401k Plan data: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN plan

LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	LEWIS & ASSOCIATES 401(K) SAVINGS PLAN
Plan identification number	001

LEWIS & ASSOCIATES 401(K) 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

LEWIS & ASSOCIATES INSURANCE BROKERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: LEWIS & ASSOCIATES INSURANCE BROKERS, INC.

Employer identification number (EIN): 770250385

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEWIS & ASSOCIATES 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 TERRY BECKLER
001 2016-01-01 TERRY BECKLER
001 2015-01-01 TERRY BECKLER
001 2014-01-01 TERRY BECKLER
001 2013-01-01 TERRY BECKLER
001 2012-01-01 TERRY BECKLER
001 2011-01-01 CAROL VENTURA
001 2009-01-01 CAROL VENTURA
001 2008-01-01 CAROL VENTURA

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	TERRY BECKLER
001	2016-01-01	TERRY BECKLER
001	2015-01-01	TERRY BECKLER
001	2014-01-01	TERRY BECKLER
001	2013-01-01	TERRY BECKLER
001	2012-01-01	TERRY BECKLER
001	2011-01-01	CAROL VENTURA
001	2009-01-01	CAROL VENTURA
001	2008-01-01	CAROL VENTURA

Plan Statistics for LEWIS & ASSOCIATES 401(K) SAVINGS PLAN

401k plan membership statisitcs for LEWIS & ASSOCIATES 401(K) SAVINGS PLAN

Measure Date Value
2017: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 18
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 1
Total of all active and inactive participants 2016-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 19
Number of participants with account balances 2016-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 19
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 2
Total of all active and inactive participants 2015-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 21
Number of participants with account balances 2015-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 21
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 0
Total of all active and inactive participants 2014-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 21
Number of participants with account balances 2014-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 20
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 0
Total of all active and inactive participants 2013-01-01 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 20
Number of participants with account balances 2013-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 21
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 1
Total of all active and inactive participants 2012-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 22
Number of participants with account balances 2012-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 22
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 1
Total of all active and inactive participants 2011-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 23
Number of participants with account balances 2011-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 21
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 10
Total of all active and inactive participants 2009-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 31
Number of participants with account balances 2009-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
2008: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 20
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 11
Total of all active and inactive participants 2008-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 31
Number of participants with account balances 2008-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0

Measure	Date	Value
2017: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	18
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	1
Total of all active and inactive participants	2016-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	19
Number of participants with account balances	2016-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	19
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	2
Total of all active and inactive participants	2015-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	21
Number of participants with account balances	2015-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	21
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	0
Total of all active and inactive participants	2014-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	21
Number of participants with account balances	2014-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	20
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	0
Total of all active and inactive participants	2013-01-01	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	20
Number of participants with account balances	2013-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	21
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	1
Total of all active and inactive participants	2012-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	22
Number of participants with account balances	2012-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	22
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	1
Total of all active and inactive participants	2011-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	23
Number of participants with account balances	2011-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	21
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	10
Total of all active and inactive participants	2009-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	31
Number of participants with account balances	2009-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2008: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	20
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	11
Total of all active and inactive participants	2008-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	31
Number of participants with account balances	2008-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0

