401k Plan data: PENSION PLAN OF MCHC, INC. AND AFFILIATES plan

PENSION PLAN OF MCHC, INC. AND AFFILIATES 401k Plan overview

Plan Name	PENSION PLAN OF MCHC, INC. AND AFFILIATES
Plan identification number	002

PENSION PLAN OF MCHC, INC. AND AFFILIATES Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily flat dollar (includes dollars per year of service)
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

MCHC, INC. has sponsored the creation of one or more 401k plans.

Company Name: MCHC, INC.

Employer identification number (EIN): 800263639

NAIC Classification: 334200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENSION PLAN OF MCHC, INC. AND AFFILIATES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 PATRICK M. DALY 2013-08-29
002 2012-01-01 PATRICK M. DALY
002 2011-01-01 PATRICK M. DALY
002 2010-01-01 PATRICK M. DALY
002 2009-01-01 PATRICK M. DALY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2013-01-01	PATRICK M. DALY	2013-08-29
002	2012-01-01	PATRICK M. DALY
002	2011-01-01	PATRICK M. DALY
002	2010-01-01	PATRICK M. DALY
002	2009-01-01	PATRICK M. DALY

Plan Statistics for PENSION PLAN OF MCHC, INC. AND AFFILIATES

401k plan membership statisitcs for PENSION PLAN OF MCHC, INC. AND AFFILIATES

Measure Date Value
2012: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 194
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 244
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 117
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 75
Total of all active and inactive participants 2011-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2010 401k membership
Total participants, beginning-of-year 2010-01-01 246
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 123
Number of retired or separated participants receiving benefits 2010-01-01 35
Number of other retired or separated participants entitled to future benefits 2010-01-01 76
Total of all active and inactive participants 2010-01-01 234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 10
Total participants 2010-01-01 244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2009 401k membership
Total participants, beginning-of-year 2009-01-01 259
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 139
Number of retired or separated participants receiving benefits 2009-01-01 35
Number of other retired or separated participants entitled to future benefits 2009-01-01 64
Total of all active and inactive participants 2009-01-01 238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 8
Total participants 2009-01-01 246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 11

Measure	Date	Value
2012: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	194
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	244
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	117
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	75
Total of all active and inactive participants	2011-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2010 401k membership
Total participants, beginning-of-year	2010-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	123
Number of retired or separated participants receiving benefits	2010-01-01	35
Number of other retired or separated participants entitled to future benefits	2010-01-01	76
Total of all active and inactive participants	2010-01-01	234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	10
Total participants	2010-01-01	244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2009 401k membership
Total participants, beginning-of-year	2009-01-01	259
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	139
Number of retired or separated participants receiving benefits	2009-01-01	35
Number of other retired or separated participants entitled to future benefits	2009-01-01	64
Total of all active and inactive participants	2009-01-01	238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	8
Total participants	2009-01-01	246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	11

Financial Data on PENSION PLAN OF MCHC, INC. AND AFFILIATES

Measure	Date	Value
2012 : PENSION PLAN OF MCHC, INC. AND AFFILIATES 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$171,218
Total loss/gain on sale of assets	2012-12-31	$-6,313
Total of all expenses incurred	2012-12-31	$3,801,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,743,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$0
Value of total assets at end of year	2012-12-31	$152,590
Value of total assets at beginning of year	2012-12-31	$3,782,489
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$58,000
Total interest from all sources	2012-12-31	$12,136
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$50,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$50,859
Administrative expenses professional fees incurred	2012-12-31	$32,986
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$61
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$4,813
Other income not declared elsewhere	2012-12-31	$1,147
Administrative expenses (other) incurred	2012-12-31	$8,790
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-3,629,899
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$152,590
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,782,489
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$1,147
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,647,764
Income. Interest from corporate debt instruments	2012-12-31	$11,233
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$152,529
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$824,800
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$824,800
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$903
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$259,129
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$113,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$1,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,483,988
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$305,112
Contract administrator fees	2012-12-31	$15,077
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$6,450,010
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$6,456,323
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	SHARER PETREE BROTZ & SNYDER
Accountancy firm EIN	2012-12-31	274412128
2011 : PENSION PLAN OF MCHC, INC. AND AFFILIATES 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-11,800
Total unrealized appreciation/depreciation of assets	2011-12-31	$-11,800
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,097,670
Total loss/gain on sale of assets	2011-12-31	$-2,220
Total of all expenses incurred	2011-12-31	$1,881,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,847,275
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,000,000
Value of total assets at end of year	2011-12-31	$3,782,489
Value of total assets at beginning of year	2011-12-31	$4,566,017
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$33,923
Total interest from all sources	2011-12-31	$25,900
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$105,312
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2011-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$105,312
Administrative expenses professional fees incurred	2011-12-31	$12,390
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$4,813
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$17,302
Other income not declared elsewhere	2011-12-31	$2,911
Administrative expenses (other) incurred	2011-12-31	$8,540
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-783,528
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,782,489
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,566,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$420
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,647,764
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,855,715
Income. Interest from corporate debt instruments	2011-12-31	$25,581
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$824,800
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$494,453
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$494,453
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$319
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$1,717,715
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-22,433
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,000,000
Employer contributions (assets) at end of year	2011-12-31	$1,000,000
Employer contributions (assets) at beginning of year	2011-12-31	$700,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$129,560
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$305,112
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$498,547
Contract administrator fees	2011-12-31	$12,573
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$2,859,919
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$2,862,139
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	SHARER PETREE BROTZ & SNYDER
Accountancy firm EIN	2011-12-31	274412128
2010 : PENSION PLAN OF MCHC, INC. AND AFFILIATES 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$4,075
Total unrealized appreciation/depreciation of assets	2010-12-31	$4,075
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,184,804
Total loss/gain on sale of assets	2010-12-31	$84,086
Total of all expenses incurred	2010-12-31	$176,045
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$128,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,071,266
Value of total assets at end of year	2010-12-31	$4,566,017
Value of total assets at beginning of year	2010-12-31	$3,557,258
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$47,683
Total interest from all sources	2010-12-31	$25,479
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$59,170
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$46,384
Administrative expenses professional fees incurred	2010-12-31	$9,305
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$17,302
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$23,094
Other income not declared elsewhere	2010-12-31	$391
Administrative expenses (other) incurred	2010-12-31	$9,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,008,759
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,566,017
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,557,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$14,957
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,855,715
Income. Interest from corporate debt instruments	2010-12-31	$22,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$494,453
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$202,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$202,152
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$2,686
Asset value of US Government securities at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$-59,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,071,266
Employer contributions (assets) at end of year	2010-12-31	$700,000
Employer contributions (assets) at beginning of year	2010-12-31	$128,734
Income. Dividends from common stock	2010-12-31	$12,786
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$128,362
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$498,547
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$1,031,442
Contract administrator fees	2010-12-31	$13,704
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$2,171,836
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$5,457,949
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$5,373,863
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	WAGNER, SHARER MURTAUGH & PETREE
Accountancy firm EIN	2010-12-31	222944613
2009 : PENSION PLAN OF MCHC, INC. AND AFFILIATES 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PENSION PLAN OF MCHC, INC. AND AFFILIATES

2012: PENSION PLAN OF MCHC, INC. AND AFFILIATES 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 is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PENSION PLAN OF MCHC, INC. AND AFFILIATES 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 is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PENSION PLAN OF MCHC, INC. AND AFFILIATES 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PENSION PLAN OF MCHC, INC. AND AFFILIATES 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

GA220895

Policy instance

Insurance contract or identification number	GA220895
Number of Individuals Covered	54
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $13,605
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	Yes
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,605
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	DIETRICH AND ASSOCIATES

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

GA220895

Policy instance

Insurance contract or identification number	GA220895
Number of Individuals Covered	47
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $88,700
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	Yes
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	MCHC, INC.
Employer identification number (EIN):	800263639
NAIC Classification:	334200