401k Plan data: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION plan

HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 401k Plan overview

Plan Name	HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION
Plan identification number	501

HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

OLDHAM HARDWOODS has sponsored the creation of one or more 401k plans.

Company Name: OLDHAM HARDWOODS

Employer identification number (EIN): 610623284

NAIC Classification: 423300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-06-01 SHAWNA BURTON 2023-12-27
501 2021-06-01 SHAWNA BURTON 2022-12-29
501 2020-06-01 SHAWNA BURTON 2021-12-14
501 2020-04-01 KELLY WOLF 2020-12-23
501 2013-04-01 MARLENE HUGHES
501 2012-04-01 MARLENE HUGHES 2014-01-07 MARLENE HUGHES 2014-01-06
501 2011-04-01 MARLENE HUGHES 2013-01-17 MARLENE HUGHES 2013-01-17
501 2010-04-01 MARLENE HUGHES 2012-01-09 MARLENE HUGHES 2012-01-10
501 2009-04-01 MARLENE HUGHES 2011-01-13 MARLENE HUGHES 2011-01-25

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-06-01	SHAWNA BURTON	2023-12-27
501	2021-06-01	SHAWNA BURTON	2022-12-29
501	2020-06-01	SHAWNA BURTON	2021-12-14
501	2020-04-01	KELLY WOLF	2020-12-23
501	2013-04-01	MARLENE HUGHES
501	2012-04-01	MARLENE HUGHES	2014-01-07	MARLENE HUGHES	2014-01-06
501	2011-04-01	MARLENE HUGHES	2013-01-17	MARLENE HUGHES	2013-01-17
501	2010-04-01	MARLENE HUGHES	2012-01-09	MARLENE HUGHES	2012-01-10
501	2009-04-01	MARLENE HUGHES	2011-01-13	MARLENE HUGHES	2011-01-25

Plan Statistics for HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION

401k plan membership statisitcs for HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION

Measure Date Value
2013: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2013 401k membership
Total participants, beginning-of-year 2013-04-01 36
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 37
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 37
2012: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2012 401k membership
Total participants, beginning-of-year 2012-04-01 38
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 37
Number of retired or separated participants receiving benefits 2012-04-01 0
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 37
Total participants 2012-04-01 37
2011: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2011 401k membership
Total participants, beginning-of-year 2011-04-01 39
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 40
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 40
Total participants 2011-04-01 40
2010: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2010 401k membership
Total participants, beginning-of-year 2010-04-01 41
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 43
Number of retired or separated participants receiving benefits 2010-04-01 0
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 43
Total participants 2010-04-01 43
2009: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2009 401k membership
Total participants, beginning-of-year 2009-04-01 49
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 41
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 41
Total participants 2009-04-01 41

Measure	Date	Value
2013: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2013 401k membership
Total participants, beginning-of-year	2013-04-01	36
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	37
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	37
2012: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2012 401k membership
Total participants, beginning-of-year	2012-04-01	38
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	37
Number of retired or separated participants receiving benefits	2012-04-01	0
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	37
Total participants	2012-04-01	37
2011: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2011 401k membership
Total participants, beginning-of-year	2011-04-01	39
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	40
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	40
Total participants	2011-04-01	40
2010: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2010 401k membership
Total participants, beginning-of-year	2010-04-01	41
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	43
Number of retired or separated participants receiving benefits	2010-04-01	0
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	43
Total participants	2010-04-01	43
2009: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2009 401k membership
Total participants, beginning-of-year	2009-04-01	49
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	41
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	41
Total participants	2009-04-01	41

Financial Data on HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION

Measure	Date	Value
2014 : HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2014 401k financial data
Total income from all sources	2014-03-31	$467,630
Expenses. Total of all expenses incurred	2014-03-31	$467,630
Benefits paid (including direct rollovers)	2014-03-31	$302,385
Total plan assets at end of year	2014-03-31	$0
Total plan assets at beginning of year	2014-03-31	$0
Value of fidelity bond covering the plan	2014-03-31	$500,000
Total contributions received or receivable from participants	2014-03-31	$143,226
Expenses. Other expenses not covered elsewhere	2014-03-31	$165,245
Net income (gross income less expenses)	2014-03-31	$0
Net plan assets at end of year (total assets less liabilities)	2014-03-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-03-31	$0
Total contributions received or receivable from employer(s)	2014-03-31	$324,404
2013 : HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2013 401k financial data
Total plan liabilities at end of year	2013-03-31	$0
Total plan liabilities at beginning of year	2013-03-31	$0
Total income from all sources	2013-03-31	$657,194
Expenses. Total of all expenses incurred	2013-03-31	$657,194
Benefits paid (including direct rollovers)	2013-03-31	$499,668
Total plan assets at end of year	2013-03-31	$0
Total plan assets at beginning of year	2013-03-31	$0
Value of fidelity bond covering the plan	2013-03-31	$500,000
Total contributions received or receivable from participants	2013-03-31	$142,425
Expenses. Other expenses not covered elsewhere	2013-03-31	$21,858
Net income (gross income less expenses)	2013-03-31	$0
Total contributions received or receivable from employer(s)	2013-03-31	$514,769
Expenses. Administrative service providers (salaries,fees and commissions)	2013-03-31	$135,668
2012 : HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2012 401k financial data
Total income from all sources	2012-03-31	$670,074
Expenses. Total of all expenses incurred	2012-03-31	$670,074
Benefits paid (including direct rollovers)	2012-03-31	$538,043
Total plan assets at end of year	2012-03-31	$0
Total plan assets at beginning of year	2012-03-31	$0
Value of fidelity bond covering the plan	2012-03-31	$500,000
Expenses. Other expenses not covered elsewhere	2012-03-31	$132,031
Net income (gross income less expenses)	2012-03-31	$0
Net plan assets at end of year (total assets less liabilities)	2012-03-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-03-31	$0
Total contributions received or receivable from employer(s)	2012-03-31	$670,074
2011 : HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2011 401k financial data
Total income from all sources	2011-03-31	$669,656
Expenses. Total of all expenses incurred	2011-03-31	$669,656
Benefits paid (including direct rollovers)	2011-03-31	$551,618
Total plan assets at end of year	2011-03-31	$0
Total plan assets at beginning of year	2011-03-31	$0
Value of fidelity bond covering the plan	2011-03-31	$500,000
Expenses. Other expenses not covered elsewhere	2011-03-31	$118,038
Net income (gross income less expenses)	2011-03-31	$0
Net plan assets at end of year (total assets less liabilities)	2011-03-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-03-31	$0
Total contributions received or receivable from employer(s)	2011-03-31	$669,656

Form 5500 Responses for HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION

2013: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	Yes
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: HEALTH PROTECTION PLAN FOR EMPLOYEES OF NORTHLAND CORPORATION 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	OLDHAM HARDWOODS
Employer identification number (EIN):	610623284
NAIC Classification:	423300