401k Plan data: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN plan

JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING 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.
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

JACOBSON TECHNOLOGIES, LLC has sponsored the creation of one or more 401k plans.

Company Name: JACOBSON TECHNOLOGIES, LLC

Employer identification number (EIN): 742899616

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about JACOBSON TECHNOLOGIES, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2011-06-14

Company Identification Number: L11000069780

Legal Registered Office Address: 1666 Kennedy Causeway

North Bay Village

33141

More information about JACOBSON TECHNOLOGIES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 SARYTA CROESER SARYTA CROESER 2014-07-29
001 2012-01-01 SARYTA CROESER SARYTA CROESER 2013-09-20
001 2011-01-01 SARYTA CROESER SARYTA CROESER 2012-09-27
001 2009-01-01 BRYANNA MCCREA BRYANNA MCCREA 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	SARYTA CROESER	SARYTA CROESER	2014-07-29
001	2012-01-01	SARYTA CROESER	SARYTA CROESER	2013-09-20
001	2011-01-01	SARYTA CROESER	SARYTA CROESER	2012-09-27
001	2009-01-01	BRYANNA MCCREA	BRYANNA MCCREA	2010-10-15

Plan Statistics for JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
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 6
Total of all active and inactive participants 2013-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 15
Number of participants with account balances 2013-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
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 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 19
Number of participants with account balances 2012-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 18
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 3
Total of all active and inactive participants 2011-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 21
Number of participants with account balances 2011-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2009: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 16
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 0
Total of all active and inactive participants 2009-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 16
Number of participants with account balances 2009-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
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	6
Total of all active and inactive participants	2013-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	15
Number of participants with account balances	2013-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
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	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	19
Number of participants with account balances	2012-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	18
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	3
Total of all active and inactive participants	2011-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	21
Number of participants with account balances	2011-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2009: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	16
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	0
Total of all active and inactive participants	2009-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	16
Number of participants with account balances	2009-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2013 : JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$113,123
Expenses. Total of all expenses incurred	2013-12-31	$215,963
Benefits paid (including direct rollovers)	2013-12-31	$204,905
Total plan assets at end of year	2013-12-31	$444,240
Total plan assets at beginning of year	2013-12-31	$547,080
Total contributions received or receivable from participants	2013-12-31	$30,351
Other income received	2013-12-31	$63,293
Net income (gross income less expenses)	2013-12-31	$-102,840
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$444,240
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$547,080
Total contributions received or receivable from employer(s)	2013-12-31	$19,479
Value of corrective distributions	2013-12-31	$10,758
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$300
2012 : JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$149,046
Expenses. Total of all expenses incurred	2012-12-31	$10,840
Benefits paid (including direct rollovers)	2012-12-31	$10,840
Total plan assets at end of year	2012-12-31	$547,080
Total plan assets at beginning of year	2012-12-31	$408,874
Total contributions received or receivable from participants	2012-12-31	$79,864
Other income received	2012-12-31	$43,092
Net income (gross income less expenses)	2012-12-31	$138,206
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$547,080
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$408,874
Total contributions received or receivable from employer(s)	2012-12-31	$26,090
2011 : JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$71,309
Expenses. Total of all expenses incurred	2011-12-31	$19,455
Benefits paid (including direct rollovers)	2011-12-31	$19,380
Total plan assets at end of year	2011-12-31	$408,874
Total plan assets at beginning of year	2011-12-31	$357,020
Value of fidelity bond covering the plan	2011-12-31	$1,000
Total contributions received or receivable from participants	2011-12-31	$44,492
Contributions received from other sources (not participants or employers)	2011-12-31	$5,142
Other income received	2011-12-31	$-6,817
Net income (gross income less expenses)	2011-12-31	$51,854
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$408,874
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$357,020
Total contributions received or receivable from employer(s)	2011-12-31	$28,492
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$75
2010 : JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$126,288
Expenses. Total of all expenses incurred	2010-12-31	$177
Benefits paid (including direct rollovers)	2010-12-31	$58
Total plan assets at end of year	2010-12-31	$357,020
Total plan assets at beginning of year	2010-12-31	$230,909
Value of fidelity bond covering the plan	2010-12-31	$1,000
Total contributions received or receivable from participants	2010-12-31	$50,816
Contributions received from other sources (not participants or employers)	2010-12-31	$18,385
Other income received	2010-12-31	$31,657
Net income (gross income less expenses)	2010-12-31	$126,111
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$357,020
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$230,909
Total contributions received or receivable from employer(s)	2010-12-31	$25,430
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$119

Form 5500 Responses for JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN

2013: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
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
2009: JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING 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
2009-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

JACOBSON TECHNOLOGIES, LLC 401(K) PROFIT SHARING PLAN [EIN = 742889616]

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Company Name:	JACOBSON TECHNOLOGIES, LLC
Employer identification number (EIN):	742899616
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2011-06-14
Company Identification Number:	L11000069780
Legal Registered Office Address:	1666 Kennedy Causeway North Bay Village 33141