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M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 401k Plan overview

Plan NameM-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE
Plan identification number 002

M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily flat dollar (includes dollars per year of service)
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

M-FOOD DAIRY LLC has sponsored the creation of one or more 401k plans.

Company Name:M-FOOD DAIRY LLC
Employer identification number (EIN):841582879
NAIC Classification:311500
NAIC Description: Dairy Product Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022014-01-01LYNN STRATTON
0022013-01-01LYNN STRATTON
0022012-01-01JOSE MOTTA JOSE MOTTA2013-10-14
0022011-01-01JOSE MOTTA
0022009-01-01MELINDA SCISSORS CONLEY MELINDA SCISSORS CONLEY2010-10-07

Plan Statistics for M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE

401k plan membership statisitcs for M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE

Measure Date Value
2014: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-01-01102
Total number of active participants reported on line 7a of the Form 55002014-01-0141
Number of other retired or separated participants entitled to future benefits2014-01-0160
Total of all active and inactive participants2014-01-01101
Total participants2014-01-01101
2013: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-01-01101
Total number of active participants reported on line 7a of the Form 55002013-01-0141
Number of other retired or separated participants entitled to future benefits2013-01-0161
Total of all active and inactive participants2013-01-01102
Total participants2013-01-01102
2012: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-01-01103
Total of all active and inactive participants2012-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-010
2011: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-01-01105
Total number of active participants reported on line 7a of the Form 55002011-01-0148
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0155
Total of all active and inactive participants2011-01-01103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-01-01108
Total number of active participants reported on line 7a of the Form 55002009-01-0153
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0153
Total of all active and inactive participants2009-01-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE

Measure Date Value
2014 : M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$70,369
Total of all expenses incurred2014-12-31$115,884
Value of total assets at end of year2014-12-31$1,889,555
Value of total assets at beginning of year2014-12-31$1,935,070
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$115,884
Total interest from all sources2014-12-31$41,734
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers2014-12-310
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Other income not declared elsewhere2014-12-31$1,197
Administrative expenses (other) incurred2014-12-31$45,499
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-45,515
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,889,555
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,935,070
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$70,385
Value of interest in pooled separate accounts at end of year2014-12-31$623,575
Value of interest in pooled separate accounts at beginning of year2014-12-31$616,333
Interest earned on other investments2014-12-31$41,734
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,265,980
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,318,737
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$35,327
Net investment gain/loss from pooled separate accounts2014-12-31$-7,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31DELOITTE LLP
Accountancy firm EIN2014-12-31980115552
2013 : M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$46,842
Total of all expenses incurred2013-12-31$17,662
Value of total assets at end of year2013-12-31$1,881,553
Value of total assets at beginning of year2013-12-31$1,852,373
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$17,662
Total interest from all sources2013-12-31$42,589
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$4,140
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers2013-12-310
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Assets. Other investments not covered elsewhere at end of year2013-12-31$366,566
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$413,968
Other income not declared elsewhere2013-12-31$113
Administrative expenses (other) incurred2013-12-31$17,662
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$29,180
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,881,553
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,852,373
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$196,250
Value of interest in pooled separate accounts at beginning of year2013-12-31$112,347
Interest earned on other investments2013-12-31$42,589
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,318,737
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,326,058
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Income. Dividends from common stock2013-12-31$4,140
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
2012 : M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$52,965
Total unrealized appreciation/depreciation of assets2012-12-31$52,965
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$117,153
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$100,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$100,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$0
Value of total assets at end of year2012-12-31$1,852,373
Value of total assets at beginning of year2012-12-31$1,835,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$0
Total interest from all sources2012-12-31$48,412
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$15,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$413,968
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$398,191
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$964
Other income not declared elsewhere2012-12-31$15,776
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$17,121
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,852,373
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,835,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$112,347
Value of interest in pooled separate accounts at beginning of year2012-12-31$94,740
Interest earned on other investments2012-12-31$48,412
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,326,058
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$1,342,321
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$99,068
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31STONE CARLIE & COMPANY, LLC
Accountancy firm EIN2012-12-31430642511
2011 : M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$267
Total unrealized appreciation/depreciation of assets2011-12-31$267
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$80,301
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$31,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$31,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$0
Value of total assets at end of year2011-12-31$1,835,252
Value of total assets at beginning of year2011-12-31$1,786,800
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$60,290
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at end of year2011-12-31$398,191
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$378,447
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$8,993
Other income not declared elsewhere2011-12-31$19,744
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$48,452
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,835,252
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,786,800
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$94,740
Value of interest in pooled separate accounts at beginning of year2011-12-31$122,040
Interest earned on other investments2011-12-31$60,290
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$1,342,321
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$1,286,313
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$22,856
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31STONE CARLIE & COMPANY, LLC
Accountancy firm EIN2011-12-31430642511
2010 : M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$103,379
Total unrealized appreciation/depreciation of assets2010-12-31$103,379
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$174,681
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$43,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$43,096
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$0
Value of total assets at end of year2010-12-31$1,786,800
Value of total assets at beginning of year2010-12-31$1,655,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$58,088
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Assets. Other investments not covered elsewhere at end of year2010-12-31$378,447
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$365,233
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$9,108
Other income not declared elsewhere2010-12-31$13,214
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$131,585
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,786,800
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,655,215
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$122,040
Value of interest in pooled separate accounts at beginning of year2010-12-31$89,507
Interest earned on other investments2010-12-31$58,088
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$1,286,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$1,200,475
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$33,988
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31STONE CARLIE & COMPANY, LLC
Accountancy firm EIN2010-12-31430642511

Form 5500 Responses for M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE

2014: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2013: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2012: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2011: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2009: M-FOODS DAIRY, LLC RETIREMENT PLAN WITH LIFE INSURANCE 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number107912/307912
Policy instance 1
Insurance contract or identification number107912/307912
Number of Individuals Covered101
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Contracts With Unallocated Funds Deposit Administration1
Other information about contractWHOLE LIFE
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number107912/307912
Policy instance 1
Insurance contract or identification number107912/307912
Number of Individuals Covered102
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractWHOLE LIFE
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number107912/307912
Policy instance 1
Insurance contract or identification number107912/307912
Number of Individuals Covered101
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Other information about contractWHOLE LIFE
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number107912/307912
Policy instance 1
Insurance contract or identification number107912/307912
Number of Individuals Covered103
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Other information about contractWHOLE LIFE
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number107912/307912
Policy instance 1
Insurance contract or identification number107912/307912
Number of Individuals Covered105
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Other information about contractWHOLE LIFE

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