401k Plan data: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION plan

403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 401k Plan overview

Plan Name	403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION
Plan identification number	002

403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

THE DON AND SYBIL HARRINGTON FOUNDA TION has sponsored the creation of one or more 401k plans.

Company Name: THE DON AND SYBIL HARRINGTON FOUNDA TION

Employer identification number (EIN): 751336604

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01
002 2016-01-01
002 2016-01-01
002 2015-01-01 CLAY STRIBLING 2016-07-08 CLAY STRIBLING 2016-07-08
002 2014-01-01 CLAY STRIBLING 2015-07-09 CLAY STRIBLING 2015-07-09
002 2013-01-01 CLAY STRIBLING 2014-06-13 CLAY STRIBLING 2014-06-13
002 2012-01-01 CLAY STRIBLING CLAY STRIBLING 2013-07-15
002 2011-01-01 CLAY STRIBLING CLAY STRIBLING 2012-10-03
002 2009-01-01 JIM ALLISON JIM ALLISON 2010-07-19
002 2009-01-01 CLAY STRIBLING CLAY STRIBLING 2012-10-03

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2017-01-01
002	2016-01-01
002	2016-01-01
002	2015-01-01	CLAY STRIBLING	2016-07-08	CLAY STRIBLING	2016-07-08
002	2014-01-01	CLAY STRIBLING	2015-07-09	CLAY STRIBLING	2015-07-09
002	2013-01-01	CLAY STRIBLING	2014-06-13	CLAY STRIBLING	2014-06-13
002	2012-01-01	CLAY STRIBLING		CLAY STRIBLING	2013-07-15
002	2011-01-01	CLAY STRIBLING		CLAY STRIBLING	2012-10-03
002	2009-01-01	JIM ALLISON		JIM ALLISON	2010-07-19
002	2009-01-01	CLAY STRIBLING		CLAY STRIBLING	2012-10-03

Plan Statistics for 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION

401k plan membership statisitcs for 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION

Measure Date Value
2012: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2012 401k membership
Total participants, beginning-of-year 2012-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 16
Number of participants with account balances 2012-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2011 401k membership
Total participants, beginning-of-year 2011-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 13
Number of other retired or separated participants entitled to future benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 18
Number of participants with account balances 2011-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2009 401k membership
Total participants, beginning-of-year 2009-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 14
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 16
Total participants 2009-01-01 16
Number of participants with account balances 2009-01-01 16

Measure	Date	Value
2012: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2012 401k membership
Total participants, beginning-of-year	2012-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	16
Number of participants with account balances	2012-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2011 401k membership
Total participants, beginning-of-year	2011-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	13
Number of other retired or separated participants entitled to future benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	18
Number of participants with account balances	2011-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2009 401k membership
Total participants, beginning-of-year	2009-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	14
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	16
Total participants	2009-01-01	16
Number of participants with account balances	2009-01-01	16

Financial Data on 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION

Measure	Date	Value
2012 : 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2012 401k financial data
Total income from all sources	2012-12-31	$216,171
Expenses. Total of all expenses incurred	2012-12-31	$13,880
Benefits paid (including direct rollovers)	2012-12-31	$4,407
Total plan assets at end of year	2012-12-31	$1,144,017
Total plan assets at beginning of year	2012-12-31	$941,726
Value of fidelity bond covering the plan	2012-12-31	$1,000,000
Total contributions received or receivable from participants	2012-12-31	$39,655
Expenses. Other expenses not covered elsewhere	2012-12-31	$9,211
Contributions received from other sources (not participants or employers)	2012-12-31	$7,520
Other income received	2012-12-31	$89,352
Net income (gross income less expenses)	2012-12-31	$202,291
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,144,017
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$941,726
Total contributions received or receivable from employer(s)	2012-12-31	$79,644
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$262
2011 : 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2011 401k financial data
Total income from all sources	2011-12-31	$119,365
Expenses. Total of all expenses incurred	2011-12-31	$466,731
Benefits paid (including direct rollovers)	2011-12-31	$466,520
Total plan assets at end of year	2011-12-31	$941,726
Total plan assets at beginning of year	2011-12-31	$1,289,092
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$62,643
Other income received	2011-12-31	$-19,985
Net income (gross income less expenses)	2011-12-31	$-347,366
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$941,726
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,289,092
Total contributions received or receivable from employer(s)	2011-12-31	$76,707
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$211
2010 : 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2010 401k financial data
Total income from all sources	2010-12-31	$396,203
Expenses. Total of all expenses incurred	2010-12-31	$45,649
Total plan assets at end of year	2010-12-31	$1,385,766
Total plan assets at beginning of year	2010-12-31	$1,035,212
Value of fidelity bond covering the plan	2010-12-31	$1,000,000
Total contributions received or receivable from participants	2010-12-31	$28,460
Expenses. Other expenses not covered elsewhere	2010-12-31	$45,649
Contributions received from other sources (not participants or employers)	2010-12-31	$5,368
Other income received	2010-12-31	$280,788
Net income (gross income less expenses)	2010-12-31	$350,554
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,385,766
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,035,212
Total contributions received or receivable from employer(s)	2010-12-31	$81,587

Form 5500 Responses for 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION

2012: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: 403(B) THRIFT PLAN OF THE DON AND SYBIL HARRINGTON FOUNDATION 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052389F

Policy instance

Insurance contract or identification number	052389F
Number of Individuals Covered	16
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of fees paid to insurance company	USD $148
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	16
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	3
Insurance broker name	TRACEY SMITH

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052389F

Policy instance

Insurance contract or identification number	052389F
Number of Individuals Covered	18
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of fees paid to insurance company	USD $222
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052389F

Policy instance

Insurance contract or identification number	052389F
Number of Individuals Covered	16
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of fees paid to insurance company	USD $413
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	THE DON AND SYBIL HARRINGTON FOUNDA TION
Employer identification number (EIN):	751336604
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations