401k Plan data: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN plan

THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 401k Plan overview

Plan Name	THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN
Plan identification number	001

THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.

401k Sponsoring company profile

THE WORKFORCE BOARD OF NORTHERN COOK COUNTY, INC has sponsored the creation of one or more 401k plans.

Company Name: THE WORKFORCE BOARD OF NORTHERN COOK COUNTY, INC

Employer identification number (EIN): 364378917

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-07-01 ALGIRDAS SAULYS ALGIRDAS SAULYS 2013-03-18
001 2010-07-01 ALGIRDAS SAULYS ALGIRDAS SAULYS 2012-03-21
001 2009-07-01 ALGIRDAS SAULYS ALGIRDAS SAULYS 2011-01-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2011-07-01	ALGIRDAS SAULYS	ALGIRDAS SAULYS	2013-03-18
001	2010-07-01	ALGIRDAS SAULYS	ALGIRDAS SAULYS	2012-03-21
001	2009-07-01	ALGIRDAS SAULYS	ALGIRDAS SAULYS	2011-01-12

Plan Statistics for THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN

401k plan membership statisitcs for THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN

Measure Date Value
2011: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 30
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 14
Number of other retired or separated participants entitled to future benefits 2011-07-01 17
Total of all active and inactive participants 2011-07-01 31
Total participants 2011-07-01 31
Number of participants with account balances 2011-07-01 24
2010: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 32
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 29
Number of retired or separated participants receiving benefits 2010-07-01 4
Number of other retired or separated participants entitled to future benefits 2010-07-01 4
Total of all active and inactive participants 2010-07-01 37
Total participants 2010-07-01 37
Number of participants with account balances 2010-07-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 1
2009: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 24
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 26
Number of retired or separated participants receiving benefits 2009-07-01 1
Number of other retired or separated participants entitled to future benefits 2009-07-01 5
Total of all active and inactive participants 2009-07-01 32
Total participants 2009-07-01 32
Number of participants with account balances 2009-07-01 20

Measure	Date	Value
2011: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	30
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	14
Number of other retired or separated participants entitled to future benefits	2011-07-01	17
Total of all active and inactive participants	2011-07-01	31
Total participants	2011-07-01	31
Number of participants with account balances	2011-07-01	24
2010: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	32
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	29
Number of retired or separated participants receiving benefits	2010-07-01	4
Number of other retired or separated participants entitled to future benefits	2010-07-01	4
Total of all active and inactive participants	2010-07-01	37
Total participants	2010-07-01	37
Number of participants with account balances	2010-07-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	1
2009: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	24
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	26
Number of retired or separated participants receiving benefits	2009-07-01	1
Number of other retired or separated participants entitled to future benefits	2009-07-01	5
Total of all active and inactive participants	2009-07-01	32
Total participants	2009-07-01	32
Number of participants with account balances	2009-07-01	20

Financial Data on THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN

Measure	Date	Value
2012 : THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-06-30	$67,490
Expenses. Total of all expenses incurred	2012-06-30	$24,627
Benefits paid (including direct rollovers)	2012-06-30	$23,284
Total plan assets at end of year	2012-06-30	$457,306
Total plan assets at beginning of year	2012-06-30	$414,443
Total contributions received or receivable from participants	2012-06-30	$47,707
Expenses. Other expenses not covered elsewhere	2012-06-30	$1,343
Other income received	2012-06-30	$-4,520
Net income (gross income less expenses)	2012-06-30	$42,863
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$457,306
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$414,443
Assets. Value of participant loans	2012-06-30	$9,866
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2012-06-30	$22,564
Total contributions received or receivable from employer(s)	2012-06-30	$24,303
2011 : THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$134,891
Expenses. Total of all expenses incurred	2011-06-30	$99,624
Benefits paid (including direct rollovers)	2011-06-30	$98,555
Total plan assets at end of year	2011-06-30	$414,443
Total plan assets at beginning of year	2011-06-30	$379,176
Total contributions received or receivable from participants	2011-06-30	$42,629
Expenses. Other expenses not covered elsewhere	2011-06-30	$1,069
Contributions received from other sources (not participants or employers)	2011-06-30	$2,185
Other income received	2011-06-30	$68,770
Net income (gross income less expenses)	2011-06-30	$35,267
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$414,443
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$379,176
Assets. Value of participant loans	2011-06-30	$7,261
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2011-06-30	$24,916
Total contributions received or receivable from employer(s)	2011-06-30	$21,307

Form 5500 Responses for THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN

2011: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: THE WORKFORCE BD. OF NO. COOK COUNTY, INC. 401(K) PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	THE WORKFORCE BOARD OF NORTHERN COOK COUNTY, INC
Employer identification number (EIN):	364378917
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations