401k Plan data: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN plan

AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN
Plan identification number	002

AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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.

401k Sponsoring company profile

HARVEST SUPERMARKETS, INC. has sponsored the creation of one or more 401k plans.

Company Name: HARVEST SUPERMARKETS, INC.

Employer identification number (EIN): 351435967

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2018-01-01 ANDREW R ZELT ANDREW R ZELT 2018-11-19
002 2018-01-01 ANDREW R ZELT ANDREW R ZELT 2018-11-15
002 2017-01-01 ANDREW R ZELT ANDREW R ZELT 2018-10-15
002 2016-01-01 ANDREW R ZELT ANDREW R ZELT 2017-10-18
002 2015-01-01 ANDREW R ZELT ANDREW R ZELT 2016-10-16
002 2014-01-01 ANDREW R ZELT
002 2013-01-01 ANDREW R ZELT ANDREW R ZELT 2014-10-13
002 2012-10-01 ANDREW R ZELT ANDREW R ZELT 2013-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2018-01-01	ANDREW R ZELT	ANDREW R ZELT	2018-11-19
002	2018-01-01	ANDREW R ZELT	ANDREW R ZELT	2018-11-15
002	2017-01-01	ANDREW R ZELT	ANDREW R ZELT	2018-10-15
002	2016-01-01	ANDREW R ZELT	ANDREW R ZELT	2017-10-18
002	2015-01-01	ANDREW R ZELT	ANDREW R ZELT	2016-10-16
002	2014-01-01	ANDREW R ZELT
002	2013-01-01	ANDREW R ZELT	ANDREW R ZELT	2014-10-13
002	2012-10-01	ANDREW R ZELT	ANDREW R ZELT	2013-10-15

Plan Statistics for AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN

401k plan membership statisitcs for AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN

Measure Date Value
2018: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 324
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Number of participants with account balances 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 262
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 47
Total of all active and inactive participants 2017-01-01 310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 310
Number of participants with account balances 2017-01-01 90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 246
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 198
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 31
Total of all active and inactive participants 2016-01-01 230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 230
Number of participants with account balances 2016-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 32
2015: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 256
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 207
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 30
Total of all active and inactive participants 2015-01-01 237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 237
Number of participants with account balances 2015-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 30
2014: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 218
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 17
Total of all active and inactive participants 2014-01-01 235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 235
Number of participants with account balances 2014-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 17
2013: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 221
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 269
Number of other retired or separated participants entitled to future benefits 2013-01-01 12
Total of all active and inactive participants 2013-01-01 281
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 281
Number of participants with account balances 2013-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 145
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 163
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 3
Total of all active and inactive participants 2012-10-01 166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 166
Number of participants with account balances 2012-10-01 84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0

Measure	Date	Value
2018: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	324
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Number of participants with account balances	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	262
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	47
Total of all active and inactive participants	2017-01-01	310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	310
Number of participants with account balances	2017-01-01	90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	198
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	31
Total of all active and inactive participants	2016-01-01	230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	230
Number of participants with account balances	2016-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	32
2015: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	256
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	207
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	30
Total of all active and inactive participants	2015-01-01	237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	237
Number of participants with account balances	2015-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	30
2014: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	218
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	17
Total of all active and inactive participants	2014-01-01	235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	235
Number of participants with account balances	2014-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	17
2013: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	221
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	269
Number of other retired or separated participants entitled to future benefits	2013-01-01	12
Total of all active and inactive participants	2013-01-01	281
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	281
Number of participants with account balances	2013-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	145
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	163
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	3
Total of all active and inactive participants	2012-10-01	166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	166
Number of participants with account balances	2012-10-01	84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0

Financial Data on AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN

Measure	Date	Value
2018 : AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-01-25	$0
Total transfer of assets from this plan	2018-01-25	$1,667,773
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-01-25	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-01-25	$2,063
Total income from all sources (including contributions)	2018-01-25	$76,732
Total loss/gain on sale of assets	2018-01-25	$0
Total of all expenses incurred	2018-01-25	$4,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-01-25	$2,931
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-01-25	$3,252
Value of total assets at end of year	2018-01-25	$0
Value of total assets at beginning of year	2018-01-25	$1,597,530
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-01-25	$1,495
Total interest from all sources	2018-01-25	$42
Total dividends received (eg from common stock, registered investment company shares)	2018-01-25	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-01-25	No
Was this plan covered by a fidelity bond	2018-01-25	Yes
Value of fidelity bond cover	2018-01-25	$148,577
If this is an individual account plan, was there a blackout period	2018-01-25	No
Were there any nonexempt tranactions with any party-in-interest	2018-01-25	No
Contributions received from participants	2018-01-25	$3,252
Participant contributions at end of year	2018-01-25	$0
Participant contributions at beginning of year	2018-01-25	$17,425
Participant contributions at end of year	2018-01-25	$0
Participant contributions at beginning of year	2018-01-25	$1,044
Income. Received or receivable in cash from other sources (including rollovers)	2018-01-25	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-01-25	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-01-25	$278
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-01-25	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-01-25	$2,063
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-01-25	No
Income. Non cash contributions	2018-01-25	$0
Value of net income/loss	2018-01-25	$72,306
Value of net assets at end of year (total assets less liabilities)	2018-01-25	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-01-25	$1,595,467
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-01-25	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-01-25	No
Were any leases to which the plan was party in default or uncollectible	2018-01-25	No
Value of interest in pooled separate accounts at beginning of year	2018-01-25	$1,307,544
Income. Interest from loans (other than to participants)	2018-01-25	$42
Value of interest in common/collective trusts at end of year	2018-01-25	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-01-25	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-01-25	$242,384
Net investment gain/loss from pooled separate accounts	2018-01-25	$73,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-01-25	No
Was there a failure to transmit to the plan any participant contributions	2018-01-25	No
Has the plan failed to provide any benefit when due under the plan	2018-01-25	No
Contributions received in cash from employer	2018-01-25	$0
Employer contributions (assets) at end of year	2018-01-25	$0
Employer contributions (assets) at beginning of year	2018-01-25	$28,855
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-01-25	$2,931
Contract administrator fees	2018-01-25	$1,495
Did the plan have assets held for investment	2018-01-25	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	2018-01-25	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-01-25	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-01-25	Yes
Opinion of an independent qualified public accountant for this plan	2018-01-25	Disclaimer
Accountancy firm name	2018-01-25	TEMPLETON & COMPANY
Accountancy firm EIN	2018-01-25	141918990
2017 : AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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	$2,063
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$1,468
Total income from all sources (including contributions)	2017-12-31	$388,567
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$72,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$59,849
Value of total corrective distributions	2017-12-31	$2,063
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$178,945
Value of total assets at end of year	2017-12-31	$1,597,530
Value of total assets at beginning of year	2017-12-31	$1,280,814
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$10,534
Total interest from all sources	2017-12-31	$1,043
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
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$148,577
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$61,840
Participant contributions at end of year	2017-12-31	$17,425
Participant contributions at beginning of year	2017-12-31	$31,283
Participant contributions at end of year	2017-12-31	$1,044
Participant contributions at beginning of year	2017-12-31	$1,168
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$88,250
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$278
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$287
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$2,063
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$1,468
Other income not declared elsewhere	2017-12-31	$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	2017-12-31	No
Value of net income/loss	2017-12-31	$316,121
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,595,467
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,279,346
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	$1,307,544
Interest on participant loans	2017-12-31	$1,043
Value of interest in common/collective trusts at beginning of year	2017-12-31	$1,011,159
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$242,384
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$208,291
Net investment gain/loss from pooled separate accounts	2017-12-31	$208,577
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	Yes
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	$28,855
Employer contributions (assets) at end of year	2017-12-31	$28,855
Employer contributions (assets) at beginning of year	2017-12-31	$28,626
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$59,849
Contract administrator fees	2017-12-31	$10,534
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	TEMPLETON & COMPANY
Accountancy firm EIN	2017-12-31	141918990
2016 : AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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	$1,468
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$528
Total income from all sources (including contributions)	2016-12-31	$191,142
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$235,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$213,409
Expenses. Certain deemed distributions of participant loans	2016-12-31	$1,806
Value of total corrective distributions	2016-12-31	$1,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$91,793
Value of total assets at end of year	2016-12-31	$1,280,814
Value of total assets at beginning of year	2016-12-31	$1,324,237
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$18,822
Total interest from all sources	2016-12-31	$1,601
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
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$148,577
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$63,167
Participant contributions at end of year	2016-12-31	$31,283
Participant contributions at beginning of year	2016-12-31	$43,640
Participant contributions at end of year	2016-12-31	$1,168
Participant contributions at beginning of year	2016-12-31	$1,103
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$14,989
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$287
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$283
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$1,468
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$528
Administrative expenses (other) incurred	2016-12-31	$11,294
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	$-44,363
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,279,346
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,323,709
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
Investment advisory and management fees	2016-12-31	$7,528
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,022,897
Interest on participant loans	2016-12-31	$1,601
Value of interest in common/collective trusts at end of year	2016-12-31	$1,011,159
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$208,291
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$228,468
Net investment gain/loss from pooled separate accounts	2016-12-31	$97,748
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	Yes
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	$28,626
Employer contributions (assets) at end of year	2016-12-31	$28,626
Employer contributions (assets) at beginning of year	2016-12-31	$27,846
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$198,420
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	TEMPLETON & COMPANY
Accountancy firm EIN	2016-12-31	141918990
2015 : AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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	$528
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$15,664
Total income from all sources (including contributions)	2015-12-31	$45,385
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$197,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$175,473
Value of total corrective distributions	2015-12-31	$528
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$100,200
Value of total assets at end of year	2015-12-31	$1,324,237
Value of total assets at beginning of year	2015-12-31	$1,491,500
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$21,511
Total interest from all sources	2015-12-31	$1,963
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
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$148,577
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$72,354
Participant contributions at end of year	2015-12-31	$43,640
Participant contributions at beginning of year	2015-12-31	$51,652
Participant contributions at end of year	2015-12-31	$1,103
Participant contributions at beginning of year	2015-12-31	$1,699
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$283
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$269
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$528
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$15,664
Administrative expenses (other) incurred	2015-12-31	$7,181
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	$-152,127
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,323,709
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,475,836
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
Investment advisory and management fees	2015-12-31	$9,851
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,022,897
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$1,153,882
Interest on participant loans	2015-12-31	$1,963
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$228,468
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$240,564
Net investment gain/loss from pooled separate accounts	2015-12-31	$-56,778
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	$27,846
Employer contributions (assets) at end of year	2015-12-31	$27,846
Employer contributions (assets) at beginning of year	2015-12-31	$43,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$175,473
Contract administrator fees	2015-12-31	$4,479
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	TEMPLETON & COMPANY
Accountancy firm EIN	2015-12-31	141918990
2014 : AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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	$15,664
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$655
Total income from all sources (including contributions)	2014-12-31	$144,173
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$153,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$117,948
Value of total corrective distributions	2014-12-31	$15,664
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$139,672
Value of total assets at end of year	2014-12-31	$1,491,500
Value of total assets at beginning of year	2014-12-31	$1,485,775
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$19,845
Total interest from all sources	2014-12-31	$1,960
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	$12,382
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$148,577
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$96,238
Participant contributions at end of year	2014-12-31	$51,652
Participant contributions at end of year	2014-12-31	$1,699
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$269
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$15,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$655
Other income not declared elsewhere	2014-12-31	$27
Administrative expenses (other) incurred	2014-12-31	$7,463
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	$-9,284
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,475,836
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,485,120
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	$1,153,882
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,180,745
Interest on participant loans	2014-12-31	$1,960
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$240,564
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$280,603
Net investment gain/loss from pooled separate accounts	2014-12-31	$2,514
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	$43,434
Employer contributions (assets) at end of year	2014-12-31	$43,434
Employer contributions (assets) at beginning of year	2014-12-31	$24,427
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$117,948
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	TEMPLETON & COMPANY
Accountancy firm EIN	2014-12-31	141918990
2013 : AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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	$655
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$908
Total income from all sources (including contributions)	2013-12-31	$264,269
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$100,290
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$81,495
Value of total corrective distributions	2013-12-31	$645
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$106,581
Value of total assets at end of year	2013-12-31	$1,485,775
Value of total assets at beginning of year	2013-12-31	$1,322,049
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$18,150
Total interest from all sources	2013-12-31	$0
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
Administrative expenses professional fees incurred	2013-12-31	$10,818
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$132,205
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$82,154
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$19,207
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$655
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$908
Administrative expenses (other) incurred	2013-12-31	$6,762
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	$163,979
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,485,120
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,321,141
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	$1,180,745
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,070,627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$280,603
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$224,066
Net investment gain/loss from pooled separate accounts	2013-12-31	$157,688
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	$24,427
Employer contributions (assets) at end of year	2013-12-31	$24,427
Employer contributions (assets) at beginning of year	2013-12-31	$8,149
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$81,495
Contract administrator fees	2013-12-31	$570
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	TEMPLETON & COMPANY
Accountancy firm EIN	2013-12-31	141918990
2012 : AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$1,271,177
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$908
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	$52,613
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,649
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$0
Value of total corrective distributions	2012-12-31	$908
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$32,746
Value of total assets at end of year	2012-12-31	$1,322,049
Value of total assets at beginning of year	2012-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,741
Total interest from all sources	2012-12-31	$0
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	$132,205
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$24,597
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$19,207
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$908
Other income not declared elsewhere	2012-12-31	$19,208
Administrative expenses (other) incurred	2012-12-31	$108
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	$49,964
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,321,141
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,070,627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$224,066
Net investment gain/loss from pooled separate accounts	2012-12-31	$659
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	$8,149
Employer contributions (assets) at end of year	2012-12-31	$8,149
Contract administrator fees	2012-12-31	$1,633
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	TEMPLETON & COMPANY
Accountancy firm EIN	2012-12-31	141918990

Form 5500 Responses for AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN

2018: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS 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: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple 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: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple 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: AXIOM MULTIPLE EMPLOYER 401(K) SAVINGS PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Mulitple employer plan
2012-10-01	First time form 5500 has been submitted	Yes
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

GP19219

Policy instance

Insurance contract or identification number	GP19219
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $969
Total amount of fees paid to insurance company	USD $0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $969
Insurance broker organization code?	4
Insurance broker name	THURSTON SPRINGER MILLERHEAD

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

GP19219

Policy instance

Insurance contract or identification number	GP19219
Number of Individuals Covered	103
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,313
Total amount of fees paid to insurance company	USD $1,568
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,313
Insurance broker organization code?	4
Amount paid for insurance broker fees	944
Additional information about fees paid to insurance broker	TPA SUBSIDY
Insurance broker name	PINNACLE FINANCIAL SERVICES, INC

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

GP19219

Policy instance

Insurance contract or identification number	GP19219
Number of Individuals Covered	80
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $3,357
Total amount of fees paid to insurance company	USD $2,853
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,357
Insurance broker organization code?	4
Amount paid for insurance broker fees	2014
Additional information about fees paid to insurance broker	TPA SUBSIDY
Insurance broker name

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

GP19219

Policy instance

Insurance contract or identification number	GP19219
Number of Individuals Covered	85
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $3,555
Total amount of fees paid to insurance company	USD $3,006
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2133
Additional information about fees paid to insurance broker	TPA SUBSIDY
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $3,555
Insurance broker name	THURSTON SPRINGER MILLERHERD &

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

GP19219

Policy instance

Insurance contract or identification number	GP19219
Number of Individuals Covered	82
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,672
Total amount of fees paid to insurance company	USD $3,105
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2080
Additional information about fees paid to insurance broker	TPA SUBSIDY
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $898
Insurance broker name	PINNACLE FINANCIAL SERVICES, INC

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

GP19219

Policy instance

Insurance contract or identification number	GP19219
Number of Individuals Covered	84
Insurance policy start date	2012-10-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $12,938
Total amount of fees paid to insurance company	USD $3,028
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,938
Insurance broker organization code?	4
Amount paid for insurance broker fees	3000
Additional information about fees paid to insurance broker	TPA AWARDS
Insurance broker name	PINNACLE FINANCIAL SERVICES, INC

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Company Name:	HARVEST SUPERMARKETS, INC.
Employer identification number (EIN):	351435967
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores