401k Plan data: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN plan

TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN
Plan identification number	003

TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS 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.
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

TILLAMOOK COUNTY CREAMERY ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: TILLAMOOK COUNTY CREAMERY ASSOCIATION

Employer identification number (EIN): 930297170

NAIC Classification: 311500
NAIC Description: Dairy Product Manufacturing

Additional information about TILLAMOOK COUNTY CREAMERY ASSOCIATION

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C0181351

More information about TILLAMOOK COUNTY CREAMERY ASSOCIATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2016-01-01 TARA PARRY
003 2015-01-01 TARA PARRY
003 2014-01-01 TARA PARRY
003 2013-01-01 TARA PARRY
003 2012-01-01 DON DESJARLAIS
003 2011-01-01 BRAD EAGELSTON
003 2009-01-01 MARTIN O'MARA MARTIN O'MARA 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2016-01-01	TARA PARRY
003	2015-01-01	TARA PARRY
003	2014-01-01	TARA PARRY
003	2013-01-01	TARA PARRY
003	2012-01-01	DON DESJARLAIS
003	2011-01-01	BRAD EAGELSTON
003	2009-01-01	MARTIN O'MARA	MARTIN O'MARA	2010-10-08

Plan Statistics for TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN

401k plan membership statisitcs for TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN

Measure Date Value
2016: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 291
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 292
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 29
Total of all active and inactive participants 2015-01-01 321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 321
Number of participants with account balances 2015-01-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 284
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 256
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 31
Total of all active and inactive participants 2014-01-01 288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 288
Number of participants with account balances 2014-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 274
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 257
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 25
Total of all active and inactive participants 2013-01-01 283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 283
Number of participants with account balances 2013-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 308
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 246
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 23
Total of all active and inactive participants 2012-01-01 271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 272
Number of participants with account balances 2012-01-01 122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 309
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 286
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 19
Total of all active and inactive participants 2011-01-01 306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 307
Number of participants with account balances 2011-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 295
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 317
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 17
Total of all active and inactive participants 2009-01-01 334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 335
Number of participants with account balances 2009-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	291
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	292
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	29
Total of all active and inactive participants	2015-01-01	321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	321
Number of participants with account balances	2015-01-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	284
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	256
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	31
Total of all active and inactive participants	2014-01-01	288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	288
Number of participants with account balances	2014-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	274
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	257
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	25
Total of all active and inactive participants	2013-01-01	283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	283
Number of participants with account balances	2013-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	308
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	246
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	23
Total of all active and inactive participants	2012-01-01	271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	272
Number of participants with account balances	2012-01-01	122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	309
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	286
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	19
Total of all active and inactive participants	2011-01-01	306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	307
Number of participants with account balances	2011-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	295
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	317
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	17
Total of all active and inactive participants	2009-01-01	334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	335
Number of participants with account balances	2009-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN

Measure	Date	Value
2016 : TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-01-31	$0
Total transfer of assets from this plan	2016-01-31	$5,347,913
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-01-31	$0
Total income from all sources (including contributions)	2016-01-31	$-111,300
Total loss/gain on sale of assets	2016-01-31	$0
Total of all expenses incurred	2016-01-31	$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-01-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-01-31	$0
Value of total assets at end of year	2016-01-31	$0
Value of total assets at beginning of year	2016-01-31	$5,459,213
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-01-31	$0
Total interest from all sources	2016-01-31	$751
Total dividends received (eg from common stock, registered investment company shares)	2016-01-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-01-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-01-31	$0
Was this plan covered by a fidelity bond	2016-01-31	Yes
Value of fidelity bond cover	2016-01-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-01-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-01-31	No
Participant contributions at end of year	2016-01-31	$0
Participant contributions at beginning of year	2016-01-31	$124,467
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-01-31	No
Value of net income/loss	2016-01-31	$-111,300
Value of net assets at end of year (total assets less liabilities)	2016-01-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-01-31	$5,459,213
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-01-31	No
Were any leases to which the plan was party in default or uncollectible	2016-01-31	No
Value of interest in pooled separate accounts at end of year	2016-01-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-01-31	$4,243,350
Interest on participant loans	2016-01-31	$124
Interest earned on other investments	2016-01-31	$627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-01-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-01-31	$1,091,396
Net investment gain/loss from pooled separate accounts	2016-01-31	$-112,051
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-01-31	No
Was there a failure to transmit to the plan any participant contributions	2016-01-31	No
Has the plan failed to provide any benefit when due under the plan	2016-01-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-01-31	Yes
Did the plan have assets held for investment	2016-01-31	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	2016-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-01-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-01-31	Disclaimer
Accountancy firm name	2016-01-31	DELAP, LLC
Accountancy firm EIN	2016-01-31	930418719
2015 : TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$4,439
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$433,228
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$195,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$193,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$324,009
Value of total assets at end of year	2015-12-31	$5,459,213
Value of total assets at beginning of year	2015-12-31	$5,226,090
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$2,605
Total interest from all sources	2015-12-31	$43,015
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$310,317
Participant contributions at end of year	2015-12-31	$124,467
Participant contributions at beginning of year	2015-12-31	$122,837
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$13,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$237,562
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,459,213
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$5,226,090
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,243,350
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$3,955,810
Interest on participant loans	2015-12-31	$3,365
Interest earned on other investments	2015-12-31	$39,650
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,091,396
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,147,443
Net investment gain/loss from pooled separate accounts	2015-12-31	$66,204
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$193,061
Contract administrator fees	2015-12-31	$2,605
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	DELAP, LLC
Accountancy firm EIN	2015-12-31	930418719
2014 : TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$9,665
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$737,956
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$31,114
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$27,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$293,945
Value of total assets at end of year	2014-12-31	$5,226,090
Value of total assets at beginning of year	2014-12-31	$4,528,913
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,155
Total interest from all sources	2014-12-31	$41,449
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$281,416
Participant contributions at end of year	2014-12-31	$122,837
Participant contributions at beginning of year	2014-12-31	$101,624
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$12,529
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$706,842
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$5,226,090
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,528,913
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$3,955,810
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,328,360
Interest on participant loans	2014-12-31	$3,589
Interest earned on other investments	2014-12-31	$37,860
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,147,443
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,098,929
Net investment gain/loss from pooled separate accounts	2014-12-31	$402,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$27,959
Contract administrator fees	2014-12-31	$3,155
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	DELAP, LLP
Accountancy firm EIN	2014-12-31	930418710
2013 : TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$25,071
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
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	$1,138,452
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$478,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$476,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$258,793
Value of total assets at end of year	2013-12-31	$4,528,913
Value of total assets at beginning of year	2013-12-31	$3,894,344
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,450
Total interest from all sources	2013-12-31	$40,869
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
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	$258,793
Participant contributions at end of year	2013-12-31	$101,624
Participant contributions at beginning of year	2013-12-31	$106,539
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	$659,640
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,528,913
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,894,344
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 pooled separate accounts at end of year	2013-12-31	$3,328,360
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,731,464
Interest on participant loans	2013-12-31	$3,611
Interest earned on other investments	2013-12-31	$37,258
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,098,929
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,056,341
Net investment gain/loss from pooled separate accounts	2013-12-31	$838,790
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	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$476,362
Contract administrator fees	2013-12-31	$2,450
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	DELAP, LLP
Accountancy firm EIN	2013-12-31	930418710
2012 : TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets from this plan	2012-12-31	$36,256
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	$675,667
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$92,182
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$88,862
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$267,351
Value of total assets at end of year	2012-12-31	$3,894,344
Value of total assets at beginning of year	2012-12-31	$3,347,115
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,320
Total interest from all sources	2012-12-31	$38,364
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 year	2012-12-31	No
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	$267,351
Participant contributions at end of year	2012-12-31	$106,539
Participant contributions at beginning of year	2012-12-31	$102,065
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	$583,485
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,894,344
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,347,115
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 pooled separate accounts at end of year	2012-12-31	$2,731,464
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,282,022
Interest on participant loans	2012-12-31	$3,256
Interest earned on other investments	2012-12-31	$35,108
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,056,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$963,028
Net investment gain/loss from pooled separate accounts	2012-12-31	$369,952
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	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$88,862
Contract administrator fees	2012-12-31	$3,320
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	CLIFTON LARSEN ALLEN LLP
Accountancy firm EIN	2012-12-31	410746749
2011 : TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$10,533
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	$302,736
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$78,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$75,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$293,520
Value of total assets at end of year	2011-12-31	$3,347,115
Value of total assets at beginning of year	2011-12-31	$3,133,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,265
Total interest from all sources	2011-12-31	$34,743
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 year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$293,520
Participant contributions at end of year	2011-12-31	$102,065
Participant contributions at beginning of year	2011-12-31	$81,727
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$224,597
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,347,115
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,133,051
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,282,022
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$2,230,505
Interest on participant loans	2011-12-31	$2,830
Interest earned on other investments	2011-12-31	$31,913
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$963,028
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$820,819
Net investment gain/loss from pooled separate accounts	2011-12-31	$-25,527
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$75,874
Contract administrator fees	2011-12-31	$2,265
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2011-12-31	410746749
2010 : TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$2,124
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	$645,481
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$58,425
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$56,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$292,278
Value of total assets at end of year	2010-12-31	$3,133,051
Value of total assets at beginning of year	2010-12-31	$2,548,119
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,047
Total interest from all sources	2010-12-31	$30,029
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 year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$292,278
Participant contributions at end of year	2010-12-31	$81,727
Participant contributions at beginning of year	2010-12-31	$73,265
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$587,056
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,133,051
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,548,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$2,230,505
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,742,009
Interest on participant loans	2010-12-31	$3,259
Interest earned on other investments	2010-12-31	$26,770
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$820,819
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$732,845
Net investment gain/loss from pooled separate accounts	2010-12-31	$323,174
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$56,378
Contract administrator fees	2010-12-31	$2,047
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	CLIFTON GUNDERSON LLP
Accountancy firm EIN	2010-12-31	370802863
2009 : TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN

2016: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS 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	Yes
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: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS 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	Yes
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: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS 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	Yes
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: TILLAMOOK COUNTY CREAMERY 401(K) SAVINGS 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

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

502722

Policy instance

Insurance contract or identification number	502722
Number of Individuals Covered	0
Insurance policy start date	2016-01-01
Insurance policy end date	2016-01-31
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	1
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

502722

Policy instance

Insurance contract or identification number	502722
Number of Individuals Covered	321
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,317
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	1
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 $5,317
Insurance broker organization code?	3
Insurance broker name	THOMAS FINK

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

502722

Policy instance

Insurance contract or identification number	502722
Number of Individuals Covered	288
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,729
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	1
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 $4,729
Insurance broker organization code?	3
Insurance broker name	THOMAS FINK

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

502722

Policy instance

Insurance contract or identification number	502722
Number of Individuals Covered	283
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4,043
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	1
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 $4,043
Insurance broker organization code?	3
Insurance broker name	THOMAS FINK

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

502722

Policy instance

Insurance contract or identification number	502722
Number of Individuals Covered	272
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $3,574
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	1
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 $3,574
Insurance broker organization code?	3
Insurance broker name	THOMAS FINK

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

502722

Policy instance

Insurance contract or identification number	502722
Number of Individuals Covered	307
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $3,190
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	1
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

502722

Policy instance

Insurance contract or identification number	502722
Number of Individuals Covered	308
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,680
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	1
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 $2,680
Insurance broker organization code?	3
Insurance broker name	THOMAS FINK

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Company Name:	TILLAMOOK COUNTY CREAMERY ASSOCIATION
Employer identification number (EIN):	930297170
NAIC Classification:	311500
NAIC Description:	Dairy Product Manufacturing

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C0181351