401k Plan data: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN plan

POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 401k Plan overview

Plan Name	POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN
Plan identification number	001

POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

POLK COUNTY MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: POLK COUNTY MUTUAL INSURANCE COMPANY

Employer identification number (EIN): 440512163

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Additional information about POLK COUNTY MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Missouri Secretary of State

Incorporation Date:

Company Identification Number: M00000154

More information about POLK COUNTY MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 LAUREN WEST 2022-10-17
001 2020-01-01 BOBBI LEAR 2021-10-15 BOBBI LEAR 2021-10-15
001 2019-01-01 JAMES D. WITT 2020-10-13 JAMES D. WITT 2020-10-13
001 2018-01-01 JAMES D. WITT 2019-10-15 JAMES D. WITT 2019-10-15
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 JAMES D. WITT JAMES D. WITT 2013-07-27
001 2011-01-01 JAMES D. WITT JAMES D. WITT 2012-06-29
001 2009-01-01 JAMES D. WITT JAMES D. WITT 2010-10-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01	LAUREN WEST	2022-10-17
001	2020-01-01	BOBBI LEAR	2021-10-15	BOBBI LEAR	2021-10-15
001	2019-01-01	JAMES D. WITT	2020-10-13	JAMES D. WITT	2020-10-13
001	2018-01-01	JAMES D. WITT	2019-10-15	JAMES D. WITT	2019-10-15
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	JAMES D. WITT		JAMES D. WITT	2013-07-27
001	2011-01-01	JAMES D. WITT		JAMES D. WITT	2012-06-29
001	2009-01-01	JAMES D. WITT		JAMES D. WITT	2010-10-06

Plan Statistics for POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN

401k plan membership statisitcs for POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN

Measure Date Value
2021: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 3
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 3
Number of participants with account balances 2020-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 3
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 3
Number of participants with account balances 2019-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 4
Total of all active and inactive participants 2018-01-01 4
Total participants 2018-01-01 4
Number of participants with account balances 2018-01-01 2
2017: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 4
Total of all active and inactive participants 2017-01-01 4
Total participants 2017-01-01 4
Number of participants with account balances 2017-01-01 2
2016: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 4
Total of all active and inactive participants 2016-01-01 4
Total participants 2016-01-01 4
Number of participants with account balances 2016-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 4
Total of all active and inactive participants 2015-01-01 4
Total participants 2015-01-01 4
Number of participants with account balances 2015-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 4
Total of all active and inactive participants 2014-01-01 4
Total participants 2014-01-01 4
Number of participants with account balances 2014-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
Total of all active and inactive participants 2013-01-01 4
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 2
2012: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
Total of all active and inactive participants 2012-01-01 4
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
Total of all active and inactive participants 2011-01-01 5
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
Number of retired or separated participants receiving benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 5
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2021: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	3
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	3
Number of participants with account balances	2020-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	3
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	3
Number of participants with account balances	2019-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	4
Total of all active and inactive participants	2018-01-01	4
Total participants	2018-01-01	4
Number of participants with account balances	2018-01-01	2
2017: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	4
Total of all active and inactive participants	2017-01-01	4
Total participants	2017-01-01	4
Number of participants with account balances	2017-01-01	2
2016: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	4
Total of all active and inactive participants	2016-01-01	4
Total participants	2016-01-01	4
Number of participants with account balances	2016-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	4
Total of all active and inactive participants	2015-01-01	4
Total participants	2015-01-01	4
Number of participants with account balances	2015-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	4
Total of all active and inactive participants	2014-01-01	4
Total participants	2014-01-01	4
Number of participants with account balances	2014-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
Total of all active and inactive participants	2013-01-01	4
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	2
2012: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
Total of all active and inactive participants	2012-01-01	4
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
Total of all active and inactive participants	2011-01-01	5
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Number of retired or separated participants receiving benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	5
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN

Measure	Date	Value
2021 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$5,441
Expenses. Total of all expenses incurred	2021-12-31	$29,753
Benefits paid (including direct rollovers)	2021-12-31	$29,578
Total plan assets at end of year	2021-12-31	$0
Total plan assets at beginning of year	2021-12-31	$24,312
Value of fidelity bond covering the plan	2021-12-31	$100,000
Total contributions received or receivable from participants	2021-12-31	$860
Other income received	2021-12-31	$3,721
Net income (gross income less expenses)	2021-12-31	$-24,312
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$24,312
Total contributions received or receivable from employer(s)	2021-12-31	$860
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$175
2020 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$6,448
Expenses. Total of all expenses incurred	2020-12-31	$1,087
Benefits paid (including direct rollovers)	2020-12-31	$1,027
Total plan assets at end of year	2020-12-31	$24,312
Total plan assets at beginning of year	2020-12-31	$18,951
Value of fidelity bond covering the plan	2020-12-31	$100,000
Total contributions received or receivable from participants	2020-12-31	$1,818
Other income received	2020-12-31	$2,812
Net income (gross income less expenses)	2020-12-31	$5,361
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$24,312
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$18,951
Total contributions received or receivable from employer(s)	2020-12-31	$1,818
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$60
2019 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$5,596
Expenses. Total of all expenses incurred	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$18,951
Total plan assets at beginning of year	2019-12-31	$13,355
Value of fidelity bond covering the plan	2019-12-31	$100,000
Total contributions received or receivable from participants	2019-12-31	$1,163
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$3,270
Net income (gross income less expenses)	2019-12-31	$5,596
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$18,951
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$13,355
Total contributions received or receivable from employer(s)	2019-12-31	$1,163
2018 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$6,003
Expenses. Total of all expenses incurred	2018-12-31	$158,467
Benefits paid (including direct rollovers)	2018-12-31	$158,467
Total plan assets at end of year	2018-12-31	$13,355
Total plan assets at beginning of year	2018-12-31	$165,819
Value of fidelity bond covering the plan	2018-12-31	$100,000
Total contributions received or receivable from participants	2018-12-31	$1,063
Other income received	2018-12-31	$3,877
Net income (gross income less expenses)	2018-12-31	$-152,464
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$13,355
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$165,819
Total contributions received or receivable from employer(s)	2018-12-31	$1,063
2017 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$33,620
Expenses. Total of all expenses incurred	2017-12-31	$2,090
Benefits paid (including direct rollovers)	2017-12-31	$2,090
Total plan assets at end of year	2017-12-31	$165,819
Total plan assets at beginning of year	2017-12-31	$134,289
Value of fidelity bond covering the plan	2017-12-31	$100,000
Total contributions received or receivable from participants	2017-12-31	$4,838
Other income received	2017-12-31	$27,662
Net income (gross income less expenses)	2017-12-31	$31,530
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$165,819
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$134,289
Total contributions received or receivable from employer(s)	2017-12-31	$1,120
2016 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$14,123
Expenses. Total of all expenses incurred	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$134,289
Total plan assets at beginning of year	2016-12-31	$120,166
Value of fidelity bond covering the plan	2016-12-31	$100,000
Total contributions received or receivable from participants	2016-12-31	$4,889
Other income received	2016-12-31	$8,103
Net income (gross income less expenses)	2016-12-31	$14,123
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$134,289
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$120,166
Total contributions received or receivable from employer(s)	2016-12-31	$1,131
2015 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$3,285
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$120,166
Total plan assets at beginning of year	2015-12-31	$116,881
Value of fidelity bond covering the plan	2015-12-31	$100,000
Total contributions received or receivable from participants	2015-12-31	$4,730
Other income received	2015-12-31	$-2,535
Net income (gross income less expenses)	2015-12-31	$3,285
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$120,166
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$116,881
Total contributions received or receivable from employer(s)	2015-12-31	$1,090
2014 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$11,406
Expenses. Total of all expenses incurred	2014-12-31	$821
Benefits paid (including direct rollovers)	2014-12-31	$821
Total plan assets at end of year	2014-12-31	$116,881
Total plan assets at beginning of year	2014-12-31	$106,296
Value of fidelity bond covering the plan	2014-12-31	$100,000
Total contributions received or receivable from participants	2014-12-31	$4,730
Other income received	2014-12-31	$5,586
Net income (gross income less expenses)	2014-12-31	$10,585
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$116,881
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$106,296
Total contributions received or receivable from employer(s)	2014-12-31	$1,090
2013 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$23,700
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$106,296
Total plan assets at beginning of year	2013-12-31	$82,596
Value of fidelity bond covering the plan	2013-12-31	$100,000
Total contributions received or receivable from participants	2013-12-31	$4,724
Other income received	2013-12-31	$17,878
Net income (gross income less expenses)	2013-12-31	$23,700
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$106,296
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$82,596
Total contributions received or receivable from employer(s)	2013-12-31	$1,098
2012 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$16,485
Expenses. Total of all expenses incurred	2012-12-31	$5,152
Benefits paid (including direct rollovers)	2012-12-31	$5,152
Total plan assets at end of year	2012-12-31	$82,596
Total plan assets at beginning of year	2012-12-31	$71,263
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$4,866
Other income received	2012-12-31	$10,540
Net income (gross income less expenses)	2012-12-31	$11,333
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$82,596
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$71,263
Total contributions received or receivable from employer(s)	2012-12-31	$1,079
2011 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$45
Total income from all sources	2011-12-31	$3,206
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$71,263
Total plan assets at beginning of year	2011-12-31	$68,102
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$4,905
Other income received	2011-12-31	$-2,773
Net income (gross income less expenses)	2011-12-31	$3,206
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$71,263
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$68,057
Total contributions received or receivable from employer(s)	2011-12-31	$1,074
2010 : POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$45
Total income from all sources	2010-12-31	$12,738
Expenses. Total of all expenses incurred	2010-12-31	$180
Benefits paid (including direct rollovers)	2010-12-31	$180
Total plan assets at end of year	2010-12-31	$68,102
Total plan assets at beginning of year	2010-12-31	$55,499
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$4,844
Other income received	2010-12-31	$6,835
Net income (gross income less expenses)	2010-12-31	$12,558
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$68,057
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$55,499
Total contributions received or receivable from employer(s)	2010-12-31	$1,059

Form 5500 Responses for POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN

2021: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: POLK COUNTY MUTUAL INSURANCE COMPANY 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	POLK COUNTY MUTUAL INSURANCE COMPANY
Employer identification number (EIN):	440512163
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages

Jurisdiction of Incorporation:	Missouri Secretary of State
Incorporation Date:
Company Identification Number:	M00000154