401k Plan data: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST plan

PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 401k Plan overview

Plan Name	PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST
Plan identification number	501

PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

FAIRFIELD POLICE OFFICERS ASSOC has sponsored the creation of one or more 401k plans.

Company Name: FAIRFIELD POLICE OFFICERS ASSOC

Employer identification number (EIN): 680355180

NAIC Classification: 813930
NAIC Description: Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-10-01 DAVID HAWKINS
501 2013-10-01 DAVID HAWKINS
501 2012-10-01 DAVID HAWKINS
501 2011-10-01 DAVID HAWKINS
501 2010-10-01 DAVID HAWKINS
501 2009-10-01 DON SCHNEIDER JOHN DIVINE 2011-06-21
501 2008-10-01
501 2007-10-01 DONALD SCHNEIDER JOHN DIVINE 2010-03-25

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-10-01	DAVID HAWKINS
501	2013-10-01	DAVID HAWKINS
501	2012-10-01	DAVID HAWKINS
501	2011-10-01	DAVID HAWKINS
501	2010-10-01	DAVID HAWKINS
501	2009-10-01	DON SCHNEIDER	JOHN DIVINE	2011-06-21
501	2008-10-01
501	2007-10-01	DONALD SCHNEIDER	JOHN DIVINE	2010-03-25

Plan Statistics for PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST

401k plan membership statisitcs for PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST

Measure Date Value
2014: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year 2014-10-01 146
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 0
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 0
2013: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year 2013-10-01 143
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 110
Number of retired or separated participants receiving benefits 2013-10-01 34
Number of other retired or separated participants entitled to future benefits 2013-10-01 2
Total of all active and inactive participants 2013-10-01 146
2012: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year 2012-10-01 141
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 112
Number of retired or separated participants receiving benefits 2012-10-01 30
Number of other retired or separated participants entitled to future benefits 2012-10-01 1
Total of all active and inactive participants 2012-10-01 143
2011: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year 2011-10-01 135
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 115
Number of retired or separated participants receiving benefits 2011-10-01 25
Number of other retired or separated participants entitled to future benefits 2011-10-01 1
Total of all active and inactive participants 2011-10-01 141
2010: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year 2010-10-01 136
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 111
Number of retired or separated participants receiving benefits 2010-10-01 24
Total of all active and inactive participants 2010-10-01 135
2009: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year 2009-10-01 139
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 114
Number of retired or separated participants receiving benefits 2009-10-01 22
Total of all active and inactive participants 2009-10-01 136
2007: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2007 401k membership
Total participants, beginning-of-year 2007-10-01 138
Total number of active participants reported on line 7a of the Form 5500 2007-10-01 115
Number of retired or separated participants receiving benefits 2007-10-01 20
Number of other retired or separated participants entitled to future benefits 2007-10-01 2
Total of all active and inactive participants 2007-10-01 137

Measure	Date	Value
2014: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year	2014-10-01	146
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	0
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	0
2013: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year	2013-10-01	143
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	110
Number of retired or separated participants receiving benefits	2013-10-01	34
Number of other retired or separated participants entitled to future benefits	2013-10-01	2
Total of all active and inactive participants	2013-10-01	146
2012: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year	2012-10-01	141
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	112
Number of retired or separated participants receiving benefits	2012-10-01	30
Number of other retired or separated participants entitled to future benefits	2012-10-01	1
Total of all active and inactive participants	2012-10-01	143
2011: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year	2011-10-01	135
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	115
Number of retired or separated participants receiving benefits	2011-10-01	25
Number of other retired or separated participants entitled to future benefits	2011-10-01	1
Total of all active and inactive participants	2011-10-01	141
2010: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year	2010-10-01	136
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	111
Number of retired or separated participants receiving benefits	2010-10-01	24
Total of all active and inactive participants	2010-10-01	135
2009: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year	2009-10-01	139
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	114
Number of retired or separated participants receiving benefits	2009-10-01	22
Total of all active and inactive participants	2009-10-01	136
2007: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2007 401k membership
Total participants, beginning-of-year	2007-10-01	138
Total number of active participants reported on line 7a of the Form 5500	2007-10-01	115
Number of retired or separated participants receiving benefits	2007-10-01	20
Number of other retired or separated participants entitled to future benefits	2007-10-01	2
Total of all active and inactive participants	2007-10-01	137

Financial Data on PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST

Measure	Date	Value
2015 : PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2015 401k financial data
Total transfer of assets from this plan	2015-09-30	$748,190
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$1,456
Total income from all sources (including contributions)	2015-09-30	$48,638
Total of all expenses incurred	2015-09-30	$123,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$38,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$33,625
Value of total assets at end of year	2015-09-30	$0
Value of total assets at beginning of year	2015-09-30	$824,491
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$85,477
Total interest from all sources	2015-09-30	$55
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$73,179
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-09-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-09-30	$73,179
Administrative expenses professional fees incurred	2015-09-30	$76,615
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$100,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Contributions received from participants	2015-09-30	$7,575
Administrative expenses (other) incurred	2015-09-30	$5,729
Liabilities. Value of operating payables at beginning of year	2015-09-30	$1,456
Total non interest bearing cash at end of year	2015-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-74,845
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$823,035
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Investment advisory and management fees	2015-09-30	$3,133
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-30	$814,894
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-09-30	$9,597
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-09-30	$9,597
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-09-30	$55
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-30	$-58,221
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$26,050
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$38,006
Did the plan have assets held for investment	2015-09-30	No
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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	No
Opinion of an independent qualified public accountant for this plan	2015-09-30	Unqualified
Accountancy firm name	2015-09-30	MOSS ADAMS LLP
Accountancy firm EIN	2015-09-30	910189318
2014 : PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$1,456
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$2,950
Total income from all sources (including contributions)	2014-09-30	$137,140
Total of all expenses incurred	2014-09-30	$77,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$52,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$65,610
Value of total assets at end of year	2014-09-30	$824,491
Value of total assets at beginning of year	2014-09-30	$766,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$24,337
Total interest from all sources	2014-09-30	$1
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$36,858
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-09-30	$36,858
Administrative expenses professional fees incurred	2014-09-30	$11,408
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$100,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$15,175
Income. Received or receivable in cash from other sources (including rollovers)	2014-09-30	$10
Administrative expenses (other) incurred	2014-09-30	$2,157
Liabilities. Value of operating payables at end of year	2014-09-30	$1,456
Liabilities. Value of operating payables at beginning of year	2014-09-30	$2,950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$59,934
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$823,035
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$763,101
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Investment advisory and management fees	2014-09-30	$10,772
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-09-30	$814,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-09-30	$759,154
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-09-30	$9,597
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-09-30	$6,897
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-09-30	$6,897
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-09-30	$1
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-09-30	$34,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$50,425
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$52,869
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	2014-09-30	No
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	No
Opinion of an independent qualified public accountant for this plan	2014-09-30	Unqualified
Accountancy firm name	2014-09-30	MOSS ADAMS LLP
Accountancy firm EIN	2014-09-30	910189318
2013 : PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$2,950
Total income from all sources (including contributions)	2013-09-30	$150,676
Total of all expenses incurred	2013-09-30	$78,660
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$46,193
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$67,660
Value of total assets at end of year	2013-09-30	$766,051
Value of total assets at beginning of year	2013-09-30	$691,085
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$32,467
Total interest from all sources	2013-09-30	$1
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$17,502
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-09-30	$17,502
Administrative expenses professional fees incurred	2013-09-30	$20,848
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$100,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$14,675
Income. Received or receivable in cash from other sources (including rollovers)	2013-09-30	$10
Administrative expenses (other) incurred	2013-09-30	$2,080
Liabilities. Value of operating payables at end of year	2013-09-30	$2,950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$72,016
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$763,101
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$691,085
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Investment advisory and management fees	2013-09-30	$9,539
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-09-30	$759,154
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-09-30	$681,139
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-09-30	$6,897
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-09-30	$9,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-09-30	$9,946
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-09-30	$1
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-09-30	$65,513
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$52,975
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$46,193
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	2013-09-30	No
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	No
Opinion of an independent qualified public accountant for this plan	2013-09-30	Unqualified
Accountancy firm name	2013-09-30	MOSS ADAMS LLP
Accountancy firm EIN	2013-09-30	910189318
2012 : PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$1,780
Total income from all sources (including contributions)	2012-09-30	$174,764
Total of all expenses incurred	2012-09-30	$67,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$38,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$67,685
Value of total assets at end of year	2012-09-30	$691,085
Value of total assets at beginning of year	2012-09-30	$585,858
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$29,057
Total interest from all sources	2012-09-30	$1
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$23,769
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-09-30	$23,769
Administrative expenses professional fees incurred	2012-09-30	$17,133
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$100,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$14,225
Income. Received or receivable in cash from other sources (including rollovers)	2012-09-30	$10
Administrative expenses (other) incurred	2012-09-30	$3,322
Liabilities. Value of operating payables at beginning of year	2012-09-30	$1,780
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$107,007
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$691,085
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$584,078
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Investment advisory and management fees	2012-09-30	$8,602
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-09-30	$681,139
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-09-30	$577,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-09-30	$9,946
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-09-30	$8,151
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-09-30	$8,151
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-09-30	$1
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-09-30	$83,309
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$53,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$38,700
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	2012-09-30	No
Did the plan have assets held for investment	2012-09-30	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	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	No
Opinion of an independent qualified public accountant for this plan	2012-09-30	Unqualified
Accountancy firm name	2012-09-30	MOSS ADAMS LLP
Accountancy firm EIN	2012-09-30	910189318
2011 : PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$1,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$3,789
Total income from all sources (including contributions)	2011-09-30	$57,498
Total of all expenses incurred	2011-09-30	$65,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$35,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$66,435
Value of total assets at end of year	2011-09-30	$585,858
Value of total assets at beginning of year	2011-09-30	$595,717
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$30,042
Total interest from all sources	2011-09-30	$5
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$15,102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-09-30	$15,102
Administrative expenses professional fees incurred	2011-09-30	$17,600
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$100,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Contributions received from participants	2011-09-30	$15,050
Income. Received or receivable in cash from other sources (including rollovers)	2011-09-30	$10
Administrative expenses (other) incurred	2011-09-30	$3,749
Liabilities. Value of operating payables at end of year	2011-09-30	$1,780
Liabilities. Value of operating payables at beginning of year	2011-09-30	$3,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$-7,850
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$584,078
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$591,928
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Investment advisory and management fees	2011-09-30	$8,693
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-09-30	$577,707
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-09-30	$581,039
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-09-30	$8,151
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-09-30	$14,678
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-09-30	$14,678
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-09-30	$5
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-09-30	$-24,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	Yes
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$51,375
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$35,306
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	2011-09-30	No
Did the plan have assets held for investment	2011-09-30	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	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	No
Opinion of an independent qualified public accountant for this plan	2011-09-30	Unqualified
Accountancy firm name	2011-09-30	MOSS ADAMS LLP
Accountancy firm EIN	2011-09-30	910189318

Form 5500 Responses for PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST

2014: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	This submission is the final filing	Yes
2014-10-01	Plan is a collectively bargained plan	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan is a collectively bargained plan	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	Yes
2012-10-01	Plan is a collectively bargained plan	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan is a collectively bargained plan	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Plan is a collectively bargained plan	Yes
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	This submission is the final filing	No
2009-10-01	Plan is a collectively bargained plan	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2008: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No
2007: PREMIUM REIMBURSEMENT PLAN OF THE BAY AREA PUBLIC SAFETY EMPLOYEES BENEFIT TRUST 2007 form 5500 responses
2007-10-01	Type of plan entity	Single employer plan
2007-10-01	This submission is the final filing	No
2007-10-01	Plan is a collectively bargained plan	Yes
2007-10-01	Plan funding arrangement – Trust	Yes
2007-10-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

PREMIUM REIMBURSEMENT PLAN OF THE CITY OF ORANGE POLICE ASSOCIATION EMPLOYEE BENEFIT TRUST [EIN = 237433379]

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Company Name:	FAIRFIELD POLICE OFFICERS ASSOC
Employer identification number (EIN):	680355180
NAIC Classification:	813930
NAIC Description:	Labor Unions and Similar Labor Organizations