401k Plan data: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN plan

CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 401k Plan overview

Plan Name	CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN
Plan identification number	003

CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CENTRAL STATES INDEMNITY CO. OF OMAHA has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL STATES INDEMNITY CO. OF OMAHA

Employer identification number (EIN): 470591908

NAIC Classification: 524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01 KEVIN J MORAN 2023-08-01
003 2021-01-01 KEVIN J MORAN 2022-07-28
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 TINA GOLDSMITH KEVIN J MORAN 2018-08-17
003 2016-01-01 KEVIN J MORAN KEVIN J MORAN 2017-10-03
003 2015-01-01 KEVIN J MORAN KEVIN J MORAN 2016-09-22
003 2014-01-01 KEVIN J MORAN KEVIN J MORAN 2015-07-27
003 2013-01-01 KEVIN J MORAN
003 2012-01-01 JEFF HARRINGTON JEFF HARRINGTON 2013-09-10
003 2011-01-01 JEFF HARRINGTON JEFF HARRINGTON 2012-08-17
003 2009-01-01 JEFF HARRINGTON JEFF HARRINGTON 2010-09-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01	KEVIN J MORAN	2023-08-01
003	2021-01-01	KEVIN J MORAN	2022-07-28
003	2020-01-01
003	2019-01-01
003	2018-01-01
003	2017-01-01	TINA GOLDSMITH		KEVIN J MORAN	2018-08-17
003	2016-01-01	KEVIN J MORAN		KEVIN J MORAN	2017-10-03
003	2015-01-01	KEVIN J MORAN		KEVIN J MORAN	2016-09-22
003	2014-01-01	KEVIN J MORAN		KEVIN J MORAN	2015-07-27
003	2013-01-01	KEVIN J MORAN
003	2012-01-01	JEFF HARRINGTON		JEFF HARRINGTON	2013-09-10
003	2011-01-01	JEFF HARRINGTON		JEFF HARRINGTON	2012-08-17
003	2009-01-01	JEFF HARRINGTON		JEFF HARRINGTON	2010-09-28

Plan Statistics for CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN

401k plan membership statisitcs for CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN

Measure Date Value
2020: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 91
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 43
Number of retired or separated participants receiving benefits 2020-01-01 3
Number of other retired or separated participants entitled to future benefits 2020-01-01 42
Total of all active and inactive participants 2020-01-01 88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 88
Number of participants with account balances 2020-01-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 47
Number of retired or separated participants receiving benefits 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 41
Total of all active and inactive participants 2019-01-01 91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 91
Number of participants with account balances 2019-01-01 91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 53
Number of retired or separated participants receiving benefits 2018-01-01 3
Number of other retired or separated participants entitled to future benefits 2018-01-01 48
Total of all active and inactive participants 2018-01-01 104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 105
Number of participants with account balances 2018-01-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 52
Number of retired or separated participants receiving benefits 2017-01-01 2
Number of other retired or separated participants entitled to future benefits 2017-01-01 53
Total of all active and inactive participants 2017-01-01 107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 107
Number of participants with account balances 2017-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 59
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 46
Total of all active and inactive participants 2016-01-01 106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 106
Number of participants with account balances 2016-01-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 74
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 57
Total of all active and inactive participants 2015-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 132
Number of participants with account balances 2015-01-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 76
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 51
Total of all active and inactive participants 2014-01-01 127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 127
Number of participants with account balances 2014-01-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 229
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 85
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 65
Total of all active and inactive participants 2013-01-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 150
Number of participants with account balances 2013-01-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 300
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 165
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 64
Total of all active and inactive participants 2012-01-01 229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 229
Number of participants with account balances 2012-01-01 193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 323
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 270
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 30
Total of all active and inactive participants 2011-01-01 300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 300
Number of participants with account balances 2011-01-01 244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 426
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 286
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 29
Total of all active and inactive participants 2009-01-01 315
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 315
Number of participants with account balances 2009-01-01 310
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2020: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	91
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	43
Number of retired or separated participants receiving benefits	2020-01-01	3
Number of other retired or separated participants entitled to future benefits	2020-01-01	42
Total of all active and inactive participants	2020-01-01	88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	88
Number of participants with account balances	2020-01-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	47
Number of retired or separated participants receiving benefits	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	41
Total of all active and inactive participants	2019-01-01	91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	91
Number of participants with account balances	2019-01-01	91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	53
Number of retired or separated participants receiving benefits	2018-01-01	3
Number of other retired or separated participants entitled to future benefits	2018-01-01	48
Total of all active and inactive participants	2018-01-01	104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	105
Number of participants with account balances	2018-01-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	52
Number of retired or separated participants receiving benefits	2017-01-01	2
Number of other retired or separated participants entitled to future benefits	2017-01-01	53
Total of all active and inactive participants	2017-01-01	107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	107
Number of participants with account balances	2017-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	59
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	46
Total of all active and inactive participants	2016-01-01	106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	106
Number of participants with account balances	2016-01-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	74
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	57
Total of all active and inactive participants	2015-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	132
Number of participants with account balances	2015-01-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	76
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	51
Total of all active and inactive participants	2014-01-01	127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	127
Number of participants with account balances	2014-01-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	229
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	85
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	65
Total of all active and inactive participants	2013-01-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	150
Number of participants with account balances	2013-01-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	300
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	165
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	64
Total of all active and inactive participants	2012-01-01	229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	229
Number of participants with account balances	2012-01-01	193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	323
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	270
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	30
Total of all active and inactive participants	2011-01-01	300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	300
Number of participants with account balances	2011-01-01	244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	426
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	286
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	29
Total of all active and inactive participants	2009-01-01	315
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	315
Number of participants with account balances	2009-01-01	310
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN

Measure	Date	Value
2020 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$4,554,481
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$957,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$957,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$464,344
Value of total assets at end of year	2020-12-31	$25,980,578
Value of total assets at beginning of year	2020-12-31	$22,384,060
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$251
Total interest from all sources	2020-12-31	$11,993
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$804,129
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$804,129
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$267,313
Participant contributions at end of year	2020-12-31	$213,248
Participant contributions at beginning of year	2020-12-31	$203,224
Other income not declared elsewhere	2020-12-31	$0
Administrative expenses (other) incurred	2020-12-31	$251
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$3,596,518
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$25,980,578
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$22,384,060
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$21,485,253
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$18,966,521
Interest on participant loans	2020-12-31	$11,993
Value of interest in common/collective trusts at end of year	2020-12-31	$4,282,077
Value of interest in common/collective trusts at beginning of year	2020-12-31	$3,214,315
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$3,196,085
Net investment gain or loss from common/collective trusts	2020-12-31	$77,930
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$197,031
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$957,712
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	LUTZ & COMPANY, PC
Accountancy firm EIN	2020-12-31	470625816
2019 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$4,591,297
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,147,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,146,907
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$477,002
Value of total assets at end of year	2019-12-31	$22,384,060
Value of total assets at beginning of year	2019-12-31	$19,939,927
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$257
Total interest from all sources	2019-12-31	$9,753
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,026,027
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$1,026,027
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$279,510
Participant contributions at end of year	2019-12-31	$203,224
Participant contributions at beginning of year	2019-12-31	$179,607
Other income not declared elsewhere	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$257
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,444,133
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$22,384,060
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$19,939,927
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$18,966,521
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$17,192,336
Interest on participant loans	2019-12-31	$9,753
Value of interest in common/collective trusts at end of year	2019-12-31	$3,214,315
Value of interest in common/collective trusts at beginning of year	2019-12-31	$2,567,984
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$3,012,650
Net investment gain or loss from common/collective trusts	2019-12-31	$65,865
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$197,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,146,907
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	LUTZ & COMPANY, PC
Accountancy firm EIN	2019-12-31	470625816
2018 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$-500,036
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$692,957
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$669,939
Value of total corrective distributions	2018-12-31	$22,778
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$517,239
Value of total assets at end of year	2018-12-31	$19,939,927
Value of total assets at beginning of year	2018-12-31	$21,132,920
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$240
Total interest from all sources	2018-12-31	$8,983
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$999,317
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$999,317
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$309,700
Participant contributions at end of year	2018-12-31	$179,607
Participant contributions at beginning of year	2018-12-31	$161,060
Administrative expenses (other) incurred	2018-12-31	$240
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,192,993
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$19,939,927
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$21,132,920
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$17,192,336
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$18,441,153
Interest on participant loans	2018-12-31	$8,983
Value of interest in common/collective trusts at end of year	2018-12-31	$2,567,984
Value of interest in common/collective trusts at beginning of year	2018-12-31	$2,530,707
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,076,457
Net investment gain or loss from common/collective trusts	2018-12-31	$50,882
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$207,539
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$669,939
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	LUTZ & COMPANY, PC
Accountancy firm EIN	2018-12-31	470625816
2017 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$6,616,518
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$3,640,448
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,415,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,415,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$575,346
Value of total assets at end of year	2017-12-31	$21,132,920
Value of total assets at beginning of year	2017-12-31	$12,291,485
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$260
Total interest from all sources	2017-12-31	$6,178
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$659,745
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$659,745
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$5,000,000
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	$345,223
Participant contributions at end of year	2017-12-31	$161,060
Participant contributions at beginning of year	2017-12-31	$74,987
Administrative expenses (other) incurred	2017-12-31	$260
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	$2,224,917
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$21,132,920
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$12,291,485
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 registered invesment companies (eg mutual funds) at end of year	2017-12-31	$18,441,153
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$10,433,569
Interest on participant loans	2017-12-31	$6,178
Value of interest in common/collective trusts at end of year	2017-12-31	$2,530,707
Value of interest in common/collective trusts at beginning of year	2017-12-31	$1,782,929
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$2,357,559
Net investment gain or loss from common/collective trusts	2017-12-31	$41,620
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	No
