401k Plan data: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN plan

BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	BLACK DOG, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

BLACK DOG, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

BLACK DOG, INC. has sponsored the creation of one or more 401k plans.

Company Name: BLACK DOG, INC.

Employer identification number (EIN): 320383490

NAIC Classification: 453990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLACK DOG, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 CHARLES DUTY
001 2016-01-01 CHARLES DUTY
001 2015-01-01 CHARLES DUTY
001 2014-01-01 CHARLES DUTY
001 2013-01-01 CHARLES DUTY
001 2012-01-01 CHARLES DUTY

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	CHARLES DUTY
001	2016-01-01	CHARLES DUTY
001	2015-01-01	CHARLES DUTY
001	2014-01-01	CHARLES DUTY
001	2013-01-01	CHARLES DUTY
001	2012-01-01	CHARLES DUTY

Plan Statistics for BLACK DOG, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for BLACK DOG, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 3
Number of participants with account balances 2016-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 4
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 0
Total of all active and inactive participants 2015-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 4
Number of participants with account balances 2015-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 2
Number of participants with account balances 2014-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2017: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	3
Number of participants with account balances	2016-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	4
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	0
Total of all active and inactive participants	2015-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	4
Number of participants with account balances	2015-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	2
Number of participants with account balances	2014-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on BLACK DOG, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2017 : BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-11-30	$423
Expenses. Total of all expenses incurred	2017-11-30	$18,167
Benefits paid (including direct rollovers)	2017-11-30	$18,167
Total plan assets at end of year	2017-11-30	$0
Total plan assets at beginning of year	2017-11-30	$17,744
Total contributions received or receivable from participants	2017-11-30	$420
Other income received	2017-11-30	$3
Net income (gross income less expenses)	2017-11-30	$-17,744
Net plan assets at end of year (total assets less liabilities)	2017-11-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-11-30	$17,744
2016 : BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$73
Total plan assets at end of year	2016-12-31	$17,744
Total plan assets at beginning of year	2016-12-31	$17,671
Total contributions received or receivable from participants	2016-12-31	$600
Other income received	2016-12-31	$-527
Net income (gross income less expenses)	2016-12-31	$73
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$17,744
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$17,671
2015 : BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year	2015-12-31	$510
Total income from all sources	2015-12-31	$-39,399
Total plan assets at end of year	2015-12-31	$17,671
Total plan assets at beginning of year	2015-12-31	$57,580
Total contributions received or receivable from participants	2015-12-31	$540
Other income received	2015-12-31	$-39,939
Net income (gross income less expenses)	2015-12-31	$-39,399
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$17,671
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$57,070
Assets. Value of employer securities	2015-12-31	$13,038
2014 : BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$510
Total plan liabilities at beginning of year	2014-12-31	$510
Total income from all sources	2014-12-31	$-210,198
Total plan assets at end of year	2014-12-31	$57,580
Total plan assets at beginning of year	2014-12-31	$267,778
Other income received	2014-12-31	$-210,198
Net income (gross income less expenses)	2014-12-31	$-210,198
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$57,070
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$267,268
Assets. Value of employer securities	2014-12-31	$56,604
2013 : BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$510
Total plan liabilities at beginning of year	2013-12-31	$300
Total income from all sources	2013-12-31	$-10,610
Expenses. Total of all expenses incurred	2013-12-31	$4
Total plan assets at end of year	2013-12-31	$267,778
Total plan assets at beginning of year	2013-12-31	$278,182
Total contributions received or receivable from participants	2013-12-31	$520
Expenses. Other expenses not covered elsewhere	2013-12-31	$4
Other income received	2013-12-31	$-11,130
Net income (gross income less expenses)	2013-12-31	$-10,614
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$267,268
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$277,882
Assets. Value of employer securities	2013-12-31	$266,802
2012 : BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$300
Total income from all sources	2012-12-31	$277,894
Expenses. Total of all expenses incurred	2012-12-31	$12
Total plan assets at end of year	2012-12-31	$278,182
Total plan assets at beginning of year	2012-12-31	$0
Total contributions received or receivable from participants	2012-12-31	$20
Expenses. Other expenses not covered elsewhere	2012-12-31	$12
Contributions received from other sources (not participants or employers)	2012-12-31	$635,935
Other income received	2012-12-31	$-358,061
Net income (gross income less expenses)	2012-12-31	$277,882
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$277,882
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Assets. Value of employer securities	2012-12-31	$277,932

Form 5500 Responses for BLACK DOG, INC. 401(K) PROFIT SHARING PLAN

2017: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BLACK DOG, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BLACK DOG, INC.
Employer identification number (EIN):	320383490
NAIC Classification:	453990