401k Plan data: AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN plan

AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN 401k Plan overview

Plan Name	AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN
Plan identification number	502

AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental

401k Sponsoring company profile

AMERICAN FUTURE SYSTEMS INC has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN FUTURE SYSTEMS INC

Employer identification number (EIN): 121897431

NAIC Classification: 511120
NAIC Description: Periodical Publishers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-01-01 IRENE PLUM
502 2015-01-01 IRENE PLUM

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2016-01-01	IRENE PLUM
502	2015-01-01	IRENE PLUM

Plan Statistics for AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN

401k plan membership statisitcs for AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN

Measure Date Value
2016: AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 136
Total of all active and inactive participants 2016-01-01 136
Total participants 2016-01-01 136
2015: AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 151
Total of all active and inactive participants 2015-01-01 151
Total participants 2015-01-01 151

Measure	Date	Value
2016: AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	136
Total of all active and inactive participants	2016-01-01	136
Total participants	2016-01-01	136
2015: AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	151
Total of all active and inactive participants	2015-01-01	151
Total participants	2015-01-01	151

Form 5500 Responses for AMERICAN FUTURE SYSTEMS, INC. CAFETERIA PLAN

2016: AMERICAN FUTURE SYSTEMS, INC. CAFETERIA 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	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: AMERICAN FUTURE SYSTEMS, INC. CAFETERIA 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	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

23024

Policy instance

Insurance contract or identification number	23024
Number of Individuals Covered	151
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,974
Total amount of fees paid to insurance company	USD $56
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	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $14,698
Commission paid to Insurance Broker	USD $1,974
Insurance broker organization code?	3
Amount paid for insurance broker fees	56
Insurance broker name	AXA ASSISTANCE, USA

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

000609961

Policy instance

Insurance contract or identification number	000609961
Number of Individuals Covered	103
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $37,695
Total amount of fees paid to insurance company	USD $15,188
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	Yes
Dental Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $444,959
Commission paid to Insurance Broker	USD $37,965
Insurance broker organization code?	3
Amount paid for insurance broker fees	15188
Additional information about fees paid to insurance broker	GENERAL AGENT
Insurance broker name	EMERSON REID & COMPANY INC

Potentially related plans

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Company Name:	AMERICAN FUTURE SYSTEMS INC
Employer identification number (EIN):	121897431
NAIC Classification:	511120
NAIC Description:	Periodical Publishers