401k Plan data: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN plan

W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 401k Plan overview

Plan Name	W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN
Plan identification number	001

W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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

W.E. IMHOFF AND COMPANY, INC., DBA INTERTECH FLOORING has sponsored the creation of one or more 401k plans.

Company Name: W.E. IMHOFF AND COMPANY, INC., DBA INTERTECH FLOORING

Employer identification number (EIN): 742506155

NAIC Classification: 238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 PLAN SPONSOR 2023-10-16
001 2021-01-01 PLAN SPONSOR 2022-10-17
001 2020-01-01 CINDY DEMARCO 2021-10-15
001 2020-01-01 CINDY DEMARCO 2021-10-15
001 2019-01-01 CINDY DEMARCO 2020-07-22
001 2018-01-01 CINDY DEMARCO 2019-07-09
001 2017-01-01 CINDY DEMARCO 2018-10-15
001 2016-01-01 CINDY DEMARCO 2017-10-16
001 2015-01-01 CINDY DEMARCO 2016-10-11
001 2014-01-01 RICK DILLON 2015-06-11
001 2013-01-01 RICK DILLON
001 2012-01-01 RICK DILLON
001 2011-01-01 CARL SCHNEIDER 2012-06-29
001 2009-01-01 2010-08-30
001 2009-01-01 CARL SCHNEIDER CARL SCHNEIDER 2010-09-02

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	PLAN SPONSOR	2023-10-16
001	2021-01-01	PLAN SPONSOR	2022-10-17
001	2020-01-01	CINDY DEMARCO	2021-10-15
001	2020-01-01	CINDY DEMARCO	2021-10-15
001	2019-01-01	CINDY DEMARCO	2020-07-22
001	2018-01-01	CINDY DEMARCO	2019-07-09
001	2017-01-01	CINDY DEMARCO	2018-10-15
001	2016-01-01	CINDY DEMARCO	2017-10-16
001	2015-01-01	CINDY DEMARCO	2016-10-11
001	2014-01-01	RICK DILLON	2015-06-11
001	2013-01-01	RICK DILLON
001	2012-01-01	RICK DILLON
001	2011-01-01	CARL SCHNEIDER	2012-06-29
001	2009-01-01		2010-08-30
001	2009-01-01	CARL SCHNEIDER		CARL SCHNEIDER	2010-09-02

Plan Statistics for W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN

401k plan membership statisitcs for W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN

Measure Date Value
2013: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 107
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 13
Total of all active and inactive participants 2013-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 120
Number of participants with account balances 2013-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 6
2012: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 118
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 6
Total of all active and inactive participants 2012-01-01 124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 124
Number of participants with account balances 2012-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 8
2009: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 86
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 93
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 98
Number of participants with account balances 2009-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 6

Measure	Date	Value
2013: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	107
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	13
Total of all active and inactive participants	2013-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	120
Number of participants with account balances	2013-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	6
2012: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	118
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	6
Total of all active and inactive participants	2012-01-01	124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	124
Number of participants with account balances	2012-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	8
2009: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	86
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	93
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	98
Number of participants with account balances	2009-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	6

Financial Data on W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN

Measure	Date	Value
2013 : W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$671
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	$609,647
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$76,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$49,827
Value of total corrective distributions	2013-12-31	$15,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$224,959
Value of total assets at end of year	2013-12-31	$2,640,217
Value of total assets at beginning of year	2013-12-31	$2,106,575
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$11,371
Total interest from all sources	2013-12-31	$2,389
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Administrative expenses professional fees incurred	2013-12-31	$11,371
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$200,000
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	$170,325
Participant contributions at end of year	2013-12-31	$91,427
Participant contributions at beginning of year	2013-12-31	$61,496
Total non interest bearing cash at end of year	2013-12-31	$22,703
Total non interest bearing cash 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	$532,971
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,639,546
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,106,575
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,244,135
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,924,108
Interest on participant loans	2013-12-31	$2,389
Value of interest in common/collective trusts at end of year	2013-12-31	$281,952
Value of interest in common/collective trusts at beginning of year	2013-12-31	$120,971
Net investment gain/loss from pooled separate accounts	2013-12-31	$382,299
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	Yes
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	$54,634
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$49,827
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$671
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	PADGETT, STRATEMANN & CO., LLP
Accountancy firm EIN	2013-12-31	741650885
2012 : W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$472,863
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$91,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$79,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$228,560
Value of total assets at end of year	2012-12-31	$2,106,575
Value of total assets at beginning of year	2012-12-31	$1,724,837
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$11,348
Total interest from all sources	2012-12-31	$2,648
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$201,686
Participant contributions at end of year	2012-12-31	$61,496
Participant contributions at beginning of year	2012-12-31	$54,432
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$381,738
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,106,575
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,724,837
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,924,108
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,566,717
Interest on participant loans	2012-12-31	$2,648
Value of interest in common/collective trusts at end of year	2012-12-31	$120,971
Value of interest in common/collective trusts at beginning of year	2012-12-31	$103,688
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$240,296
Net investment gain or loss from common/collective trusts	2012-12-31	$1,359
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$26,874
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$79,777
Contract administrator fees	2012-12-31	$11,348
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	PADGETT, STRATEMANN & CO., LLP
Accountancy firm EIN	2012-12-31	741650885
2010 : W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$342,590
Expenses. Total of all expenses incurred	2010-12-31	$71,269
Benefits paid (including direct rollovers)	2010-12-31	$61,067
Total plan assets at end of year	2010-12-31	$1,656,771
Total plan assets at beginning of year	2010-12-31	$1,385,450
Value of fidelity bond covering the plan	2010-12-31	$200,000
Total contributions received or receivable from participants	2010-12-31	$159,155
Expenses. Other expenses not covered elsewhere	2010-12-31	$630
Contributions received from other sources (not participants or employers)	2010-12-31	$39,634
Other income received	2010-12-31	$143,801
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$271,321
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,656,771
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,385,450
Assets. Value of participant loans	2010-12-31	$69,691
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of corrective distributions	2010-12-31	$9,572
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN

2013: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2009: W.E. IMHOFF & COMPANY, INC. DBA INTERTECH FLOORING 401(K) PS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60690-1

Policy instance

Insurance contract or identification number	MR 60690-1
Number of Individuals Covered	66
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $739
Total amount of fees paid to insurance company	USD $0
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
Commission paid to Insurance Broker	USD $739
Insurance broker organization code?	4
Insurance broker name	RAYMOND JAMES PLANNING

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60690-1

Policy instance

Insurance contract or identification number	MR 60690-1
Number of Individuals Covered	83
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $618
Total amount of fees paid to insurance company	USD $0
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
Commission paid to Insurance Broker	USD $618
Insurance broker organization code?	4
Insurance broker name	RAYMOND JAMES PLANNING

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-006881

Policy instance

Insurance contract or identification number	GA-006881
Number of Individuals Covered	61
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,668
Total amount of fees paid to insurance company	USD $0
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
Commission paid to Insurance Broker	USD $2,668
Insurance broker organization code?	3
Insurance broker name	RAYMOND JAMES PLANNING

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Company Name:	W.E. IMHOFF AND COMPANY, INC., DBA INTERTECH FLOORING
Employer identification number (EIN):	742506155
NAIC Classification:	238300