Financial Data on LEWIS & ASSOCIATES 401(K) SAVINGS PLAN

Measure	Date	Value
2017 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2017 401k financial data
Transfers to/from the plan	2017-05-08	$0
Total plan liabilities at end of year	2017-05-08	$0
Total plan liabilities at beginning of year	2017-05-08	$0
Total income from all sources	2017-05-08	$44,896
Expenses. Total of all expenses incurred	2017-05-08	$1,157,193
Benefits paid (including direct rollovers)	2017-05-08	$1,155,643
Total plan assets at end of year	2017-05-08	$0
Total plan assets at beginning of year	2017-05-08	$1,112,297
Value of fidelity bond covering the plan	2017-05-08	$200,000
Total contributions received or receivable from participants	2017-05-08	$5,253
Expenses. Other expenses not covered elsewhere	2017-05-08	$0
Contributions received from other sources (not participants or employers)	2017-05-08	$0
Other income received	2017-05-08	$37,130
Noncash contributions received	2017-05-08	$0
Net income (gross income less expenses)	2017-05-08	$-1,112,297
Net plan assets at end of year (total assets less liabilities)	2017-05-08	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-05-08	$1,112,297
Assets. Value of participant loans	2017-05-08	$0
Total contributions received or receivable from employer(s)	2017-05-08	$2,513
Value of certain deemed distributions of participant loans	2017-05-08	$0
Value of corrective distributions	2017-05-08	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-05-08	$1,550
2016 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$152,996
Expenses. Total of all expenses incurred	2016-12-31	$218,256
Benefits paid (including direct rollovers)	2016-12-31	$212,012
Total plan assets at end of year	2016-12-31	$1,112,297
Total plan assets at beginning of year	2016-12-31	$1,177,557
Value of fidelity bond covering the plan	2016-12-31	$200,000
Total contributions received or receivable from participants	2016-12-31	$65,834
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$55,954
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$-65,260
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,112,297
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,177,557
Assets. Value of participant loans	2016-12-31	$33,599
Total contributions received or receivable from employer(s)	2016-12-31	$31,208
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$6,244
2015 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$92,082
Expenses. Total of all expenses incurred	2015-12-31	$11,242
Benefits paid (including direct rollovers)	2015-12-31	$4,905
Total plan assets at end of year	2015-12-31	$1,177,557
Total plan assets at beginning of year	2015-12-31	$1,096,717
Value of fidelity bond covering the plan	2015-12-31	$200,000
Total contributions received or receivable from participants	2015-12-31	$62,602
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-389
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$80,840
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,177,557
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,096,717
Assets. Value of participant loans	2015-12-31	$40,084
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$29,869
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$6,337
2014 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$135,156
Expenses. Total of all expenses incurred	2014-12-31	$6,225
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,096,717
Total plan assets at beginning of year	2014-12-31	$967,786
Value of fidelity bond covering the plan	2014-12-31	$250,000
Total contributions received or receivable from participants	2014-12-31	$61,654
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$43,820
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$128,931
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,096,717
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$967,786
Assets. Value of participant loans	2014-12-31	$48,024
Total contributions received or receivable from employer(s)	2014-12-31	$29,682
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$6,225
2013 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total income from all sources	2013-12-31	$168,001
Expenses. Total of all expenses incurred	2013-12-31	$113,735
Benefits paid (including direct rollovers)	2013-12-31	$106,863
Total plan assets at end of year	2013-12-31	$967,786
Total plan assets at beginning of year	2013-12-31	$913,520
Value of fidelity bond covering the plan	2013-12-31	$250,000
Total contributions received or receivable from participants	2013-12-31	$56,133
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$85,107
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$54,266
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$967,786
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$913,520
Assets. Value of participant loans	2013-12-31	$69,865
Total contributions received or receivable from employer(s)	2013-12-31	$26,761
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$6,872
2012 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$182,863
Expenses. Total of all expenses incurred	2012-12-31	$69,400
Benefits paid (including direct rollovers)	2012-12-31	$62,206
Total plan assets at end of year	2012-12-31	$913,520
Total plan assets at beginning of year	2012-12-31	$800,057
Value of fidelity bond covering the plan	2012-12-31	$250,000
Total contributions received or receivable from participants	2012-12-31	$67,516
Other income received	2012-12-31	$74,957
Net income (gross income less expenses)	2012-12-31	$113,463
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$913,520
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$800,057
Assets. Value of participant loans	2012-12-31	$73,313
Total contributions received or receivable from employer(s)	2012-12-31	$40,390
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$7,194
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$63,790
Expenses. Total of all expenses incurred	2011-12-31	$58,257
Benefits paid (including direct rollovers)	2011-12-31	$55,000
Total plan assets at end of year	2011-12-31	$800,057
Total plan assets at beginning of year	2011-12-31	$794,524
Value of fidelity bond covering the plan	2011-12-31	$250,000
Total contributions received or receivable from participants	2011-12-31	$73,221
Other income received	2011-12-31	$-40,222
Net income (gross income less expenses)	2011-12-31	$5,533
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$800,057
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$794,524
Assets. Value of participant loans	2011-12-31	$69,172
Total contributions received or receivable from employer(s)	2011-12-31	$30,791
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,257
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2009 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0
2008 : LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2008 401k financial data
Transfers to/from the plan	2008-12-31	$0
Total income from all sources	2008-12-31	$-158,877
Expenses. Total of all expenses incurred	2008-12-31	$56,476
Benefits paid (including direct rollovers)	2008-12-31	$56,266
Total plan assets at end of year	2008-12-31	$473,271
Total plan assets at beginning of year	2008-12-31	$688,624
Value of fidelity bond covering the plan	2008-12-31	$250,000
Total contributions received or receivable from participants	2008-12-31	$52,371
Expenses. Other expenses not covered elsewhere	2008-12-31	$210
Contributions received from other sources (not participants or employers)	2008-12-31	$0
Other income received	2008-12-31	$-232,054
Net income (gross income less expenses)	2008-12-31	$-215,353
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$473,271
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$688,624
Assets. Value of participant loans	2008-12-31	$79,092
Total contributions received or receivable from employer(s)	2008-12-31	$20,806
Value of certain deemed distributions of participant loans	2008-12-31	$0
Value of corrective distributions	2008-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2008-12-31	$0

Form 5500 Responses for LEWIS & ASSOCIATES 401(K) SAVINGS PLAN

2017: LEWIS & ASSOCIATES 401(K) 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	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: LEWIS & ASSOCIATES 401(K) 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: LEWIS & ASSOCIATES 401(K) 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: LEWIS & ASSOCIATES 401(K) 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: LEWIS & ASSOCIATES 401(K) 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: LEWIS & ASSOCIATES 401(K) 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LEWIS & ASSOCIATES 401(K) 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 funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LEWIS & ASSOCIATES 401(K) 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: LEWIS & ASSOCIATES 401(K) SAVINGS PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-006843

Policy instance

Insurance contract or identification number	GA-006843
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-07-31
Total amount of commissions paid to insurance broker	USD $1,952
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-006843

Policy instance

Insurance contract or identification number	GA-006843
Number of Individuals Covered	31
Insurance policy start date	2008-01-01
Insurance policy end date	2008-12-31
Total amount of commissions paid to insurance broker	USD $2,092
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,092
Insurance broker organization code?	3
Insurance broker name	WOODBURY FINANCIAL SVCS INC

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Company Name:	LEWIS & ASSOCIATES INSURANCE BROKERS, INC.
Employer identification number (EIN):	770250385
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages