401k Plan data: GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N plan

GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 401k Plan overview

Plan Name	GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N
Plan identification number	001

GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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

GOODWILL INDUSTRIES OF NORTHERN ARI ZONA has sponsored the creation of one or more 401k plans.

Company Name: GOODWILL INDUSTRIES OF NORTHERN ARI ZONA

Employer identification number (EIN): 860280491

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 JORDAN HOFFMAN 2016-03-23 JORDAN HOFFMAN 2016-03-23
001 2014-01-01 DAVID L. HIRSCH DAVID L. HIRSCH 2015-07-21
001 2013-01-01 DAVID L. HIRSCH DAVID L. HIRSCH 2014-11-21
001 2012-01-01 DAVID L. HIRSCH 2013-09-17 DAVID L. HIRSCH 2013-09-17
001 2011-01-01 DAVID L. HIRSCH 2013-07-19 DAVID L. HIRSCH 2013-07-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	JORDAN HOFFMAN	2016-03-23	JORDAN HOFFMAN	2016-03-23
001	2014-01-01	DAVID L. HIRSCH		DAVID L. HIRSCH	2015-07-21
001	2013-01-01	DAVID L. HIRSCH		DAVID L. HIRSCH	2014-11-21
001	2012-01-01	DAVID L. HIRSCH	2013-09-17	DAVID L. HIRSCH	2013-09-17
001	2011-01-01	DAVID L. HIRSCH	2013-07-19	DAVID L. HIRSCH	2013-07-19

Plan Statistics for GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N

401k plan membership statisitcs for GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N

Measure Date Value
2014: GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 2014 401k membership
Total participants, beginning-of-year 2014-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 241
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 249
Number of participants with account balances 2014-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 2013 401k membership
Total participants, beginning-of-year 2013-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 164
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 167
Number of participants with account balances 2013-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2014: GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 2014 401k membership
Total participants, beginning-of-year	2014-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	241
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	249
Number of participants with account balances	2014-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 2013 401k membership
Total participants, beginning-of-year	2013-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	164
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	167
Number of participants with account balances	2013-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N

Measure	Date	Value
2014 : GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$74,651
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$11,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$11,684
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$56,351
Value of total assets at end of year	2014-12-31	$504,426
Value of total assets at beginning of year	2014-12-31	$441,459
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$400,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$40,083
Participant contributions at end of year	2014-12-31	$2,986
Participant contributions at beginning of year	2014-12-31	$1,655
Participant contributions at end of year	2014-12-31	$1,143
Participant contributions at beginning of year	2014-12-31	$1,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$62,967
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$504,426
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$441,459
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$499,851
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$438,529
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$18,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$16,268
Employer contributions (assets) at end of year	2014-12-31	$446
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$11,684
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	RUSS KIMBERLIN, CPA PLLC
Accountancy firm EIN	2014-12-31	455497718
2013 : GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$124,090
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$9,265
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$7,168
Expenses. Certain deemed distributions of participant loans	2013-12-31	$2,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$63,692
Value of total assets at end of year	2013-12-31	$441,459
Value of total assets at beginning of year	2013-12-31	$326,634
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$400,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$43,469
Participant contributions at end of year	2013-12-31	$1,655
Participant contributions at end of year	2013-12-31	$1,275
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$6,141
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$114,825
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$441,459
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$326,634
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$438,529
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$326,634
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$60,398
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$14,082
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$7,168
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	RUSS KIMBERLIN, CPA PLLC
Accountancy firm EIN	2013-12-31	455497718

Form 5500 Responses for GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N

2014: GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: GOODWILL INDUSTRIES OF NORTHERN ARIZONA 403(B) PL N 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0131280EE

Policy instance

Insurance contract or identification number	ART0131280EE
Number of Individuals Covered	30
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $3,034
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
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	No
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
Commission paid to Insurance Broker	USD $3,034
Insurance broker organization code?	3
Insurance broker name	NATIONAL PLANNING CORPORATION

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0131280EE

Policy instance

Insurance contract or identification number	ART0131280EE
Number of Individuals Covered	25
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,052
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
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	No
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
Commission paid to Insurance Broker	USD $3,052
Insurance broker organization code?	3
Insurance broker name	NATIONAL PLANNING CORPORATION

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Company Name:	GOODWILL INDUSTRIES OF NORTHERN ARI ZONA
Employer identification number (EIN):	860280491
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations