401k Plan data: EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. plan

EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 401k Plan overview

Plan Name	EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP.
Plan identification number	002

EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.

401k Sponsoring company profile

BLACK RIVER AREA DEVELOPMENT CORP. has sponsored the creation of one or more 401k plans.

Company Name: BLACK RIVER AREA DEVELOPMENT CORP.

Employer identification number (EIN): 710387337

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-10-01 MARY WHITLOW MARY WHITLOW 2015-07-14
002 2012-10-01 MARY WHITLOW MARY WHITLOW 2014-07-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2013-10-01	MARY WHITLOW		MARY WHITLOW	2015-07-14
002	2012-10-01	MARY WHITLOW		MARY WHITLOW	2014-07-15

Plan Statistics for EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP.

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP.

Measure Date Value
2013: EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 2013 401k membership
Total participants, beginning-of-year 2013-10-01 112
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 97
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 28
Total of all active and inactive participants 2013-10-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 1
Total participants 2013-10-01 126
Number of participants with account balances 2013-10-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 4
2012: EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 2012 401k membership
Total participants, beginning-of-year 2012-10-01 114
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 93
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 19
Total of all active and inactive participants 2012-10-01 112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 112
Number of participants with account balances 2012-10-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 2

Measure	Date	Value
2013: EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 2013 401k membership
Total participants, beginning-of-year	2013-10-01	112
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	97
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	28
Total of all active and inactive participants	2013-10-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	1
Total participants	2013-10-01	126
Number of participants with account balances	2013-10-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	4
2012: EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 2012 401k membership
Total participants, beginning-of-year	2012-10-01	114
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	93
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	19
Total of all active and inactive participants	2012-10-01	112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	112
Number of participants with account balances	2012-10-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	2

Financial Data on EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP.

Measure	Date	Value
2014 : EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$278,102
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$353,429
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$350,221
Expenses. Certain deemed distributions of participant loans	2014-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$248,265
Value of total assets at end of year	2014-09-30	$2,349,828
Value of total assets at beginning of year	2014-09-30	$2,425,155
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$3,208
Total interest from all sources	2014-09-30	$22,186
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$500,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$101,463
Income. Received or receivable in cash from other sources (including rollovers)	2014-09-30	$0
Other income not declared elsewhere	2014-09-30	$0
Administrative expenses (other) incurred	2014-09-30	$3,208
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	$-75,327
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$2,349,828
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$2,425,155
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-09-30	$272,765
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-09-30	$111,579
Interest on participant loans	2014-09-30	$0
Interest earned on other investments	2014-09-30	$22,186
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-09-30	$2,077,063
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-09-30	$2,313,576
Expenses. Payments to insurance carriers foe the provision of benefits	2014-09-30	$0
Net investment gain/loss from pooled separate accounts	2014-09-30	$7,651
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
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	$146,802
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$350,221
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	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	WELCH, COUCH & COMPANY, PA
Accountancy firm EIN	2014-09-30	710387337
2013 : EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$270,177
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$285,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$285,010
Expenses. Certain deemed distributions of participant loans	2013-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$228,821
Value of total assets at end of year	2013-09-30	$2,425,155
Value of total assets at beginning of year	2013-09-30	$2,440,781
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$793
Total interest from all sources	2013-09-30	$29,037
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Was this plan covered by a fidelity bond	2013-09-30	No
If this is an individual account plan, was there a blackout period	2013-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$95,159
Income. Received or receivable in cash from other sources (including rollovers)	2013-09-30	$0
Other income not declared elsewhere	2013-09-30	$0
Administrative expenses (other) incurred	2013-09-30	$793
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	$-15,626
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$2,425,155
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$2,440,781
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-09-30	$111,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-09-30	$100,903
Interest on participant loans	2013-09-30	$0
Interest earned on other investments	2013-09-30	$29,037
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-09-30	$2,313,576
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-09-30	$2,339,878
Expenses. Payments to insurance carriers foe the provision of benefits	2013-09-30	$0
Net investment gain/loss from pooled separate accounts	2013-09-30	$12,319
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	$133,662
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$285,010
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	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	HUGHES WELCH & MILLIGAN LTD
Accountancy firm EIN	2013-09-30	710623618

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP.

2013: EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: EMPLOYEE BENEFIT PLAN OF BLACK RIVER AREA DEVELOPMENT CORP. 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	BLACK RIVER AREA DEVELOPMENT CORP.
Employer identification number (EIN):	710387337
NAIC Classification:	624100
NAIC Description:	Individual and Family Services