benefits 2014-01-01 14
Number of other retired or separated participants entitled to future benefits 2014-01-01 217
Total of all active and inactive participants 2014-01-01 3,088
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3,088
Number of participants with account balances 2014-01-01 2,461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 207
2013: BRF/BRFHH RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 2,774
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 2,697
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 83
Total of all active and inactive participants 2013-10-01 2,780
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 2,780
Number of participants with account balances 2013-10-01 2,780
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 19

Measure	Date	Value
2019: BRF/BRFHH RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	3,405
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	2,687
Number of retired or separated participants receiving benefits	2019-01-01	7
Number of other retired or separated participants entitled to future benefits	2019-01-01	663
Total of all active and inactive participants	2019-01-01	3,357
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	4
Total participants	2019-01-01	3,361
Number of participants with account balances	2019-01-01	3,356
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	140
2017: BRF/BRFHH RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3,928
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,862
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	740
Total of all active and inactive participants	2017-01-01	3,602
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	3,602
Number of participants with account balances	2017-01-01	3,312
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	240
2016: BRF/BRFHH RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3,702
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3,593
Number of retired or separated participants receiving benefits	2016-01-01	14
Number of other retired or separated participants entitled to future benefits	2016-01-01	320
Total of all active and inactive participants	2016-01-01	3,927
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	3,928
Number of participants with account balances	2016-01-01	3,102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	137
2015: BRF/BRFHH RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,866
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3,697
Number of retired or separated participants receiving benefits	2015-01-01	10
Number of other retired or separated participants entitled to future benefits	2015-01-01	203
Total of all active and inactive participants	2015-01-01	3,910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3,910
Number of participants with account balances	2015-01-01	2,685
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	69
2014: BRF/BRFHH RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,072
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,857
Number of retired or separated participants receiving benefits	2014-01-01	14
Number of other retired or separated participants entitled to future benefits	2014-01-01	217
Total of all active and inactive participants	2014-01-01	3,088
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3,088
Number of participants with account balances	2014-01-01	2,461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	207
2013: BRF/BRFHH RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	2,774
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	2,697
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	83
Total of all active and inactive participants	2013-10-01	2,780
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	2,780
Number of participants with account balances	2013-10-01	2,780
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	19

Financial Data on BRF/BRFHH RETIREMENT PLAN

Measure	Date	Value
2019 : BRF/BRFHH RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$82,172
Total unrealized appreciation/depreciation of assets	2019-12-31	$82,172
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,250
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,250
Total income from all sources (including contributions)	2019-12-31	$27,406,881
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$6,645,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$6,237,822
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$14,773,098
Value of total assets at end of year	2019-12-31	$80,490,332
Value of total assets at beginning of year	2019-12-31	$59,730,689
Value of total assets at beginning of year	2019-12-31	$59,730,689
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$408,166
Total interest from all sources	2019-12-31	$153,428
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,923,900
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$1,923,900
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$7,137,781
Participant contributions at end of year	2019-12-31	$2,583,319
Participant contributions at end of year	2019-12-31	$2,583,319
Participant contributions at beginning of year	2019-12-31	$2,701,006
Participant contributions at beginning of year	2019-12-31	$2,701,006
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$244,827
Participant contributions at beginning of year	2019-12-31	$244,827
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$287,748
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$1,250
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$1,250
Other income not declared elsewhere	2019-12-31	$569
Administrative expenses (other) incurred	2019-12-31	$408,166
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$20,760,893
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$80,490,332
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$59,729,439
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$59,729,439
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$73,621,091
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$73,621,091
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$52,015,999
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$52,015,999
Interest on participant loans	2019-12-31	$153,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$4,285,922
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$4,513,037
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$4,513,037
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$10,473,714
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$7,347,569
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$255,820
Employer contributions (assets) at beginning of year	2019-12-31	$255,820
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$6,237,822
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	Yes
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HEARD, MCELROY AND VESTAL, LLC
Accountancy firm EIN	2019-12-31	720398470
2017 : BRF/BRFHH RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$3,580,050
Total unrealized appreciation/depreciation of assets	2017-12-31	$3,580,050
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$651
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$651
Total income from all sources (including contributions)	2017-12-31	$21,647,134
Total loss/gain on sale of assets	2017-12-31	$1,107,502
Total of all expenses incurred	2017-12-31	$2,783,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,275,802
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$14,543,113
Value of total assets at end of year	2017-12-31	$61,523,711
Value of total assets at beginning of year	2017-12-31	$42,659,936
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$507,557
Total interest from all sources	2017-12-31	$111,823
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$2,304,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$2,304,646
Administrative expenses professional fees incurred	2017-12-31	$12,500
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$6,959,127
Participant contributions at end of year	2017-12-31	$2,159,910
Participant contributions at beginning of year	2017-12-31	$1,404,338
Participant contributions at end of year	2017-12-31	$6,000
Participant contributions at beginning of year	2017-12-31	$4,941
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$474,324
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$651
Administrative expenses (other) incurred	2017-12-31	$312,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$18,863,775
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$61,523,060
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$42,659,285
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$85,983
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$55,212,385
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$37,951,015
Interest on participant loans	2017-12-31	$70,075
Interest earned on other investments	2017-12-31	$41,748
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$4,144,501
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$3,261,039
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$7,109,662
Employer contributions (assets) at end of year	2017-12-31	$915
Employer contributions (assets) at beginning of year	2017-12-31	$38,603
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,275,802
Contract administrator fees	2017-12-31	$97,017
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Aggregate proceeds on sale of assets	2017-12-31	$16,419,250
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$15,311,748
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	POSTLETHWAITE & NETTERVILLE
Accountancy firm EIN	2017-12-31	721202445
2016 : BRF/BRFHH RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$651
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$651
Total income from all sources (including contributions)	2016-12-31	$16,403,012
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,777,427
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,415,146
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$13,410,017
Value of total assets at end of year	2016-12-31	$42,659,936
Value of total assets at beginning of year	2016-12-31	$28,034,351
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$362,281
Total interest from all sources	2016-12-31	$69,337
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,560,176
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$1,560,176
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$6,202,438
Participant contributions at end of year	2016-12-31	$1,404,338
Participant contributions at beginning of year	2016-12-31	$723,660
Participant contributions at end of year	2016-12-31	$4,941
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$665,184
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$651
Liabilities. Value of operating payables at end of year	2016-12-31	$0
Liabilities. Value of operating payables at beginning of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$14,625,585
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$42,659,285
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$28,033,700
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$362,281
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$37,951,015
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$24,979,408
Interest on participant loans	2016-12-31	$37,047
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$32,290
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$3,261,039
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$2,329,884
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,363,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$6,542,395
Employer contributions (assets) at end of year	2016-12-31	$38,603
Employer contributions (assets) at beginning of year	2016-12-31	$1,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,415,146
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	POSTLETHWAITE & NETTERVILLE
Accountancy firm EIN	2016-12-31	721202445
2015 : BRF/BRFHH RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$651
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$643
Total income from all sources (including contributions)	2015-12-31	$10,887,580
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,683,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,376,427
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$11,148,697
Value of total assets at end of year	2015-12-31	$28,034,351
Value of total assets at beginning of year	2015-12-31	$18,830,033
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$306,843
Total interest from all sources	2015-12-31	$43,467
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$2,036,326
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$2,036,326
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$5,186,116
Participant contributions at end of year	2015-12-31	$723,660
Participant contributions at beginning of year	2015-12-31	$391,957
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$346,710
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$643
Liabilities. Value of operating payables at end of year	2015-12-31	$0
Liabilities. Value of operating payables at beginning of year	2015-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$9,204,310
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$28,033,700
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$18,829,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$306,843
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$24,979,408
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$17,083,261
Interest on participant loans	2015-12-31	$20,786
Interest earned on other investments	2015-12-31	$22,681
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$2,329,884
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,352,298
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-2,340,910
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$5,615,871
Employer contributions (assets) at end of year	2015-12-31	$1,399
Employer contributions (assets) at beginning of year	2015-12-31	$2,517
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,376,427
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	POSTLETHWAITE & NETTERVILLE
Accountancy firm EIN	2015-12-31	721202445
2014 : BRF/BRFHH RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$643
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$834
Total income from all sources (including contributions)	2014-12-31	$12,658,879
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,006,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$851,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$11,900,947
Value of total assets at end of year	2014-12-31	$18,830,033
Value of total assets at beginning of year	2014-12-31	$7,177,819
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$155,177
Total interest from all sources	2014-12-31	$22,702
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$5,129,106
Participant contributions at end of year	2014-12-31	$391,957
Participant contributions at beginning of year	2014-12-31	$111,215
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$835,710
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$643
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$829
Liabilities. Value of operating payables at end of year	2014-12-31	$0
Liabilities. Value of operating payables at beginning of year	2014-12-31	$5
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$11,652,405
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$18,829,390
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$7,176,985
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$155,177
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$17,083,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$6,797,744
Interest on participant loans	2014-12-31	$9,170
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$13,532
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,352,298
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$266,368
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$735,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$5,936,131
Employer contributions (assets) at end of year	2014-12-31	$2,517
Employer contributions (assets) at beginning of year	2014-12-31	$2,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$851,297
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	POSTLETHWAITE & NETTERVILLE
Accountancy firm EIN	2014-12-31	721202445
2013 : BRF/BRFHH RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$3,834,357
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$3,345,032
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$441
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,154,813
Value of total assets at end of year	2013-12-31	$7,177,819
Value of total assets at beginning of year	2013-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,963
Total interest from all sources	2013-12-31	$998
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$272,336
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$272,336
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,154,789
Participant contributions at end of year	2013-12-31	$111,215
Participant contributions at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$582,047
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$829
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Liabilities. Value of operating payables at end of year	2013-12-31	$5
Liabilities. Value of operating payables at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,342,628
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$7,176,985
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$1,963
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$6,797,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$721
Interest earned on other investments	2013-12-31	$277
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$266,368
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$-83,115
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,417,977
Employer contributions (assets) at end of year	2013-12-31	$2,492
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$441
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No

Form 5500 Responses for BRF/BRFHH RETIREMENT PLAN

2019: BRF/BRFHH RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2017: BRF/BRFHH RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BRF/BRFHH RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BRF/BRFHH RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BRF/BRFHH RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BRF/BRFHH RETIREMENT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	First time form 5500 has been submitted	Yes
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

336386-01

Policy instance

Insurance contract or identification number	336386-01
Number of Individuals Covered	1
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

336386-01

Policy instance

Insurance contract or identification number	336386-01
Number of Individuals Covered	672
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

336386-01

Policy instance

Insurance contract or identification number	336386-01
Number of Individuals Covered	712
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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 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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

336386-01

Policy instance

Insurance contract or identification number	336386-01
Number of Individuals Covered	671
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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 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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

336386-01

Policy instance

Insurance contract or identification number	336386-01
Number of Individuals Covered	817
Insurance policy start date	2013-10-01
Insurance policy end date	2013-12-31
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 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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

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Company Name:	BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA
Employer identification number (EIN):	581711612
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Louisiana Secretary Of State, Commercial Division
Incorporation Date:
Company Identification Number:	34196224N