401k Plan data: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN plan

MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 401k Plan overview

Plan Name	MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN
Plan identification number	001

MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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.
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

MOUNTAIN VALLEY SPRING COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: MOUNTAIN VALLEY SPRING COMPANY, LLC

Employer identification number (EIN): 331004029

NAIC Classification: 339900

Additional information about MOUNTAIN VALLEY SPRING COMPANY, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2006-06-26

Company Identification Number: 0800674677

Legal Registered Office Address: 150 CENTRAL AVE

HOT SPRINGS
United States of America (USA)
71901

More information about MOUNTAIN VALLEY SPRING COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2019-01-01
001 2019-01-01 CHARLES H BROWN 2019-09-16
001 2018-01-01
001 2017-01-01 CHARLES H BROWN
001 2016-01-01 CHARLES H BROWN
001 2015-01-01 CHARLES BROWN
001 2014-01-01 BRADLEY FRIEBERG
001 2013-01-01 BRADLEY FRIEBERG
001 2012-01-01 BRADLEY K FRIEBERG BRADLEY K FRIEBERG 2013-07-19
001 2009-01-01 BRADLEY K FRIEBERG
001 2009-01-01 BRADLEY K FRIEBERG

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01
001	2019-01-01
001	2019-01-01	CHARLES H BROWN	2019-09-16
001	2018-01-01
001	2017-01-01	CHARLES H BROWN
001	2016-01-01	CHARLES H BROWN
001	2015-01-01	CHARLES BROWN
001	2014-01-01	BRADLEY FRIEBERG
001	2013-01-01	BRADLEY FRIEBERG
001	2012-01-01	BRADLEY K FRIEBERG		BRADLEY K FRIEBERG	2013-07-19
001	2009-01-01	BRADLEY K FRIEBERG
001	2009-01-01	BRADLEY K FRIEBERG

Plan Statistics for MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN

401k plan membership statisitcs for MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN

Measure Date Value
2019: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 190
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 130
Number of retired or separated participants receiving benefits 2018-01-01 3
Number of other retired or separated participants entitled to future benefits 2018-01-01 55
Total of all active and inactive participants 2018-01-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 188
Number of participants with account balances 2018-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 18
2017: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 156
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 138
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 56
Total of all active and inactive participants 2017-01-01 195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 195
Number of participants with account balances 2017-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 11
2016: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 100
Number of retired or separated participants receiving benefits 2016-01-01 3
Number of other retired or separated participants entitled to future benefits 2016-01-01 49
Total of all active and inactive participants 2016-01-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 152
Number of participants with account balances 2016-01-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3
2015: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 96
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 56
Total of all active and inactive participants 2015-01-01 153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 153
Number of participants with account balances 2015-01-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 6
2014: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 106
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 54
Total of all active and inactive participants 2014-01-01 162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 162
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 3
2013: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 98
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 48
Total of all active and inactive participants 2013-01-01 148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 148
Number of participants with account balances 2013-01-01 114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 79
Number of retired or separated participants receiving benefits 2012-01-01 20
Number of other retired or separated participants entitled to future benefits 2012-01-01 53
Total of all active and inactive participants 2012-01-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 152
Number of participants with account balances 2012-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2009: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 108
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 77
Total of all active and inactive participants 2009-01-01 185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 185
Number of participants with account balances 2009-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2019: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	190
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	130
Number of retired or separated participants receiving benefits	2018-01-01	3
Number of other retired or separated participants entitled to future benefits	2018-01-01	55
Total of all active and inactive participants	2018-01-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	188
Number of participants with account balances	2018-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	18
2017: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	138
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	56
Total of all active and inactive participants	2017-01-01	195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	195
Number of participants with account balances	2017-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	11
2016: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	100
Number of retired or separated participants receiving benefits	2016-01-01	3
Number of other retired or separated participants entitled to future benefits	2016-01-01	49
Total of all active and inactive participants	2016-01-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	152
Number of participants with account balances	2016-01-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3
2015: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	96
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	56
Total of all active and inactive participants	2015-01-01	153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	153
Number of participants with account balances	2015-01-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	6
2014: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	106
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	54
Total of all active and inactive participants	2014-01-01	162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	162
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	3
2013: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	98
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	48
Total of all active and inactive participants	2013-01-01	148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	148
Number of participants with account balances	2013-01-01	114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	79
Number of retired or separated participants receiving benefits	2012-01-01	20
Number of other retired or separated participants entitled to future benefits	2012-01-01	53
Total of all active and inactive participants	2012-01-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	152
Number of participants with account balances	2012-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2009: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	108
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	77
Total of all active and inactive participants	2009-01-01	185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	185
Number of participants with account balances	2009-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN

Measure	Date	Value
2019 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$2,359,425
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$164,531
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$7,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$6,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$37,061
Value of total assets at end of year	2019-12-31	$0
Value of total assets at beginning of year	2019-12-31	$2,202,266
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$779
Total interest from all sources	2019-12-31	$1,122
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-12-31	$0
Administrative expenses professional fees incurred	2019-12-31	$779
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$31,275
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$198,451
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$3,025
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$157,159
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,202,266
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,996,914
Interest on participant loans	2019-12-31	$1,122
Net investment gain/loss from pooled separate accounts	2019-12-31	$126,348
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$5,786
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$3,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$6,593
Did the plan have assets held for investment	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FROST, PLLC
Accountancy firm EIN	2019-12-31	710817652
Total unrealized appreciation/depreciation of assets	2019-02-01	$0
Total transfer of assets from this plan	2019-02-01	$2,359,467
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-02-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-02-01	$0
Total income from all sources (including contributions)	2019-02-01	$164,573
Total loss/gain on sale of assets	2019-02-01	$0
Total of all expenses incurred	2019-02-01	$7,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-02-01	$6,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-02-01	$37,101
Value of total assets at end of year	2019-02-01	$0
Value of total assets at beginning of year	2019-02-01	$2,202,266
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-02-01	$779
Total interest from all sources	2019-02-01	$1,093
Total dividends received (eg from common stock, registered investment company shares)	2019-02-01	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-02-01	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-02-01	$2,359,467
Administrative expenses professional fees incurred	2019-02-01	$779
Was this plan covered by a fidelity bond	2019-02-01	Yes
Value of fidelity bond cover	2019-02-01	$500,000
If this is an individual account plan, was there a blackout period	2019-02-01	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-02-01	$0
Were there any nonexempt tranactions with any party-in-interest	2019-02-01	No
Contributions received from participants	2019-02-01	$31,286
Participant contributions at end of year	2019-02-01	$0
Participant contributions at beginning of year	2019-02-01	$198,451
Income. Received or receivable in cash from other sources (including rollovers)	2019-02-01	$0
Total non interest bearing cash at end of year	2019-02-01	$0
Total non interest bearing cash at beginning of year	2019-02-01	$3,025
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-02-01	No
Income. Non cash contributions	2019-02-01	$0
Value of net income/loss	2019-02-01	$157,201
Value of net assets at end of year (total assets less liabilities)	2019-02-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-02-01	$2,202,266
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-02-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-02-01	No
Were any leases to which the plan was party in default or uncollectible	2019-02-01	No
Value of interest in pooled separate accounts at end of year	2019-02-01	$0
Value of interest in pooled separate accounts at beginning of year	2019-02-01	$1,996,914
Interest on participant loans	2019-02-01	$1,093
Net investment gain/loss from pooled separate accounts	2019-02-01	$126,379
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-02-01	No
Was there a failure to transmit to the plan any participant contributions	2019-02-01	No
Has the plan failed to provide any benefit when due under the plan	2019-02-01	No
Contributions received in cash from employer	2019-02-01	$5,815
Employer contributions (assets) at end of year	2019-02-01	$0
Employer contributions (assets) at beginning of year	2019-02-01	$3,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-02-01	$6,593
Did the plan have assets held for investment	2019-02-01	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	2019-02-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-02-01	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-02-01	Yes
Opinion of an independent qualified public accountant for this plan	2019-02-01	Disclaimer
Accountancy firm name	2019-02-01	FROST, PLLC
Accountancy firm EIN	2019-02-01	710817652
2018 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$534,005
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$737,277
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$723,948
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$672,719
Value of total assets at end of year	2018-12-31	$2,202,266
Value of total assets at beginning of year	2018-12-31	$2,405,538
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$13,329
Total interest from all sources	2018-12-31	$11,161
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$13,329
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$446,243
Participant contributions at end of year	2018-12-31	$198,451
Participant contributions at beginning of year	2018-12-31	$133,795
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$96,255
Total non interest bearing cash at end of year	2018-12-31	$3,025
Total non interest bearing cash at beginning of year	2018-12-31	$2,737
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-203,272
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,202,266
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,405,538
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in pooled separate accounts at end of year	2018-12-31	$1,996,914
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$2,269,006
Interest on participant loans	2018-12-31	$11,161
Net investment gain/loss from pooled separate accounts	2018-12-31	$-149,875
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$130,221
Employer contributions (assets) at end of year	2018-12-31	$3,876
Employer contributions (assets) at beginning of year	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$723,948
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FROST, PLLC
Accountancy firm EIN	2018-12-31	710817652
2017 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$751,104
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$193,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$184,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$478,576
Value of total assets at end of year	2017-12-31	$2,405,538
Value of total assets at beginning of year	2017-12-31	$1,847,819
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$8,476
Total interest from all sources	2017-12-31	$5,264
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$8,476
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$324,448
Participant contributions at end of year	2017-12-31	$133,795
Participant contributions at beginning of year	2017-12-31	$77,311
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$53,966
Total non interest bearing cash at end of year	2017-12-31	$2,737
Total non interest bearing cash at beginning of year	2017-12-31	$2,123
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$557,719
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,405,538
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,847,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$2,269,006
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$1,768,385
Interest on participant loans	2017-12-31	$5,264
Net investment gain/loss from pooled separate accounts	2017-12-31	$267,264
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$100,162
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$184,909
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FROST, PLLC
Accountancy firm EIN	2017-12-31	710817652
2016 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$431,398
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$327,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$323,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$312,949
Value of total assets at end of year	2016-12-31	$1,847,819
Value of total assets at beginning of year	2016-12-31	$1,744,219
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$4,749
Total interest from all sources	2016-12-31	$4,036
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$4,749
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$240,421
Participant contributions at end of year	2016-12-31	$77,311
Participant contributions at beginning of year	2016-12-31	$103,031
Total non interest bearing cash at end of year	2016-12-31	$2,123
Total non interest bearing cash at beginning of year	2016-12-31	$1,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$103,600
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,847,819
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,744,219
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$1,768,385
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,639,851
Interest on participant loans	2016-12-31	$4,036
Net investment gain/loss from pooled separate accounts	2016-12-31	$114,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$72,528
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$323,049
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	FROST, PLLC
Accountancy firm EIN	2016-12-31	710817652
2015 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
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	$260,347
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$877,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$860,783
Value of total corrective distributions	2015-12-31	$13,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$302,417
Value of total assets at end of year	2015-12-31	$1,744,219
Value of total assets at beginning of year	2015-12-31	$2,361,374
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$3,617
Total interest from all sources	2015-12-31	$6,417
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
Administrative expenses professional fees incurred	2015-12-31	$3,617
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
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	$238,268
Participant contributions at end of year	2015-12-31	$103,031
Participant contributions at beginning of year	2015-12-31	$141,029
Total non interest bearing cash at end of year	2015-12-31	$1,337
Total non interest bearing cash at beginning of year	2015-12-31	$113
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	$-617,155
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,744,219
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,361,374
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	$1,639,851
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$2,159,554
Interest on participant loans	2015-12-31	$6,417
Net investment gain/loss from pooled separate accounts	2015-12-31	$-48,487
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
Contributions received in cash from employer	2015-12-31	$64,149
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$60,678
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$860,783
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	FROST, PLLC
Accountancy firm EIN	2015-12-31	710817652
2014 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
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	$463,300
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$76,893
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$70,867
Value of total corrective distributions	2014-12-31	$285
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$366,531
Value of total assets at end of year	2014-12-31	$2,361,374
Value of total assets at beginning of year	2014-12-31	$1,974,967
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$5,741
Total interest from all sources	2014-12-31	$6,687
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
Administrative expenses professional fees incurred	2014-12-31	$5,741
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
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	$244,320
Participant contributions at end of year	2014-12-31	$141,029
Participant contributions at beginning of year	2014-12-31	$110,228
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$61,533
Total non interest bearing cash at end of year	2014-12-31	$113
Total non interest bearing cash at beginning of year	2014-12-31	$1,209
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	$386,407
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,361,374
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,974,967
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	$2,159,554
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,807,994
Interest on participant loans	2014-12-31	$6,687
Net investment gain/loss from pooled separate accounts	2014-12-31	$90,082
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
Contributions received in cash from employer	2014-12-31	$60,678
