401k Plan data: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN plan

EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 401k Plan overview

Plan Name	EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN
Plan identification number	001

EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
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

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

Company Name: GIBAULT INC

Employer identification number (EIN): 350868093

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 AMY ATCHLEY
001 2010-01-01 AMY ATCHLEY
001 2009-01-01 AMY ATCHLEY
001 2009-01-01 AMY ATCHLEY
001 2009-01-01 AMY ATCHLEY

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	AMY ATCHLEY
001	2010-01-01	AMY ATCHLEY
001	2009-01-01	AMY ATCHLEY
001	2009-01-01	AMY ATCHLEY
001	2009-01-01	AMY ATCHLEY

Plan Statistics for EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN

Measure Date Value
2011: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 168
Total of all active and inactive participants 2011-01-01 0
Total participants 2011-01-01 0
2010: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 214
Number of other retired or separated participants entitled to future benefits 2010-01-01 168
Total of all active and inactive participants 2010-01-01 168
Total participants 2010-01-01 168
Number of participants with account balances 2010-01-01 168
2009: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 173
Number of other retired or separated participants entitled to future benefits 2009-01-01 40
Total of all active and inactive participants 2009-01-01 213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 214
Number of participants with account balances 2009-01-01 214
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 27

Measure	Date	Value
2011: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	168
Total of all active and inactive participants	2011-01-01	0
Total participants	2011-01-01	0
2010: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	214
Number of other retired or separated participants entitled to future benefits	2010-01-01	168
Total of all active and inactive participants	2010-01-01	168
Total participants	2010-01-01	168
Number of participants with account balances	2010-01-01	168
2009: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	173
Number of other retired or separated participants entitled to future benefits	2009-01-01	40
Total of all active and inactive participants	2009-01-01	213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	214
Number of participants with account balances	2009-01-01	214
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	27

Financial Data on EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN

Measure	Date	Value
2011 : EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$43,548
Total of all expenses incurred	2011-12-31	$2,095,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,095,168
Value of total assets at beginning of year	2011-12-31	$2,052,130
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$510
Total interest from all sources	2011-12-31	$13,436
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	Yes
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$300,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Administrative expenses (other) incurred	2011-12-31	$510
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-2,052,130
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,052,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$786,857
Interest earned on other investments	2011-12-31	$13,436
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,265,273
Net investment gain/loss from pooled separate accounts	2011-12-31	$30,112
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,095,168
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	Yes
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	SACKRIDER & COMPANY, INC.
Accountancy firm EIN	2011-12-31	351327464
2010 : EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$132,136
Total of all expenses incurred	2010-12-31	$272,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$270,907
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$61
Value of total assets at end of year	2010-12-31	$2,052,130
Value of total assets at beginning of year	2010-12-31	$2,192,101
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,200
Total interest from all sources	2010-12-31	$37,722
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$300,000
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$61
Amount contributed by the employer to the plan for this plan year	2010-12-31	$61
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Administrative expenses (other) incurred	2010-12-31	$1,200
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	$-139,971
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,052,130
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,192,101
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	$786,857
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$707,666
Interest earned on other investments	2010-12-31	$37,722
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,265,273
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,483,795
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$178,388
Net investment gain/loss from pooled separate accounts	2010-12-31	$94,353
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	$61
Employer contributions (assets) at beginning of year	2010-12-31	$640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$92,519
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	SACKRIDER & COMPANY, INC.
Accountancy firm EIN	2010-12-31	351327464
2009 : EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$640
Minimum employer required contribution for this plan year	2009-12-31	$214,613
Amount contributed by the employer to the plan for this plan year	2009-12-31	$213,973

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN

2011: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: EMPLOYEE BENEFIT PLAN OF GIBAULT INC MUTUAL OF AMERICA LIFE INSURANCE COMPANY DEFINED CONTRIBUTION PROTOTYPE PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GIBAULT INC
Employer identification number (EIN):	350868093
NAIC Classification:	611000