401k Plan data: THE BOOSTER INC. RET & SAVINGS PLAN plan

THE BOOSTER INC. RET & SAVINGS PLAN 401k Plan overview

Plan Name	THE BOOSTER INC. RET & SAVINGS PLAN
Plan identification number	003

THE BOOSTER INC. RET & 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

THE BOOSTER, INC has sponsored the creation of one or more 401k plans.

Company Name: THE BOOSTER, INC

Employer identification number (EIN): 391257039

NAIC Classification: 541800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE BOOSTER INC. RET & SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2016-01-01 LINDA HAUSER 2017-07-28 LINDA HAUSER 2017-07-28
003 2014-01-01 LINDA HAUSER LINDA HAUSER 2015-07-17
003 2013-01-01 JUDY LESMEISTER
003 2012-01-01 JUDY LESMEISTER JUDY LESMEISTER 2013-05-24
003 2011-01-01 JUDY LESMEISTER
003 2010-01-01 JUDY LESMEISTER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2016-01-01	LINDA HAUSER	2017-07-28	LINDA HAUSER	2017-07-28
003	2014-01-01	LINDA HAUSER		LINDA HAUSER	2015-07-17
003	2013-01-01	JUDY LESMEISTER
003	2012-01-01	JUDY LESMEISTER		JUDY LESMEISTER	2013-05-24
003	2011-01-01	JUDY LESMEISTER
003	2010-01-01	JUDY LESMEISTER

Plan Statistics for THE BOOSTER INC. RET & SAVINGS PLAN

401k plan membership statisitcs for THE BOOSTER INC. RET & SAVINGS PLAN

Measure Date Value
2014: THE BOOSTER INC. RET & SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 18
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 20
Number of participants with account balances 2014-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: THE BOOSTER INC. RET & SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 19
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 23
Number of participants with account balances 2013-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THE BOOSTER INC. RET & SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 21
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 24
Number of participants with account balances 2012-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THE BOOSTER INC. RET & SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 23
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 23
Number of participants with account balances 2011-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: THE BOOSTER INC. RET & SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 26
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 26
Number of participants with account balances 2010-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2014: THE BOOSTER INC. RET & SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	18
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	20
Number of participants with account balances	2014-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: THE BOOSTER INC. RET & SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	19
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	23
Number of participants with account balances	2013-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THE BOOSTER INC. RET & SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	21
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	24
Number of participants with account balances	2012-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THE BOOSTER INC. RET & SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	23
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	23
Number of participants with account balances	2011-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: THE BOOSTER INC. RET & SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	26
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	26
Number of participants with account balances	2010-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on THE BOOSTER INC. RET & SAVINGS PLAN

Measure	Date	Value
2014 : THE BOOSTER INC. RET & SAVINGS PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$104,560
Expenses. Total of all expenses incurred	2014-12-31	$260,842
Benefits paid (including direct rollovers)	2014-12-31	$260,593
Total plan assets at end of year	2014-12-31	$1,504,043
Total plan assets at beginning of year	2014-12-31	$1,660,325
Value of fidelity bond covering the plan	2014-12-31	$1,000,000
Total contributions received or receivable from participants	2014-12-31	$25,089
Expenses. Other expenses not covered elsewhere	2014-12-31	$249
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$79,471
Net income (gross income less expenses)	2014-12-31	$-156,282
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,504,043
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,660,325
Assets. Value of participant loans	2014-12-31	$1,032
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : THE BOOSTER INC. RET & SAVINGS PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$326,980
Expenses. Total of all expenses incurred	2013-12-31	$20,792
Benefits paid (including direct rollovers)	2013-12-31	$20,717
Total plan assets at end of year	2013-12-31	$1,660,325
Total plan assets at beginning of year	2013-12-31	$1,354,137
Value of fidelity bond covering the plan	2013-12-31	$1,000,000
Total contributions received or receivable from participants	2013-12-31	$29,112
Expenses. Other expenses not covered elsewhere	2013-12-31	$75
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$297,868
Net income (gross income less expenses)	2013-12-31	$306,188
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,660,325
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,354,137
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : THE BOOSTER INC. RET & SAVINGS PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$209,048
Expenses. Total of all expenses incurred	2012-12-31	$34,981
Benefits paid (including direct rollovers)	2012-12-31	$34,906
Total plan assets at end of year	2012-12-31	$1,354,137
Total plan assets at beginning of year	2012-12-31	$1,180,070
Value of fidelity bond covering the plan	2012-12-31	$140,000
Total contributions received or receivable from participants	2012-12-31	$31,715
Expenses. Other expenses not covered elsewhere	2012-12-31	$75
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$177,333
Net income (gross income less expenses)	2012-12-31	$174,067
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,354,137
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,180,070
Assets. Value of participant loans	2012-12-31	$105
Total contributions received or receivable from employer(s)	2012-12-31	$0
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : THE BOOSTER INC. RET & SAVINGS PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$-3,048
Expenses. Total of all expenses incurred	2011-12-31	$58,592
Benefits paid (including direct rollovers)	2011-12-31	$58,517
Total plan assets at end of year	2011-12-31	$1,180,070
Total plan assets at beginning of year	2011-12-31	$1,241,710
Value of fidelity bond covering the plan	2011-12-31	$140,000
Total contributions received or receivable from participants	2011-12-31	$32,732
Expenses. Other expenses not covered elsewhere	2011-12-31	$75
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-35,780
Net income (gross income less expenses)	2011-12-31	$-61,640
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,180,070
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,241,710
Assets. Value of participant loans	2011-12-31	$3,399
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : THE BOOSTER INC. RET & SAVINGS PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$154,299
Expenses. Total of all expenses incurred	2010-12-31	$85,068
Benefits paid (including direct rollovers)	2010-12-31	$85,008
Total plan assets at end of year	2010-12-31	$1,241,710
Total plan assets at beginning of year	2010-12-31	$1,172,479
Value of fidelity bond covering the plan	2010-12-31	$140,000
Total contributions received or receivable from participants	2010-12-31	$37,001
Expenses. Other expenses not covered elsewhere	2010-12-31	$60
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$117,298
Net income (gross income less expenses)	2010-12-31	$69,231
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,241,710
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,172,479
Assets. Value of participant loans	2010-12-31	$7,601
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0

Form 5500 Responses for THE BOOSTER INC. RET & SAVINGS PLAN

2014: THE BOOSTER INC. RET & SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: THE BOOSTER INC. RET & SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE BOOSTER INC. RET & SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: THE BOOSTER INC. RET & SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE BOOSTER INC. RET & SAVINGS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-823878
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-823878
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-823878
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-823878
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-823878
Policy instance	1

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Company Name:	THE BOOSTER, INC
Employer identification number (EIN):	391257039
NAIC Classification:	541800