401k Plan data: AXIA 401(K) PROFIT SHARING PLAN plan

AXIA 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	AXIA 401(K) PROFIT SHARING PLAN
Plan identification number	002

AXIA 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

AXIA EMPLOYEE BENEFIT INSURANCE SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: AXIA EMPLOYEE BENEFIT INSURANCE SERVICES, INC.

Employer identification number (EIN): 680435881

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AXIA 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-08-01 SALLY HAMMONS SALLY HAMMONS 2013-03-22
002 2011-08-01 SALLY HAMMONS SALLY HAMMONS 2012-12-18
002 2010-08-01 SALLY HAMMONS SALLY HAMMONS 2012-02-16
002 2009-08-01 SALLY HAMMONS SALLY HAMMONS 2011-02-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2012-08-01	SALLY HAMMONS	SALLY HAMMONS	2013-03-22
002	2011-08-01	SALLY HAMMONS	SALLY HAMMONS	2012-12-18
002	2010-08-01	SALLY HAMMONS	SALLY HAMMONS	2012-02-16
002	2009-08-01	SALLY HAMMONS	SALLY HAMMONS	2011-02-28

Plan Statistics for AXIA 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for AXIA 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: AXIA 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 0
Number of retired or separated participants receiving benefits 2012-08-01 0
Number of other retired or separated participants entitled to future benefits 2012-08-01 0
Total of all active and inactive participants 2012-08-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-08-01 0
Total participants 2012-08-01 0
Number of participants with account balances 2012-08-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-08-01 0
2011: AXIA 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 2
Number of retired or separated participants receiving benefits 2011-08-01 0
Number of other retired or separated participants entitled to future benefits 2011-08-01 0
Total of all active and inactive participants 2011-08-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-08-01 0
Total participants 2011-08-01 2
Number of participants with account balances 2011-08-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-08-01 0
2010: AXIA 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-08-01 2
Total number of active participants reported on line 7a of the Form 5500 2010-08-01 2
Number of retired or separated participants receiving benefits 2010-08-01 0
Number of other retired or separated participants entitled to future benefits 2010-08-01 0
Total of all active and inactive participants 2010-08-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-08-01 0
Total participants 2010-08-01 2
Number of participants with account balances 2010-08-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-08-01 0
2009: AXIA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 2
Number of retired or separated participants receiving benefits 2009-08-01 0
Number of other retired or separated participants entitled to future benefits 2009-08-01 0
Total of all active and inactive participants 2009-08-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-08-01 0
Total participants 2009-08-01 2
Number of participants with account balances 2009-08-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-08-01 0

Measure	Date	Value
2012: AXIA 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	0
Number of retired or separated participants receiving benefits	2012-08-01	0
Number of other retired or separated participants entitled to future benefits	2012-08-01	0
Total of all active and inactive participants	2012-08-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-08-01	0
Total participants	2012-08-01	0
Number of participants with account balances	2012-08-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-08-01	0
2011: AXIA 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	2
Number of retired or separated participants receiving benefits	2011-08-01	0
Number of other retired or separated participants entitled to future benefits	2011-08-01	0
Total of all active and inactive participants	2011-08-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-08-01	0
Total participants	2011-08-01	2
Number of participants with account balances	2011-08-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-08-01	0
2010: AXIA 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-08-01	2
Total number of active participants reported on line 7a of the Form 5500	2010-08-01	2
Number of retired or separated participants receiving benefits	2010-08-01	0
Number of other retired or separated participants entitled to future benefits	2010-08-01	0
Total of all active and inactive participants	2010-08-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-08-01	0
Total participants	2010-08-01	2
Number of participants with account balances	2010-08-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-08-01	0
2009: AXIA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	2
Number of retired or separated participants receiving benefits	2009-08-01	0
Number of other retired or separated participants entitled to future benefits	2009-08-01	0
Total of all active and inactive participants	2009-08-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-08-01	0
Total participants	2009-08-01	2
Number of participants with account balances	2009-08-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-08-01	0

Financial Data on AXIA 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2012 : AXIA 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-10-31	$0
Total plan liabilities at end of year	2012-10-31	$0
Total plan liabilities at beginning of year	2012-10-31	$0
Total income from all sources	2012-10-31	$1,431
Expenses. Total of all expenses incurred	2012-10-31	$196,753
Benefits paid (including direct rollovers)	2012-10-31	$196,753
Total plan assets at end of year	2012-10-31	$0
Total plan assets at beginning of year	2012-10-31	$195,322
Value of fidelity bond covering the plan	2012-10-31	$150,000
Total contributions received or receivable from participants	2012-10-31	$0
Expenses. Other expenses not covered elsewhere	2012-10-31	$0
Contributions received from other sources (not participants or employers)	2012-10-31	$0
Other income received	2012-10-31	$1,431
Noncash contributions received	2012-10-31	$0
Net income (gross income less expenses)	2012-10-31	$-195,322
Net plan assets at end of year (total assets less liabilities)	2012-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-10-31	$195,322
Assets. Value of assets in partnership/joint-venture interests	2012-10-31	$0
Total contributions received or receivable from employer(s)	2012-10-31	$0
Value of certain deemed distributions of participant loans	2012-10-31	$0
Value of corrective distributions	2012-10-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-10-31	$0
Transfers to/from the plan	2012-07-31	$0
Total plan liabilities at end of year	2012-07-31	$0
Total plan liabilities at beginning of year	2012-07-31	$0
Total income from all sources	2012-07-31	$17,535
Expenses. Total of all expenses incurred	2012-07-31	$93,389
Benefits paid (including direct rollovers)	2012-07-31	$92,128
Total plan assets at end of year	2012-07-31	$195,322
Total plan assets at beginning of year	2012-07-31	$271,176
Value of fidelity bond covering the plan	2012-07-31	$150,000
Total contributions received or receivable from participants	2012-07-31	$0
Expenses. Other expenses not covered elsewhere	2012-07-31	$0
Contributions received from other sources (not participants or employers)	2012-07-31	$0
Other income received	2012-07-31	$17,535
Noncash contributions received	2012-07-31	$0
Net income (gross income less expenses)	2012-07-31	$-75,854
Net plan assets at end of year (total assets less liabilities)	2012-07-31	$195,322
Net plan assets at beginning of year (total assets less liabilities)	2012-07-31	$271,176
Assets. Value of participant loans	2012-07-31	$0
Assets. Value of assets in partnership/joint-venture interests	2012-07-31	$25,500
Total contributions received or receivable from employer(s)	2012-07-31	$0
Value of certain deemed distributions of participant loans	2012-07-31	$0
Value of corrective distributions	2012-07-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-07-31	$1,261
2011 : AXIA 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-07-31	$0
Total plan liabilities at end of year	2011-07-31	$0
Total plan liabilities at beginning of year	2011-07-31	$0
Total income from all sources	2011-07-31	$163
Expenses. Total of all expenses incurred	2011-07-31	$1,312
Benefits paid (including direct rollovers)	2011-07-31	$0
Total plan assets at end of year	2011-07-31	$271,176
Total plan assets at beginning of year	2011-07-31	$272,325
Value of fidelity bond covering the plan	2011-07-31	$150,000
Total contributions received or receivable from participants	2011-07-31	$0
Expenses. Other expenses not covered elsewhere	2011-07-31	$0
Contributions received from other sources (not participants or employers)	2011-07-31	$0
Other income received	2011-07-31	$163
Noncash contributions received	2011-07-31	$0
Net income (gross income less expenses)	2011-07-31	$-1,149
Net plan assets at end of year (total assets less liabilities)	2011-07-31	$271,176
Net plan assets at beginning of year (total assets less liabilities)	2011-07-31	$272,325
Assets. Value of participant loans	2011-07-31	$35,164
Assets. Value of assets in partnership/joint-venture interests	2011-07-31	$25,500
Total contributions received or receivable from employer(s)	2011-07-31	$0
Value of certain deemed distributions of participant loans	2011-07-31	$0
Value of corrective distributions	2011-07-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-07-31	$1,312

Form 5500 Responses for AXIA 401(K) PROFIT SHARING PLAN

2012: AXIA 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	Yes
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – Trust	Yes
2012-08-01	Plan benefit arrangement - Trust	Yes
2011: AXIA 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	No
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	No
2011-08-01	Plan funding arrangement – Trust	Yes
2011-08-01	Plan benefit arrangement - Trust	Yes
2010: AXIA 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-08-01	Type of plan entity	Single employer plan
2010-08-01	Submission has been amended	No
2010-08-01	This submission is the final filing	No
2010-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-08-01	Plan is a collectively bargained plan	No
2010-08-01	Plan funding arrangement – Trust	Yes
2010-08-01	Plan benefit arrangement - Trust	Yes
2009: AXIA 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	Submission has been amended	No
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – Trust	Yes
2009-08-01	Plan benefit arrangement - Trust	Yes

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Company Name:	AXIA EMPLOYEE BENEFIT INSURANCE SERVICES, INC.
Employer identification number (EIN):	680435881
NAIC Classification:	524140