401k Plan data: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST plan

C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST
Plan identification number	002

C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing

401k Sponsoring company profile

C & C UNDERWRITERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: C & C UNDERWRITERS, INC.

Employer identification number (EIN): 381473733

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-10-01 LANNY JACOBS LANNY JACOBS 2017-10-23
002 2015-10-01 LANNY JACOBS LANNY JACOBS 2016-11-01
002 2014-10-01 LANNY JACOBS LANNY JACOBS 2015-11-02
002 2013-10-01 LANNY JACOBS LANNY JACOBS 2014-11-03
002 2012-10-01 LANNY JACOBS LANNY JACOBS 2013-10-31
002 2011-10-01 LANNY JACOBS LANNY JACOBS 2012-11-05
002 2009-10-01 DALE HOURIGAN DALE HOURIGAN 2010-10-29

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2016-10-01	LANNY JACOBS	LANNY JACOBS	2017-10-23
002	2015-10-01	LANNY JACOBS	LANNY JACOBS	2016-11-01
002	2014-10-01	LANNY JACOBS	LANNY JACOBS	2015-11-02
002	2013-10-01	LANNY JACOBS	LANNY JACOBS	2014-11-03
002	2012-10-01	LANNY JACOBS	LANNY JACOBS	2013-10-31
002	2011-10-01	LANNY JACOBS	LANNY JACOBS	2012-11-05
002	2009-10-01	DALE HOURIGAN	DALE HOURIGAN	2010-10-29

Plan Statistics for C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST

Measure Date Value
2016: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-10-01 6
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 0
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 0
Number of participants with account balances 2016-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 0
2015: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-10-01 6
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 6
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 6
Number of participants with account balances 2015-10-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-10-01 8
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 5
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 3
Total of all active and inactive participants 2014-10-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 8
Number of participants with account balances 2014-10-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-10-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 5
Number of retired or separated participants receiving benefits 2013-10-01 1
Number of other retired or separated participants entitled to future benefits 2013-10-01 2
Total of all active and inactive participants 2013-10-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 8
Number of participants with account balances 2013-10-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-10-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 6
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 2
Total of all active and inactive participants 2012-10-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 8
Number of participants with account balances 2012-10-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-10-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 7
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 1
Total of all active and inactive participants 2011-10-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 8
Number of participants with account balances 2011-10-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2009: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-10-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 7
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 1
Total of all active and inactive participants 2009-10-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 8
Number of participants with account balances 2009-10-01 8

Measure	Date	Value
2016: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-10-01	6
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	0
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	0
Number of participants with account balances	2016-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	0
2015: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-10-01	6
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	6
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	6
Number of participants with account balances	2015-10-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-10-01	8
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	5
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	3
Total of all active and inactive participants	2014-10-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	8
Number of participants with account balances	2014-10-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-10-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	5
Number of retired or separated participants receiving benefits	2013-10-01	1
Number of other retired or separated participants entitled to future benefits	2013-10-01	2
Total of all active and inactive participants	2013-10-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	8
Number of participants with account balances	2013-10-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-10-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	6
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	2
Total of all active and inactive participants	2012-10-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	8
Number of participants with account balances	2012-10-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-10-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	7
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	1
Total of all active and inactive participants	2011-10-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	8
Number of participants with account balances	2011-10-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2009: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-10-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	7
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	1
Total of all active and inactive participants	2009-10-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	8
Number of participants with account balances	2009-10-01	8

Financial Data on C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2017 : C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total income from all sources	2017-09-30	$43,783
Expenses. Total of all expenses incurred	2017-09-30	$770,250
Benefits paid (including direct rollovers)	2017-09-30	$770,250
Total plan assets at end of year	2017-09-30	$0
Total plan assets at beginning of year	2017-09-30	$726,467
Other income received	2017-09-30	$33,783
Net income (gross income less expenses)	2017-09-30	$-726,467
Net plan assets at end of year (total assets less liabilities)	2017-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-09-30	$726,467
Total contributions received or receivable from employer(s)	2017-09-30	$10,000
2016 : C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-09-30	$55,022
Expenses. Total of all expenses incurred	2016-09-30	$441,328
Benefits paid (including direct rollovers)	2016-09-30	$441,328
Total plan assets at end of year	2016-09-30	$726,467
Total plan assets at beginning of year	2016-09-30	$1,112,773
Other income received	2016-09-30	$5,022
Net income (gross income less expenses)	2016-09-30	$-386,306
Net plan assets at end of year (total assets less liabilities)	2016-09-30	$726,467
Net plan assets at beginning of year (total assets less liabilities)	2016-09-30	$1,112,773
Total contributions received or receivable from employer(s)	2016-09-30	$50,000
2015 : C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-09-30	$59,514
Expenses. Total of all expenses incurred	2015-09-30	$17,000
Benefits paid (including direct rollovers)	2015-09-30	$17,000
Total plan assets at end of year	2015-09-30	$1,112,773
Total plan assets at beginning of year	2015-09-30	$1,070,259
Other income received	2015-09-30	$9,514
Net income (gross income less expenses)	2015-09-30	$42,514
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$1,112,773
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$1,070,259
Total contributions received or receivable from employer(s)	2015-09-30	$50,000
2014 : C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-09-30	$97,223
Expenses. Total of all expenses incurred	2014-09-30	$28,983
Benefits paid (including direct rollovers)	2014-09-30	$28,983
Total plan assets at end of year	2014-09-30	$1,070,259
Total plan assets at beginning of year	2014-09-30	$1,002,019
Other income received	2014-09-30	$47,223
Net income (gross income less expenses)	2014-09-30	$68,240
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$1,070,259
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$1,002,019
Total contributions received or receivable from employer(s)	2014-09-30	$50,000
2013 : C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-09-30	$59,014
Total plan assets at end of year	2013-09-30	$1,002,019
Total plan assets at beginning of year	2013-09-30	$943,005
Other income received	2013-09-30	$-4,986
Net income (gross income less expenses)	2013-09-30	$59,014
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$1,002,019
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$943,005
Total contributions received or receivable from employer(s)	2013-09-30	$64,000
2012 : C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-09-30	$126,098
Expenses. Total of all expenses incurred	2012-09-30	$41,000
Benefits paid (including direct rollovers)	2012-09-30	$41,000
Total plan assets at end of year	2012-09-30	$943,005
Total plan assets at beginning of year	2012-09-30	$857,907
Other income received	2012-09-30	$75,098
Net income (gross income less expenses)	2012-09-30	$85,098
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$943,005
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$857,907
Total contributions received or receivable from employer(s)	2012-09-30	$51,000
2011 : C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-09-30	$63,740
Total plan assets at end of year	2011-09-30	$857,907
Total plan assets at beginning of year	2011-09-30	$794,167
Other income received	2011-09-30	$3,740
Net income (gross income less expenses)	2011-09-30	$63,740
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$857,907
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$794,167
Total contributions received or receivable from employer(s)	2011-09-30	$60,000

Form 5500 Responses for C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST

2016: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	This submission is the final filing	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: C & C UNDERWRITERS, INC RESTATED EMPLOYEEES PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	C & C UNDERWRITERS, INC.
Employer identification number (EIN):	381473733
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages