401k Plan data: LASER DEVICES INC 401K PLAN plan

LASER DEVICES INC 401K PLAN 401k Plan overview

Plan Name	LASER DEVICES INC 401K PLAN
Plan identification number	001

LASER DEVICES INC 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

LASER DEVICES INC has sponsored the creation of one or more 401k plans.

Company Name: LASER DEVICES INC

Employer identification number (EIN): 942553162

NAIC Classification: 335900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LASER DEVICES INC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-02-01 CAROL ALDRICH 2017-09-13
001 2015-02-01 JENNY CHRISTIANSON 2016-11-09
001 2014-02-01 KAYLA BRISSI 2015-07-28
001 2013-02-01 NICK SUTHEIMER 2014-08-07
001 2012-02-01 NICK SUTHEIMER 2013-11-15
001 2011-02-01 NICK SUTHEIMER
001 2010-02-01 NICK SUTHEIMER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-02-01	CAROL ALDRICH	2017-09-13
001	2015-02-01	JENNY CHRISTIANSON	2016-11-09
001	2014-02-01	KAYLA BRISSI	2015-07-28
001	2013-02-01	NICK SUTHEIMER	2014-08-07
001	2012-02-01	NICK SUTHEIMER	2013-11-15
001	2011-02-01	NICK SUTHEIMER
001	2010-02-01	NICK SUTHEIMER

Plan Statistics for LASER DEVICES INC 401K PLAN

401k plan membership statisitcs for LASER DEVICES INC 401K PLAN

Measure Date Value
2011: LASER DEVICES INC 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-02-01 109
Total number of active participants reported on line 7a of the Form 5500 2011-02-01 70
Number of retired or separated participants receiving benefits 2011-02-01 0
Number of other retired or separated participants entitled to future benefits 2011-02-01 6
Total of all active and inactive participants 2011-02-01 76
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-02-01 0
Total participants 2011-02-01 76
Number of participants with account balances 2011-02-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-02-01 1
2010: LASER DEVICES INC 401K PLAN 2010 401k membership
Total participants, beginning-of-year 2010-02-01 134
Total number of active participants reported on line 7a of the Form 5500 2010-02-01 88
Number of retired or separated participants receiving benefits 2010-02-01 0
Number of other retired or separated participants entitled to future benefits 2010-02-01 24
Total of all active and inactive participants 2010-02-01 112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-02-01 0
Total participants 2010-02-01 112
Number of participants with account balances 2010-02-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-02-01 5

Measure	Date	Value
2011: LASER DEVICES INC 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-02-01	109
Total number of active participants reported on line 7a of the Form 5500	2011-02-01	70
Number of retired or separated participants receiving benefits	2011-02-01	0
Number of other retired or separated participants entitled to future benefits	2011-02-01	6
Total of all active and inactive participants	2011-02-01	76
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-02-01	0
Total participants	2011-02-01	76
Number of participants with account balances	2011-02-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-02-01	1
2010: LASER DEVICES INC 401K PLAN 2010 401k membership
Total participants, beginning-of-year	2010-02-01	134
Total number of active participants reported on line 7a of the Form 5500	2010-02-01	88
Number of retired or separated participants receiving benefits	2010-02-01	0
Number of other retired or separated participants entitled to future benefits	2010-02-01	24
Total of all active and inactive participants	2010-02-01	112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-02-01	0
Total participants	2010-02-01	112
Number of participants with account balances	2010-02-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-02-01	5

