401k Plan data: PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN plan

PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN 401k Plan overview

Plan Name	PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN
Plan identification number	001

PREMIER BROADCASTERS 401(K) AND 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.
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

PREMIER BROADCASTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: PREMIER BROADCASTERS, INC.

Employer identification number (EIN): 910998396

NAIC Classification: 515100

Additional information about PREMIER BROADCASTERS, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1977-04-07

Company Identification Number: 600267900

Legal Registered Office Address: 1133 KRESKY AVE

CENTRALIA
United States of America (USA)
985310000

More information about PREMIER BROADCASTERS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 ROD ETHERTON 2024-09-23
001 2022-01-01 ROD ETHERTON 2023-07-20
001 2021-01-01 ROD ETHERTON 2022-09-19
001 2020-01-01 ROD ETHERTON 2021-06-22
001 2019-01-01 ROD ETHERTON 2020-06-30
001 2018-01-01 ROD ETHERTON 2019-09-20
001 2017-01-01 ROD ETHERTON 2018-07-17
001 2016-01-01 ROD ETHERTON 2017-08-28
001 2015-01-01 ROD ETHERTON 2016-09-16
001 2014-01-01
001 2013-01-01
001 2012-01-01 ROD ETHERTON 2013-10-11 ROD ETHERTON 2013-10-11
001 2011-01-01 TREF FARMER
001 2009-01-01 ROD ETHERTON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	ROD ETHERTON	2024-09-23
001	2022-01-01	ROD ETHERTON	2023-07-20
001	2021-01-01	ROD ETHERTON	2022-09-19
001	2020-01-01	ROD ETHERTON	2021-06-22
001	2019-01-01	ROD ETHERTON	2020-06-30
001	2018-01-01	ROD ETHERTON	2019-09-20
001	2017-01-01	ROD ETHERTON	2018-07-17
001	2016-01-01	ROD ETHERTON	2017-08-28
001	2015-01-01	ROD ETHERTON	2016-09-16
001	2014-01-01
001	2013-01-01
001	2012-01-01	ROD ETHERTON	2013-10-11	ROD ETHERTON	2013-10-11
001	2011-01-01	TREF FARMER
001	2009-01-01	ROD ETHERTON

Plan Statistics for PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN

401k plan membership statisitcs for PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN

Measure Date Value
2011: PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 10
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 1
Total of all active and inactive participants 2011-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 12
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 2
Total of all active and inactive participants 2009-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 14
Number of participants with account balances 2009-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	10
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	1
Total of all active and inactive participants	2011-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	12
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	2
Total of all active and inactive participants	2009-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	14
Number of participants with account balances	2009-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN

Measure	Date	Value
2011 : PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$18,400
Expenses. Total of all expenses incurred	2011-12-31	$33,167
Benefits paid (including direct rollovers)	2011-12-31	$33,067
Total plan assets at end of year	2011-12-31	$157,558
Total plan assets at beginning of year	2011-12-31	$172,325
Total contributions received or receivable from participants	2011-12-31	$19,214
Other income received	2011-12-31	$-5,363
Net income (gross income less expenses)	2011-12-31	$-14,767
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$157,558
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$172,325
Assets. Value of participant loans	2011-12-31	$217
Total contributions received or receivable from employer(s)	2011-12-31	$4,549
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$100
2010 : PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$46,011
Expenses. Total of all expenses incurred	2010-12-31	$8,199
Benefits paid (including direct rollovers)	2010-12-31	$8,099
Total plan assets at end of year	2010-12-31	$172,325
Total plan assets at beginning of year	2010-12-31	$134,513
Total contributions received or receivable from participants	2010-12-31	$23,946
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$16,396
Net income (gross income less expenses)	2010-12-31	$37,812
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$172,325
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$134,513
Assets. Value of participant loans	2010-12-31	$3,701
Total contributions received or receivable from employer(s)	2010-12-31	$5,669
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$100

Form 5500 Responses for PREMIER BROADCASTERS 401(K) AND PROFIT SHARING PLAN

2011: PREMIER BROADCASTERS 401(K) AND 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 benefit arrangement – Insurance	Yes
2009: PREMIER BROADCASTERS 401(K) AND 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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

940859

Policy instance

Insurance contract or identification number	940859
Number of Individuals Covered	11
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $639
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

940859

Policy instance

Insurance contract or identification number	940859
Number of Individuals Covered	13
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $570
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?	No
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 $570
Insurance broker organization code?	4
Insurance broker name	MORGAN STANLEY SMITH BARNEY LLC

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Company Name:	PREMIER BROADCASTERS, INC.
Employer identification number (EIN):	910998396
NAIC Classification:	515100

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1977-04-07
Company Identification Number:	600267900
Legal Registered Office Address:	1133 KRESKY AVE CENTRALIA United States of America (USA) 985310000