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	$230,123
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,415,271
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	LUTZ & COMPANY, PC
Accountancy firm EIN	2017-12-31	470625816
2016 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,434,521
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,572,318
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,572,098
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$619,752
Value of total assets at end of year	2016-12-31	$12,291,485
Value of total assets at beginning of year	2016-12-31	$12,429,282
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$220
Total interest from all sources	2016-12-31	$3,619
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$382,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$382,991
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
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	$323,806
Participant contributions at end of year	2016-12-31	$74,987
Participant contributions at beginning of year	2016-12-31	$88,893
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$231,916
Administrative expenses (other) incurred	2016-12-31	$220
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	$-137,797
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$12,291,485
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$12,429,282
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$10,433,569
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$10,474,971
Interest on participant loans	2016-12-31	$3,619
Value of interest in common/collective trusts at end of year	2016-12-31	$1,782,929
Value of interest in common/collective trusts at beginning of year	2016-12-31	$1,865,418
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$394,745
Net investment gain or loss from common/collective trusts	2016-12-31	$33,414
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	No
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	$64,030
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,572,098
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	LUTZ & COMPANY, PC
Accountancy firm EIN	2016-12-31	470625816
2015 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$492,965
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$684,660
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$684,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$459,489
Value of total assets at end of year	2015-12-31	$12,429,282
Value of total assets at beginning of year	2015-12-31	$12,620,977
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$280
Total interest from all sources	2015-12-31	$4,109
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$541,842
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$541,842
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
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	$388,685
Participant contributions at end of year	2015-12-31	$88,893
Participant contributions at beginning of year	2015-12-31	$103,118
Administrative expenses (other) incurred	2015-12-31	$280
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	$-191,695
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$12,429,282
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$12,620,977
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$10,474,971
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$10,577,633
Interest on participant loans	2015-12-31	$4,109
Value of interest in common/collective trusts at end of year	2015-12-31	$1,865,418
Value of interest in common/collective trusts at beginning of year	2015-12-31	$1,940,226
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-492,587
Net investment gain or loss from common/collective trusts	2015-12-31	$-19,888
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	$70,804
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$684,380
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	LUTZ & COMPANY, PC
Accountancy firm EIN	2015-12-31	470625816
2014 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,551,106
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,725,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,723,436
Value of total corrective distributions	2014-12-31	$1,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$529,240
Value of total assets at end of year	2014-12-31	$12,620,977
Value of total assets at beginning of year	2014-12-31	$13,794,966
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$474
Total interest from all sources	2014-12-31	$4,584
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$505,320
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$505,320
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
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	$446,030
Participant contributions at end of year	2014-12-31	$103,118
Participant contributions at beginning of year	2014-12-31	$131,071
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$116
Administrative expenses (other) incurred	2014-12-31	$474
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	$-1,173,989
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$12,620,977
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$13,794,966
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 registered invesment companies (eg mutual funds) at end of year	2014-12-31	$10,577,633
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$11,817,517
Interest on participant loans	2014-12-31	$4,584
Value of interest in common/collective trusts at end of year	2014-12-31	$1,940,226
Value of interest in common/collective trusts at beginning of year	2014-12-31	$1,846,378
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$470,059
Net investment gain or loss from common/collective trusts	2014-12-31	$41,903
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	$83,210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,723,320
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	LUTZ & COMPANY, P.C.
Accountancy firm EIN	2014-12-31	470625816
2013 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$3,049,337
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,552,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,550,308
Value of total corrective distributions	2013-12-31	$1,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$668,436
Value of total assets at end of year	2013-12-31	$13,794,966
Value of total assets at beginning of year	2013-12-31	$12,297,721
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$551
Total interest from all sources	2013-12-31	$6,932
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$287,975
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$287,975
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$4,000,000
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	$561,932
Participant contributions at end of year	2013-12-31	$131,071
Participant contributions at beginning of year	2013-12-31	$174,519
Administrative expenses (other) incurred	2013-12-31	$551
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	$1,497,245
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$13,794,966
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$12,297,721
