401k Plan data: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN plan

HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN
Plan identification number	001

HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT 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.
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

HASTINGS MANUFACTURING COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: HASTINGS MANUFACTURING COMPANY, LLC

Employer identification number (EIN): 203657750

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 JENNIFER RICHTER AS PRACTITIONER
001 2011-01-01 JENNIFER RICHTER AS PRACTITIONER
001 2010-01-01 JENNIFER RICHTER AS PRACTITIONER
001 2009-01-01 RICHARD L. ZWIERNIKOWSKI RICHARD L. ZWIERNIKOWSKI 2010-09-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	JENNIFER RICHTER AS PRACTITIONER
001	2011-01-01	JENNIFER RICHTER AS PRACTITIONER
001	2010-01-01	JENNIFER RICHTER AS PRACTITIONER
001	2009-01-01	RICHARD L. ZWIERNIKOWSKI	RICHARD L. ZWIERNIKOWSKI	2010-09-17

Plan Statistics for HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN

401k plan membership statisitcs for HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN

Measure Date Value
2012: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 136
Number of other retired or separated participants entitled to future benefits 2012-01-01 5
Total of all active and inactive participants 2012-01-01 141
Total participants 2012-01-01 141
Number of participants with account balances 2012-01-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 16
2011: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 131
Number of other retired or separated participants entitled to future benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 135
Total participants 2011-01-01 135
Number of participants with account balances 2011-01-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 19
2010: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 134
Number of other retired or separated participants entitled to future benefits 2010-01-01 4
Total of all active and inactive participants 2010-01-01 138
Total participants 2010-01-01 138
Number of participants with account balances 2010-01-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 128
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 0
Total of all active and inactive participants 2009-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 128
Number of participants with account balances 2009-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2012: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	136
Number of other retired or separated participants entitled to future benefits	2012-01-01	5
Total of all active and inactive participants	2012-01-01	141
Total participants	2012-01-01	141
Number of participants with account balances	2012-01-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	16
2011: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	131
Number of other retired or separated participants entitled to future benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	135
Total participants	2011-01-01	135
Number of participants with account balances	2011-01-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	19
2010: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	134
Number of other retired or separated participants entitled to future benefits	2010-01-01	4
Total of all active and inactive participants	2010-01-01	138
Total participants	2010-01-01	138
Number of participants with account balances	2010-01-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	128
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	0
Total of all active and inactive participants	2009-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	128
Number of participants with account balances	2009-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN

Measure	Date	Value
2012 : HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,579
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,440
Total income from all sources (including contributions)	2012-12-31	$425,908
Total of all expenses incurred	2012-12-31	$90,018
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$69,022
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$220,249
Value of total assets at end of year	2012-12-31	$2,595,029
Value of total assets at beginning of year	2012-12-31	$2,259,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$20,996
Total interest from all sources	2012-12-31	$35,113
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	$162,366
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$-143,388
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$-135,294
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$2,680
Assets. Loans (other than to participants) at end of year	2012-12-31	$61,766
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$66,770
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$1,579
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$1,440
Administrative expenses (other) incurred	2012-12-31	$20,996
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	$335,890
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,593,450
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,257,560
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	$1,347,493
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,190,293
Interest on participant loans	2012-12-31	$3,322
Interest earned on other investments	2012-12-31	$31,791
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,275,904
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,076,798
Net investment gain/loss from pooled separate accounts	2012-12-31	$170,546
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
Contributions received in cash from employer	2012-12-31	$55,203
Employer contributions (assets) at end of year	2012-12-31	$53,254
Employer contributions (assets) at beginning of year	2012-12-31	$60,433
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$69,022
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	BDO USA, LLP
Accountancy firm EIN	2012-12-31	135381590
2011 : HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,440
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,463
Total income from all sources (including contributions)	2011-12-31	$332,743
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$341,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$319,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$350,064
Value of total assets at end of year	2011-12-31	$2,259,000
Value of total assets at beginning of year	2011-12-31	$2,267,416
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$21,197
Total interest from all sources	2011-12-31	$30,438
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	$167,095
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$122,536
Assets. Loans (other than to participants) at end of year	2011-12-31	$66,770
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$56,681
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$1,440
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$1,463
Administrative expenses (other) incurred	2011-12-31	$21,197
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	$-8,393
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,257,560
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,265,953
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	$1,190,293
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,270,234
Interest on participant loans	2011-12-31	$3,553
Interest earned on other investments	2011-12-31	$26,885
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$941,504
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$889,278
Net investment gain/loss from pooled separate accounts	2011-12-31	$-47,759
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
Contributions received in cash from employer	2011-12-31	$60,433
Employer contributions (assets) at end of year	2011-12-31	$60,433
Employer contributions (assets) at beginning of year	2011-12-31	$51,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$319,939
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	BDO USA, LLP
Accountancy firm EIN	2011-12-31	135381590
2010 : HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,463
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,365
Total income from all sources (including contributions)	2010-12-31	$407,944
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$169,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$151,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$195,433
Value of total assets at end of year	2010-12-31	$2,267,416
Value of total assets at beginning of year	2010-12-31	$2,028,625
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$18,102
Total interest from all sources	2010-12-31	$28,675
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	$144,210
Participant contributions at beginning of year	2010-12-31	$0
Assets. Loans (other than to participants) at end of year	2010-12-31	$56,681
Assets. Loans (other than to participants) at beginning of year	2010-12-31	$87,755
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$1,463
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$1,365
Administrative expenses (other) incurred	2010-12-31	$18,102
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	$238,693
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,265,953
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,027,260
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	$1,270,234
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,175,284
Interest on participant loans	2010-12-31	$4,059
Interest earned on other investments	2010-12-31	$24,616
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$889,278
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$765,586
Net investment gain/loss from pooled separate accounts	2010-12-31	$183,836
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
Contributions received in cash from employer	2010-12-31	$51,223
Employer contributions (assets) at end of year	2010-12-31	$51,223
Employer contributions (assets) at beginning of year	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$151,149
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	BDO USA, LLP
Accountancy firm EIN	2010-12-31	135381590
2009 : HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT 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 HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN

2012: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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 - Trust	Yes
2011: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT 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 - Trust	Yes
2010: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HASTINGS MANUFACTURING COMPANY, LLC HOURLY 401(K) RETIREMENT 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	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SF 51967-1

Policy instance

Insurance contract or identification number	SF 51967-1
Number of Individuals Covered	108
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $2,000
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,000
Insurance broker organization code?	4
Insurance broker name	STEPHEN P OMAN

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SF51967

Policy instance

Insurance contract or identification number	SF51967
Number of Individuals Covered	101
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,000
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?	Yes
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SF51967

Policy instance

Insurance contract or identification number	SF51967
Number of Individuals Covered	138
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $8,000
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?	Yes
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 $8,000
Insurance broker organization code?	3
Insurance broker name	STEPHEN P.OMAN

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Company Name:	HASTINGS MANUFACTURING COMPANY, LLC
Employer identification number (EIN):	203657750
NAIC Classification:	332900