401k Plan data: GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH plan

GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 401k Plan overview

Plan Name	GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH
Plan identification number	002

GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

GOLDEN EMPIRE MFG. INC. has sponsored the creation of one or more 401k plans.

Company Name: GOLDEN EMPIRE MFG. INC.

Employer identification number (EIN): 820397671

NAIC Classification: 236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 BRIDGET MITCHELL 2023-07-14
002 2021-01-01 BRIDGET MITCHELL 2022-10-11
002 2021-01-01 BRIDGET MITCHELL 2022-10-07
002 2020-01-01 BRIDGET MITCHELL 2021-10-04
002 2019-01-01 SAMANTHA STEPHENSON 2020-09-25 BRIDGET MITCHELL 2020-09-25
002 2018-01-01 SAMANTHA STEPHENSON 2019-07-25 BRIDGET MITCHELL 2019-07-25
002 2017-01-01 KATHY POOLE 2018-08-24 BRIDGET MITCHELL 2018-08-24
002 2016-01-01 KATHY POOLE 2017-06-13 BRIDGET MITCHELL 2017-06-13
002 2015-01-01 KATHY POOLE 2016-08-19
002 2015-01-01 KATHY POOLE 2016-06-28 BRIDGET MITCHELL 2016-06-28
002 2015-01-01 KATHY POOLE 2016-06-16 BRIDGET MITCHELL 2016-06-16
002 2015-01-01 KATHY POOLE 2016-07-06 BRIDGET MITCHELL 2016-07-06
002 2015-01-01 KATHY POOLE 2016-06-29 BRIDGET MITCHELL 2016-06-29
002 2015-01-01 KATHY POOLE 2016-06-22 BRIDGET MITCHELL 2016-06-22
002 2015-01-01 KATHY POOLE 2016-06-16 BRIDGET MITCHELL 2016-06-16
002 2014-01-01 KATHY POOLE 2016-06-29 BRIDGET MITCHELL 2016-07-19
002 2014-01-01 KATHY POOLE 2016-06-27
002 2014-01-01 KATHY POOLE 2015-07-15
002 2013-01-01 KATHY POOLE BRIDGET MITCHELL 2014-08-25
002 2012-01-01 KATHY POOLE BRIDGET MITCHELL 2013-06-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	BRIDGET MITCHELL	2023-07-14
002	2021-01-01	BRIDGET MITCHELL	2022-10-11
002	2021-01-01	BRIDGET MITCHELL	2022-10-07
002	2020-01-01	BRIDGET MITCHELL	2021-10-04
002	2019-01-01	SAMANTHA STEPHENSON	2020-09-25	BRIDGET MITCHELL	2020-09-25
002	2018-01-01	SAMANTHA STEPHENSON	2019-07-25	BRIDGET MITCHELL	2019-07-25
002	2017-01-01	KATHY POOLE	2018-08-24	BRIDGET MITCHELL	2018-08-24
002	2016-01-01	KATHY POOLE	2017-06-13	BRIDGET MITCHELL	2017-06-13
002	2015-01-01	KATHY POOLE	2016-08-19
002	2015-01-01	KATHY POOLE	2016-06-28	BRIDGET MITCHELL	2016-06-28
002	2015-01-01	KATHY POOLE	2016-06-16	BRIDGET MITCHELL	2016-06-16
002	2015-01-01	KATHY POOLE	2016-07-06	BRIDGET MITCHELL	2016-07-06
002	2015-01-01	KATHY POOLE	2016-06-29	BRIDGET MITCHELL	2016-06-29
002	2015-01-01	KATHY POOLE	2016-06-22	BRIDGET MITCHELL	2016-06-22
002	2015-01-01	KATHY POOLE	2016-06-16	BRIDGET MITCHELL	2016-06-16
002	2014-01-01	KATHY POOLE	2016-06-29	BRIDGET MITCHELL	2016-07-19
002	2014-01-01	KATHY POOLE	2016-06-27
002	2014-01-01	KATHY POOLE	2015-07-15
002	2013-01-01	KATHY POOLE		BRIDGET MITCHELL	2014-08-25
002	2012-01-01	KATHY POOLE		BRIDGET MITCHELL	2013-06-20

Plan Statistics for GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH

401k plan membership statisitcs for GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH

Measure Date Value
2013: GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 2013 401k membership
Total participants, beginning-of-year 2013-01-01 82
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 77
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 11
Total of all active and inactive participants 2013-01-01 88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 88
Number of participants with account balances 2013-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 2012 401k membership
Total participants, beginning-of-year 2012-01-01 80
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 72
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 10
Total of all active and inactive participants 2012-01-01 82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 82
Number of participants with account balances 2012-01-01 75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2

Measure	Date	Value
2013: GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 2013 401k membership
Total participants, beginning-of-year	2013-01-01	82
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	77
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	11
Total of all active and inactive participants	2013-01-01	88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	88
Number of participants with account balances	2013-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 2012 401k membership
Total participants, beginning-of-year	2012-01-01	80
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	72
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	10
Total of all active and inactive participants	2012-01-01	82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	82
Number of participants with account balances	2012-01-01	75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2

Financial Data on GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH

Measure	Date	Value
2013 : GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 2013 401k financial data
Total income from all sources	2013-12-31	$1,890,697
Expenses. Total of all expenses incurred	2013-12-31	$683,006
Benefits paid (including direct rollovers)	2013-12-31	$673,966
Total plan assets at end of year	2013-12-31	$7,907,649
Total plan assets at beginning of year	2013-12-31	$6,699,958
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$321,300
Expenses. Other expenses not covered elsewhere	2013-12-31	$100
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$1,388,879
Net income (gross income less expenses)	2013-12-31	$1,207,691
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$7,907,649
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$6,699,958
Assets. Value of participant loans	2013-12-31	$75,319
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2013-12-31	$31,361
Total contributions received or receivable from employer(s)	2013-12-31	$180,518
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$1,255
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$7,685
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 2012 401k financial data
Transfers to/from the plan	2012-12-31	$5,867,188
Total income from all sources	2012-12-31	$839,706
Expenses. Total of all expenses incurred	2012-12-31	$6,936
Benefits paid (including direct rollovers)	2012-12-31	$3,589
Total plan assets at end of year	2012-12-31	$6,699,958
Total plan assets at beginning of year	2012-12-31	$0
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$205,357
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Other income received	2012-12-31	$519,001
Net income (gross income less expenses)	2012-12-31	$832,770
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$6,699,958
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Assets. Value of participant loans	2012-12-31	$69,488
Total contributions received or receivable from employer(s)	2012-12-31	$115,348
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$3,347
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0

Form 5500 Responses for GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH

2013: GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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: GOLDEN EMPIRE MANUFACTURING, INC. 401(K) PROFIT SH 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
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

Insurance Providers Used on plan

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

Policy contract number

MR 60052

Policy instance

Insurance contract or identification number	MR 60052
Number of Individuals Covered	88
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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?	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:	GOLDEN EMPIRE MFG. INC.
Employer identification number (EIN):	820397671
NAIC Classification:	236200