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 registered invesment companies (eg mutual funds) at end of year	2013-12-31	$11,817,517
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$10,272,187
Interest on participant loans	2013-12-31	$6,932
Value of interest in common/collective trusts at end of year	2013-12-31	$1,846,378
Value of interest in common/collective trusts at beginning of year	2013-12-31	$1,851,015
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,094,320
Net investment gain or loss from common/collective trusts	2013-12-31	$-8,326
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	$106,504
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,550,308
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	LUTZ & COMPANY, P.C.
Accountancy firm EIN	2013-12-31	470625816
2012 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
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	$2,354,733
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,838,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,837,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$885,161
Value of total assets at end of year	2012-12-31	$12,297,721
Value of total assets at beginning of year	2012-12-31	$11,781,518
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$660
Total interest from all sources	2012-12-31	$8,222
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$218,260
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$218,260
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$4,000,000
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	$715,125
Participant contributions at end of year	2012-12-31	$174,519
Participant contributions at beginning of year	2012-12-31	$207,843
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$25,489
Other income not declared elsewhere	2012-12-31	$40
Administrative expenses (other) incurred	2012-12-31	$660
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	$516,203
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$12,297,721
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$11,781,518
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 registered invesment companies (eg mutual funds) at end of year	2012-12-31	$10,272,187
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$9,752,117
Interest on participant loans	2012-12-31	$8,222
Value of interest in common/collective trusts at end of year	2012-12-31	$1,851,015
Value of interest in common/collective trusts at beginning of year	2012-12-31	$1,821,558
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,193,854
Net investment gain or loss from common/collective trusts	2012-12-31	$49,196
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	$144,547
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,837,870
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	LUTZ & COMPANY, P.C.
Accountancy firm EIN	2012-12-31	470625816
2011 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$894,780
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$546,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$545,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$932,133
Value of total assets at end of year	2011-12-31	$11,781,518
Value of total assets at beginning of year	2011-12-31	$11,432,993
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$680
Total interest from all sources	2011-12-31	$9,606
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$188,853
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$188,853
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$772,720
Participant contributions at end of year	2011-12-31	$207,843
Participant contributions at beginning of year	2011-12-31	$218,702
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$465
Other income not declared elsewhere	2011-12-31	$489
Administrative expenses (other) incurred	2011-12-31	$680
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$348,525
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$11,781,518
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$11,432,993
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$9,752,117
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$9,366,782
Interest on participant loans	2011-12-31	$9,606
Value of interest in common/collective trusts at end of year	2011-12-31	$1,821,558
Value of interest in common/collective trusts at beginning of year	2011-12-31	$1,847,509
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-295,039
Net investment gain or loss from common/collective trusts	2011-12-31	$58,738
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$159,413
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$545,110
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	LUTZ & COMPANY, P.C
Accountancy firm EIN	2011-12-31	470625816
2010 : CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,156,103
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,265,272
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,264,144
Value of total corrective distributions	2010-12-31	$548
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$913,902
Value of total assets at end of year	2010-12-31	$11,432,993
Value of total assets at beginning of year	2010-12-31	$10,542,162
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$580
Total interest from all sources	2010-12-31	$11,268
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$158,860
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$158,860
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$742,480
Participant contributions at end of year	2010-12-31	$218,702
Participant contributions at beginning of year	2010-12-31	$190,221
Other income not declared elsewhere	2010-12-31	$367
Administrative expenses (other) incurred	2010-12-31	$580
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$890,831
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$11,432,993
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$10,542,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$9,366,782
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$8,376,816
Interest on participant loans	2010-12-31	$11,268
Value of interest in common/collective trusts at end of year	2010-12-31	$1,847,509
Value of interest in common/collective trusts at beginning of year	2010-12-31	$1,975,125
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$991,208
Net investment gain or loss from common/collective trusts	2010-12-31	$80,498
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$171,422
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,264,144
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LUTZ & COMPANY, PC
Accountancy firm EIN	2010-12-31	470625816

Form 5500 Responses for CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS PLAN

2020: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS 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: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS 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: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS 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: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CENTRAL STATES INDEMNITY CO. OF OMAHA PROFIT SHARING AND SAVINGS 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:	CENTRAL STATES INDEMNITY CO. OF OMAHA
Employer identification number (EIN):	470591908
NAIC Classification:	524290