Employer contributions (assets) at end of year	2014-12-31	$60,678
Employer contributions (assets) at beginning of year	2014-12-31	$55,536
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$70,867
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	FROST, PLLC
Accountancy firm EIN	2014-12-31	710817652
2013 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
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	$464,622
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$184,180
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$180,453
Value of total corrective distributions	2013-12-31	$505
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$233,827
Value of total assets at end of year	2013-12-31	$1,974,967
Value of total assets at beginning of year	2013-12-31	$1,694,525
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,222
Total interest from all sources	2013-12-31	$6,081
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	$500,000
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	$178,291
Participant contributions at end of year	2013-12-31	$110,228
Participant contributions at beginning of year	2013-12-31	$88,287
Total non interest bearing cash at end of year	2013-12-31	$1,209
Total non interest bearing cash at beginning of year	2013-12-31	$7,892
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	$280,442
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,974,967
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,694,525
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	$1,807,994
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,554,726
Interest on participant loans	2013-12-31	$6,081
Net investment gain/loss from pooled separate accounts	2013-12-31	$224,714
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
Contributions received in cash from employer	2013-12-31	$55,536
Employer contributions (assets) at end of year	2013-12-31	$55,536
Employer contributions (assets) at beginning of year	2013-12-31	$43,620
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$180,453
Contract administrator fees	2013-12-31	$3,222
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	FROST, PLLC
Accountancy firm EIN	2013-12-31	710817652
2012 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
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	$389,199
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$161,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$144,566
Value of total corrective distributions	2012-12-31	$13,413
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$224,942
Value of total assets at end of year	2012-12-31	$1,694,525
Value of total assets at beginning of year	2012-12-31	$1,467,074
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,769
Total interest from all sources	2012-12-31	$4,554
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	$500,000
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	$181,322
Participant contributions at end of year	2012-12-31	$88,287
Participant contributions at beginning of year	2012-12-31	$58,728
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$13,770
Total non interest bearing cash at end of year	2012-12-31	$7,892
Total non interest bearing cash at beginning of year	2012-12-31	$4,977
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	$227,451
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,694,525
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,467,074
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 registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,554,726
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,385,944
Interest on participant loans	2012-12-31	$4,554
Net investment gain/loss from pooled separate accounts	2012-12-31	$159,703
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	$43,620
Employer contributions (assets) at end of year	2012-12-31	$43,620
Employer contributions (assets) at beginning of year	2012-12-31	$3,655
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$144,566
Contract administrator fees	2012-12-31	$3,769
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	FROST, PLLC
Accountancy firm EIN	2012-12-31	710817652
2010 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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	$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	$287,191
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$260,387
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$251,189
Value of total corrective distributions	2010-12-31	$9,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$172,842
Value of total assets at end of year	2010-12-31	$1,503,833
Value of total assets at beginning of year	2010-12-31	$1,477,029
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2
Total interest from all sources	2010-12-31	$66
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$11,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$11,812
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$250,000
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	$129,511
Participant contributions at end of year	2010-12-31	$10,394
Participant contributions at beginning of year	2010-12-31	$4,696
Administrative expenses (other) incurred	2010-12-31	$2
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	$26,804
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,503,833
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,477,029
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 registered invesment companies (eg mutual funds) at end of year	2010-12-31	$820,387
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$760,397
Value of interest in common/collective trusts at end of year	2010-12-31	$147,409
Value of interest in common/collective trusts at beginning of year	2010-12-31	$121,319
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$522,432
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$588,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$588,996
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$66
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$86,933
Net investment gain or loss from common/collective trusts	2010-12-31	$15,538
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	$43,331
Employer contributions (assets) at end of year	2010-12-31	$3,211
Employer contributions (assets) at beginning of year	2010-12-31	$1,621
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$251,189
Contract administrator fees	2010-12-31	$0
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	FROST, PLLC
Accountancy firm EIN	2010-12-31	710817652
2009 : MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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 MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN

2019: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	Yes
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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 funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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 funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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	No
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: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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	No
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: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2009: MOUNTAIN VALLEY SPRING COMPANY, LLC 401(K) 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102217

Policy instance

Insurance contract or identification number	102217
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,407
Total amount of fees paid to insurance company	USD $375
Are there contracts with allocated funds for individual policies?	0
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	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 $2,407
Amount paid for insurance broker fees	375
Additional information about fees paid to insurance broker	DISTRIBUTION PROCESSING FEES
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102217

Policy instance

Insurance contract or identification number	102217
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-02-01
Total amount of commissions paid to insurance broker	USD $3,307
Total amount of fees paid to insurance company	USD $375
Are there contracts with allocated funds for individual policies?	0
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	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 $2,407
Amount paid for insurance broker fees	375
Additional information about fees paid to insurance broker	DISTRIBUTION PROCESSING FEES
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102217

Policy instance

Insurance contract or identification number	102217
Number of Individuals Covered	164
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,128
Total amount of fees paid to insurance company	USD $11,185
Are there contracts with allocated funds for individual policies?	0
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	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 $1,128
Amount paid for insurance broker fees	11185
Additional information about fees paid to insurance broker	DISTRIBUTION PROCESSING FEES
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102217

Policy instance

Insurance contract or identification number	102217
Number of Individuals Covered	158
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4,132
Total amount of fees paid to insurance company	USD $7,335
Are there contracts with allocated funds for individual policies?	0
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	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?	Yes
Commission paid to Insurance Broker	USD $1,055
Amount paid for insurance broker fees	7335
Additional information about fees paid to insurance broker	DISTRIBUTION PROCESSING FEES
Insurance broker organization code?	5
Insurance broker name	STEPHENS INSURANCE, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102217

Policy instance

Insurance contract or identification number	102217
Number of Individuals Covered	136
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $11,179
Total amount of fees paid to insurance company	USD $2,643
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	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?	Yes
Commission paid to Insurance Broker	USD $10,049
Insurance broker organization code?	3
Amount paid for insurance broker fees	2643
Additional information about fees paid to insurance broker	DISTRIBUTION PROCESSING FEES
Insurance broker name	PENSION PLAN ADMINISTRATION, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102217

Policy instance

Insurance contract or identification number	102217
Number of Individuals Covered	137
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $11,337
Total amount of fees paid to insurance company	USD $4,929
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	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?	Yes
Commission paid to Insurance Broker	USD $10,072
Insurance broker organization code?	3
Amount paid for insurance broker fees	4929
Additional information about fees paid to insurance broker	DISTRIBUTION PROCESSING FEES
Insurance broker name	PENSION PLAN ADMINISTRATION, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102217

Policy instance

Insurance contract or identification number	102217
Number of Individuals Covered	124
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $9,234
Total amount of fees paid to insurance company	USD $2,684
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	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?	Yes
Commission paid to Insurance Broker	USD $8,313
Insurance broker organization code?	3
Amount paid for insurance broker fees	2684
Additional information about fees paid to insurance broker	DISTRIBUTION PROCESSING FEES
Insurance broker name	PENSION PLAN ADMINISTRATION, LLC

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Company Name:	MOUNTAIN VALLEY SPRING COMPANY, LLC
Employer identification number (EIN):	331004029
NAIC Classification:	339900

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2006-06-26
Company Identification Number:	0800674677
Legal Registered Office Address:	150 CENTRAL AVE HOT SPRINGS United States of America (USA) 71901