Financial Data on LASER DEVICES INC 401K PLAN

Measure	Date	Value
2012 : LASER DEVICES INC 401K PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-01-31	$0
Total income from all sources (including contributions)	2012-01-31	$147,928
Total loss/gain on sale of assets	2012-01-31	$0
Total of all expenses incurred	2012-01-31	$160,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-01-31	$157,740
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-01-31	$132,485
Value of total assets at end of year	2012-01-31	$542,569
Value of total assets at beginning of year	2012-01-31	$554,661
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-01-31	$2,280
Total interest from all sources	2012-01-31	$6,904
Total dividends received (eg from common stock, registered investment company shares)	2012-01-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-01-31	No
Was this plan covered by a fidelity bond	2012-01-31	Yes
Value of fidelity bond cover	2012-01-31	$110,000
If this is an individual account plan, was there a blackout period	2012-01-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-01-31	No
Contributions received from participants	2012-01-31	$126,819
Participant contributions at end of year	2012-01-31	$3,390
Participant contributions at beginning of year	2012-01-31	$517
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-01-31	No
Value of net income/loss	2012-01-31	$-12,092
Value of net assets at end of year (total assets less liabilities)	2012-01-31	$542,569
Value of net assets at beginning of year (total assets less liabilities)	2012-01-31	$554,661
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-01-31	No
Were any leases to which the plan was party in default or uncollectible	2012-01-31	No
Value of interest in pooled separate accounts at end of year	2012-01-31	$344,526
Value of interest in pooled separate accounts at beginning of year	2012-01-31	$368,403
Interest on participant loans	2012-01-31	$113
Interest earned on other investments	2012-01-31	$6,791
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-01-31	$194,653
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-01-31	$185,741
Net investment gain/loss from pooled separate accounts	2012-01-31	$8,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-01-31	No
Was there a failure to transmit to the plan any participant contributions	2012-01-31	No
Has the plan failed to provide any benefit when due under the plan	2012-01-31	No
Contributions received in cash from employer	2012-01-31	$5,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-01-31	$157,740
Contract administrator fees	2012-01-31	$2,280
Did the plan have assets held for investment	2012-01-31	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	2012-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-01-31	Disclaimer
Accountancy firm name	2012-01-31	SENSIBA SAN FILLPPO LLP
Accountancy firm EIN	2012-01-31	942370906
2011 : LASER DEVICES INC 401K PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-01-31	$0
Total income from all sources (including contributions)	2011-01-31	$336,792
Total loss/gain on sale of assets	2011-01-31	$0
Total of all expenses incurred	2011-01-31	$20,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-01-31	$19,511
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-01-31	$303,157
Value of total assets at end of year	2011-01-31	$554,661
Value of total assets at beginning of year	2011-01-31	$238,850
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-01-31	$1,470
Total interest from all sources	2011-01-31	$5,088
Total dividends received (eg from common stock, registered investment company shares)	2011-01-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-01-31	No
Was this plan covered by a fidelity bond	2011-01-31	Yes
Value of fidelity bond cover	2011-01-31	$105,000
If this is an individual account plan, was there a blackout period	2011-01-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-01-31	No
Contributions received from participants	2011-01-31	$214,188
Participant contributions at end of year	2011-01-31	$517
Participant contributions at beginning of year	2011-01-31	$1,081
Income. Received or receivable in cash from other sources (including rollovers)	2011-01-31	$4,963
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-01-31	No
Value of net income/loss	2011-01-31	$315,811
Value of net assets at end of year (total assets less liabilities)	2011-01-31	$554,661
Value of net assets at beginning of year (total assets less liabilities)	2011-01-31	$238,850
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-01-31	No
Were any leases to which the plan was party in default or uncollectible	2011-01-31	No
Value of interest in pooled separate accounts at end of year	2011-01-31	$368,403
Value of interest in pooled separate accounts at beginning of year	2011-01-31	$139,787
Interest on participant loans	2011-01-31	$27
Interest earned on other investments	2011-01-31	$5,061
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-01-31	$185,741
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-01-31	$97,982
Net investment gain/loss from pooled separate accounts	2011-01-31	$28,547
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-01-31	No
Was there a failure to transmit to the plan any participant contributions	2011-01-31	No
Has the plan failed to provide any benefit when due under the plan	2011-01-31	No
Contributions received in cash from employer	2011-01-31	$84,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-01-31	$19,511
Contract administrator fees	2011-01-31	$1,470
Did the plan have assets held for investment	2011-01-31	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	2011-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-01-31	Disclaimer
Accountancy firm name	2011-01-31	WHITAKER & ASSOCIATES, INC.
Accountancy firm EIN	2011-01-31	800334011

Form 5500 Responses for LASER DEVICES INC 401K PLAN

2011: LASER DEVICES INC 401K PLAN 2011 form 5500 responses
2011-02-01	Type of plan entity	Single employer plan
2011-02-01	Submission has been amended	No
2011-02-01	This submission is the final filing	No
2011-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-02-01	Plan is a collectively bargained plan	No
2011-02-01	Plan funding arrangement – Insurance	Yes
2011-02-01	Plan funding arrangement – Trust	Yes
2011-02-01	Plan benefit arrangement – Insurance	Yes
2011-02-01	Plan benefit arrangement - Trust	Yes
2010: LASER DEVICES INC 401K PLAN 2010 form 5500 responses
2010-02-01	Type of plan entity	Single employer plan
2010-02-01	Submission has been amended	No
2010-02-01	This submission is the final filing	No
2010-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-02-01	Plan is a collectively bargained plan	No
2010-02-01	Plan funding arrangement – Insurance	Yes
2010-02-01	Plan funding arrangement – Trust	Yes
2010-02-01	Plan benefit arrangement – Insurance	Yes
2010-02-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

SENTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68810 )

Policy contract number

87-63466-71

Policy instance

Insurance contract or identification number	87-63466-71
Number of Individuals Covered	76
Insurance policy start date	2011-02-01
Insurance policy end date	2012-01-31
Total amount of commissions paid to insurance broker	USD $814
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

SENTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68810 )

Policy contract number

87-63466-71

Policy instance

Insurance contract or identification number	87-63466-71
Number of Individuals Covered	112
Insurance policy start date	2010-02-01
Insurance policy end date	2011-01-31
Total amount of commissions paid to insurance broker	USD $636
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

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Company Name:	LASER DEVICES INC
Employer identification number (EIN):	942553162
NAIC Classification:	335900