401k Plan data: OKLAHOMA OFFSET, INC. WELFARE BENEFIT plan

OKLAHOMA OFFSET, INC. WELFARE BENEFIT 401k Plan overview

Plan Name	OKLAHOMA OFFSET, INC. WELFARE BENEFIT
Plan identification number	501

OKLAHOMA OFFSET, INC. WELFARE BENEFIT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name: OKLAHOMA OFFSET, INC.

Employer identification number (EIN): 731185327

NAIC Classification: 323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OKLAHOMA OFFSET, INC. WELFARE BENEFIT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 HOGANTAYLOR LLP PREPARER
501 2011-01-01 HOGANTAYLOR LLP PREPARER
501 2010-01-01 JACK LAUBACH
501 2009-01-01 FRANK F. HAWKINS FRANK F. HAWKINS 2010-08-05

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2012-01-01	HOGANTAYLOR LLP PREPARER
501	2011-01-01	HOGANTAYLOR LLP PREPARER
501	2010-01-01	JACK LAUBACH
501	2009-01-01	FRANK F. HAWKINS	FRANK F. HAWKINS	2010-08-05

Plan Statistics for OKLAHOMA OFFSET, INC. WELFARE BENEFIT

401k plan membership statisitcs for OKLAHOMA OFFSET, INC. WELFARE BENEFIT

Measure Date Value
2012: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
2011: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2011 401k membership
Total participants, beginning-of-year 2011-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 34
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 34
Total participants 2011-01-01 34
2010: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2010 401k membership
Total participants, beginning-of-year 2010-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 33
Total of all active and inactive participants 2010-01-01 33
Total participants 2010-01-01 33
2009: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 40
Number of retired or separated participants receiving benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 42
Total participants 2009-01-01 42

Measure	Date	Value
2012: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2011 401k membership
Total participants, beginning-of-year	2011-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	34
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	34
Total participants	2011-01-01	34
2010: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2010 401k membership
Total participants, beginning-of-year	2010-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	33
Total of all active and inactive participants	2010-01-01	33
Total participants	2010-01-01	33
2009: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	40
Number of retired or separated participants receiving benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	42
Total participants	2009-01-01	42

Financial Data on OKLAHOMA OFFSET, INC. WELFARE BENEFIT

Measure	Date	Value
2012 : OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$69,100
Total income from all sources	2012-12-31	$94,852
Expenses. Total of all expenses incurred	2012-12-31	$25,752
Benefits paid (including direct rollovers)	2012-12-31	$18,760
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$0
Value of fidelity bond covering the plan	2012-12-31	$1,000,000
Total contributions received or receivable from participants	2012-12-31	$16,866
Other income received	2012-12-31	$408
Net income (gross income less expenses)	2012-12-31	$69,100
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$-69,100
Total contributions received or receivable from employer(s)	2012-12-31	$77,578
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$6,992
2011 : OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$69,100
Total plan liabilities at beginning of year	2011-12-31	$16,226
Total income from all sources	2011-12-31	$292,832
Expenses. Total of all expenses incurred	2011-12-31	$361,932
Benefits paid (including direct rollovers)	2011-12-31	$349,088
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$16,226
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$50,590
Expenses. Other expenses not covered elsewhere	2011-12-31	$103
Other income received	2011-12-31	$752
Net income (gross income less expenses)	2011-12-31	$-69,100
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$-69,100
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$241,490
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$12,741
2010 : OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$16,226
Total plan liabilities at beginning of year	2010-12-31	$10,914
Total income from all sources	2010-12-31	$192,528
Expenses. Total of all expenses incurred	2010-12-31	$192,528
Benefits paid (including direct rollovers)	2010-12-31	$179,627
Total plan assets at end of year	2010-12-31	$16,226
Total plan assets at beginning of year	2010-12-31	$10,914
Value of fidelity bond covering the plan	2010-12-31	$1,000,000
Total contributions received or receivable from participants	2010-12-31	$54,953
Expenses. Other expenses not covered elsewhere	2010-12-31	$12,901
Contributions received from other sources (not participants or employers)	2010-12-31	$913
Total contributions received or receivable from employer(s)	2010-12-31	$136,662

Form 5500 Responses for OKLAHOMA OFFSET, INC. WELFARE BENEFIT

2012: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: OKLAHOMA OFFSET, INC. WELFARE BENEFIT 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	OKLAHOMA OFFSET, INC.
Employer identification number (EIN):	731185327
NAIC Classification:	323100